Since its inception in the 1970s, our fellowship has fostered clinical judgment and leadership through a high-volume surgical service, a dedicated academic faculty, and a comprehensive research infrastructure. Echocardiography is central to our training. With over 2,000 transesophageal echocardiograms (TEE) performed annually, our fellows achieve advanced proficiency in perioperative imaging. Our entire cardiac anesthesia attending staff is either National Board of Echocardiography-certified or currently in the certification process. Fellows receive specialized training to achieve Advanced Perioperative TEE certification through the National Board of Echocardiography (NBE) and Adult Cardiac Anesthesiology certification  through the American Board of Anesthesiology.

The one-year curriculum is designed to provide a balanced exposure to the field, including:

• Core Clinical (eight months): Dedicated duty in adult cardiothoracic operating rooms and advanced anesthetizing locations at The Mount Sinai Hospital.
• Critical Care (one month): Rotation in our specialized Cardiothoracic Surgical ICU.
• Electives (eight weeks): Tailor your training with rotations in pediatric and thoracic anesthesia, perfusion, transfusion medicine, adult congenital heart disease, heart failure, electrophysiology, transthoracic echocardiography, and research.

Education at Mount Sinai extends far beyond the operating room. Our clinical experience is reinforced by a multidisciplinary lecture series that goes beyond the basics. Our Grand Rounds feature cardiothoracic anesthesiologists and experts in specialties such as cardiology, cardiothoracic surgery, electrophysiology, pulmonology, and transfusion medicine. Through weekly TEE reviews, fellows gain real-time learning to master echocardiography and prepare for the NBE examination. Additionally, our focused lectures integrate quality improvement, wellness, resilience, and health equity sessions into the weekly academic curriculum.

We contribute extensively to the global cardiac anesthesia community. Fellows train alongside clinicians who are shaping the field through national societies, symposia, and essential textbooks. Each fellow is expected to complete one topical presentation and lead one journal club session during their training year. Additionally, fellows complete a scholarly project to be published or presented at a local, regional, national, or international meeting.

Our program provides a premier platform for fellows to showcase their work. Each year, fellows are encouraged to pursue research aligned with their clinical interests, with opportunities to present abstracts and complex cases at major national and international forums, including:

• Society of Cardiovascular Anesthesiologists Annual Meeting
• New York TEE Symposium
• Postgraduate Assembly of Anesthesiologists in New York
• The Mount Sinai Annual International Symposium: Clinical Update in Anesthesiology, Surgery, and Perioperative Medicine

We accept applications through the SF Match Central Application Service (CAS). The match runs in June for fellowships starting the following July. Applicants must have completed an ACGME- or Royal College of Physicians and Surgeons of Canada-accredited anesthesiology residency (United States or Canada) before appointment.

Application materials include:

• Completed CAS application
• Personal statement
• Curriculum vitae
• United States Medical Licensing Examination transcripts or equivalent
• Three letters of recommendation
• Educational Commission for Foreign Medical Graduates, if applicable

For applicants interested in pursuing the dual Critical Care Anesthesiology and Cardiothoracic Anesthesia Fellowships at Mount Sinai, please note that complete, separate applications for both fellowships via SF Match are required. You must clearly indicate your interest in a dual track within your applications and email the program coordinators for each specialty to notify them of your intentions. Per ACGME guidelines, these are two distinct, one-year fellowships performed in succession for a total of 24 months of advanced training.