Residency Advisor

The Thoracic Surgery Fellowship at Washington University, in collaboration with Barnes-Jewish Hospital and St. Louis Children’s Hospital, is an ACGME-accredited two-year program designed to prepare fellows for certification by the American Board of Thoracic Surgery. This fellowship is committed to delivering exceptional patient care, promoting innovative research, and cultivating future leaders in surgical education.

Program Structure

The fellowship comprises two primary years of training: the first year focuses on pediatric cardiothoracic surgery and general thoracic surgery, while the second year is dedicated to adult cardiac surgery. During the first year, fellows are engaged in open, minimally invasive (including VATS and robotic), and endoscopic procedures for various thoracic conditions, including lung, esophageal, mediastinal, and tracheal disorders. The second year emphasizes adult cardiac cases, such as heart failure surgery and cardiac transplantation. Fellows are expected to handle a substantial operative load, with an estimated 350 operations performed as the primary surgeon throughout the program, alongside involvement in cutting-edge programs like ventricular assist devices and artificial hearts

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The faculty consists of renowned experts who leverage their extensive clinical experience to expose fellows to the full spectrum of thoracic diseases and therapies.

Curriculum and Experience

The curriculum adheres to the Thoracic Surgical Curriculum set by the Thoracic Surgery Directors Association (TSDA), ensuring that fellows are well-prepared for board examinations. Among the program's aims are to cultivate compassionate patient care, promote ongoing education, and ensure mastery of both operative and non-operative management of surgical conditions. The training environment emphasizes professionalism, ethical standards, and effective communication to optimize patient outcomes

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Research Opportunities

The program strongly encourages research participation and offers a range of scholarly activities. Fellows may collaborate with world-class mentors on research focused on surgical education, global health, epidemiology, and advanced surgical techniques. Additional opportunities include obtaining advanced degrees, such as a Master's in Public Health, to further enhance their academic credentials. Significant funding and resources are allocated to support research endeavors, underscoring the program's commitment to academic excellence.

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Competitiveness and Application Requirements

This fellowship program is highly competitive and welcomes diverse applicants, including DOs and international medical graduates (IMGs). Applicants typically must have completed an ACGME-accredited General Surgery residency and demonstrate strong clinical and academic records. During the application process, candidates submit a detailed ERAS application, including official transcripts, letters of recommendation, and a personal statement. A valid ECFMG certificate is required for international graduates. While there are no explicit maximums for STEP failures, strong performance on USMLE examinations enhances eligibility.

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Visa Support

The program provides comprehensive visa support for international applicants. It can sponsor J-1 and H-1B visas, facilitating a smooth transition for qualified IMG candidates looking to pursue their fellowship in the United States.

Unique Aspects of the Program

Beyond the rigorous clinical and surgical training, the program emphasizes a supportive learning environment. Fellows engage in mentorship programs, receive access to advanced simulation labs, and benefit from robust wellness initiatives aimed at fostering a positive and healthy training experience in the vibrant city of St. Louis.

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Living in St. Louis

Residents and fellows enjoy the advantages of living in St. Louis, a city known for its affordable cost of living, cultural activities, and community engagement opportunities. From sports events to artistic performances, fellows find a balance between their demanding training and personal enrichment. The program enforces inclusivity and diversity within its community, recognizing that this mindset fosters a richer educational environment.

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Fit
Location
Culture
Prestige
Research
Schedule / Training

Program

Program Size

3, 3 (2 years)
Accreditation Status
Continued Accreditation since January 1970

Composition

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Quality of Life

First year average hours per week:

80hrs

First year max cons. hours on duty:

24hrs

First Year Salary:

$82,839

First Year Paid Vacation:

-

First Year Paid Sick Leave:

-

Training

Fellowship Rate:

-

Faculty to Residents Ratio:

4.5X

Residents career path:

-

Admission

Min. Step 2 Score:

-

Visa Sponsorship:

-

YOG Cutoff:

1

Location

St. Louis, MO

Population
1,004,125
Income
$77,719
Education
36.2%
Employment
60.6%
Health
7.9%
Age
40

Housing - Rental Prices

Crime - All Violent Offences

Living in St. Louis, MO

St. Louis is a diverse city offering a mix of urban and suburban living. Here is an overview of different aspects of living in St. Louis:

  • Crime Rate and Safety: St. Louis has areas with varying crime rates, so it's important to research specific neighborhoods. Overall, the city has made improvements in safety but like any big city, precautions are still necessary.
  • Fun Activities: St. Louis is known for its Gateway Arch, Forest Park, diverse food scene, museums, and sports teams like the Cardinals and Blues. There are also many parks and outdoor recreational activities available.
  • Climate: St. Louis experiences all four seasons with hot summers and cold winters. Spring and fall are often mild and pleasant.
  • Races and Population: St. Louis has a diverse population with a mix of races and ethnicities, contributing to a rich cultural scene.
  • Education: St. Louis is home to several universities and colleges, providing opportunities for continuing education and cultural events.
  • Cost of Living: The cost of living in St. Louis is lower than the national average, making it an affordable option for residents.
  • Proximity to Bigger Cities: St. Louis is approximately a 4-hour drive from Chicago, IL, and a 5-hour drive from Kansas City, MO. Both cities offer additional cultural, dining, and entertainment options.

Pros: Affordable cost of living, diverse cultural experiences, plenty of outdoor activities.

Cons: Some areas have higher crime rates, winters can be cold.

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