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Cardiovascular and Thoracic Fellowship

The Cardiovascular and Thoracic Fellowship is designed to prepare for a career in cardiac, thoracic and vascular anesthesia. Clinical instruction is accomplished by assigning the fellow to a CVT operating room with clinical and educational responsibilities that may include the instruction of a Penn CA-2 or CA-3 resident in anesthesia. Supervision and teaching in both clinical and educational issues is provided the assigned faculty member.

A separate rotation to Penn Presbyterian Medical Center may provide the opportunity to care for cardiac surgery patients in a community hospital environment. The intraoperative experience in CVT Anesthesia will be supplemented with the management of cardiac and thoracic patients in the Cardiothoracic Intensive Care Unit under the direct tutelage of a cardiac anesthesia attending. The CT-ICU experience will include the instruction and supervision of Penn anesthesia and surgical residents in the management of the cardiac/thoracic patients during convalescence and recovery. Echocardiography training includes a 5-week period of formal instruction in the echo lab by members of the Division of Cardiology. Further experience is gained by examination and interpretation in the OR under the guidance of echo-trained anesthesiologists. After successful completion of the fellowship with subspecialty training in TEE, the fellow would be prepared for certification in the basic examinations in echocardiography offered by the National Board of Echocardiography, Inc.

The educational activities of the fellowship also include:

  • A continuous process of self-education with readings guided by an assigned CVT faculty mentor.
  • Participation in the Thursday morning TEE fellows conferences and CVT/QA/QI meetings.
  • Weekly attendance and participation at the Departmental Grand Rounds with the requirement for each fellow to offer one presentation at this forum under the guidance of a CVT faculty member.
  • Weekly attendance at Thursday morning research conference.
  • Weekly participation in Wednesday AM Cardiology CT surgery-CVT Anesthesia Conference

Participation in research is an important aspect of the fellowship experience for those anticipating academic careers. Participation in clinical or laboratory projects is encouraged, and is based on the interest of the fellow and the promise of the area for long term development, both for research significance and extramural funding. For more details, follow the links to the faculty and peruse the research section of the web site.

Caseload:

  • Cardiac procedures with CPB per year:
    • UPHS = 2,000
    • CHOP = 1,000
  • Non-cardiac thoracic cases per year: 1,400
  • Heart, lung and heart/lung transplants per year: 80
  • Distribution of cardiac cases: 45% CABG, 25% Valves, 30% Congenital
  • TEE examinations per year: 400
Faculty
Name
Clinical Areas*
Research, Other interests
John Augustides, MD
A, T, TEE
TEE, Aortic surgery
Stanley J. Aukburg, MD
T
Monitoring technology
Rebecca Barnett,MD
T
Education
Albert T. Cheung, MD
A, ICU, TEE
LV function, Clinical pharmacology
Thomas F. Floyd, MD
A, TEE
Neurologic injury
C. William Hanson, MD
A, ICU, TEE
Nitric Oxide, Information systems
Jiri Horak, MD
A, ICU, TEE
Intensive Care
David R. Jobes, MD
A, P
Hemostatis, Outcomes research
Ben A Kohl, MD
A, TEE, ICU
Warren J. Levy, MD
A, TEE
CNS monitoring, Computer technology
Bonnie Milas, MD
A, ICU, TEE
Coagulation, Monitoring
Susan Nicolson, MD
P
Congenital heart disease
E. Andrew Ochroch, MD
T
Thoracic postop pain
Joseph S. Savino, MD
A, ICU, TEE
Epidemiology, Mitral Valve
James Steven, MD
P
Congenital heart disease
Stuart Weiss, MD, Ph.D
A, T, ICU, TEE
LV function, pharmacology
William J Vernick, MD
A
 
M. Boras Zuchner, MD
A, TEE
 
*A: Adult cardiac; P: Pediatric cardiac (at CHOP); T: Thoracic; ICU: Cardiothoracic intensive care; TEE: Transesophageal echocardiography

Addition information about the research and clinical interests of the Cardiovacular and Thoracic faculty can be obtained by looking in the appropriate sections of the faculty guide.

Selection to the fellowship is competitive. Please send the following required documents:

  • Updated CV
  • Personal Statement
  • Copy of medical school diploma
  • Copy of Dean's letter and medical school transcript
  • Three (3) letters of recommendation addressed to Albert Cheung, MD
  • In-Training Examination scores

Send all documents and letters the attention of:

Carole McMonagle
Administrative Coordinator
Department of Anesthesiology and Critical Care
University of Pennsylvania Health System
3400 Spruce Street, Suite 680 Dulles
Philadelphia, PA 19104

Tel.: 215.6627270; e-mail: McMonagC@uphs.upenn.edu

 

 

 

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