Curriculum

The curriculum of our Cardiothoracic Anesthesia Fellowship encompasses both clinical experience and didactic teaching to aid the development of the skills and knowledge required for success in the field of cardiothoracic anesthesia.

Didactics

Our program contains a comprehensive series of 41 didactic lectures covering topics related to the practice of cardiac and thoracic anesthesiology, and transesophageal echocardiograms (TEE). Lectures coincide with the fellows’ busy, wide-ranging clinical experience. These scheduled presentations cover all required curricular topics of the Accreditation Council for Graduate Medical Education (ACGME) and the American Society of Echocardiography. There are also weekly reviews of intraoperative TEE examinations. In addition, fellows have opportunities to teach those junior to them during the course of patient care, in didactic sessions and using the TEE-simulators.

Rotations

Our fellows spend 10 of the 12 months assigned to clinical duty in adult and pediatric cardiothoracic operating rooms and other cardiac anesthetizing locations at The Mount Sinai Hospital. Per ACGME program requirements, there is a mandatory one-month rotation in the 24-bed Cardiothoracic Surgical Intensive Care Unit at Mount Sinai, and each fellow will choose eight weeks of elective rotations (each rotation is a minimum of two weeks long). Potential elective rotations currently include: pediatric cardiac anesthesia, thoracic anesthesia, interventional and diagnostic catheter-based cardiac anesthesia, perfusion, and transthoracic echocardiography.  Motivated fellows engaged in research may potentially substitute non-clinical research time for the elective clinical rotations. Each fellow is entitled to four weeks of paid vacation during the 12 months of training.

Scholarly Activity

The Division of Cardiothoracic Anesthesiology at The Mount Sinai Hospital is academically involved in both national and international professional societies and symposia. Our attending physicians have authored many important textbooks and textbook chapters concerning cardiac and thoracic anesthesiology. Areas of our active research include outcomes in cardiac surgery, coagulation and hemostasis, myocardial protection, pediatric cardiac anesthesia, geriatric cardiac anesthesia, echocardiography, new pharmacologic agents, and new monitoring technologies.

We encourage our fellows to participate in research projects that are of interest to them, to present abstracts and interesting cases at major meetings, and to assist with the writing of articles and book chapters for publication. Our fellows are expected to complete at least one scholarly activity and/or patient safety initiative, to run at least one journal club, and to give at minimum one didactic presentation to the division about complications of cardiac surgery. Our faculty members are chosen to assist fellows with their scholarly activity in accordance with the fellows’ interests. Each year, our fellows present complex cases at the Annual Meeting of the Society of Cardiovascular Anesthesiologists, they present a complex case at the New York Transesophageal Echocardiography (TEE) Symposium, and fellows assist with workshops and problem-based learning discussions at the Postgraduate Assembly of Anesthesiologists in New York. There is also the opportunity for two of our fellows to serve on the Departmental QA/PI committee.