The University of Washington Cardiothoracic Anesthesiology Fellowship is a one year clinical fellowship, with the option of a second research year. The fellowship is accredited by the ACGME. The goal of the clinical fellowship is to produce highly competent cardiothoracic anesthesia practitioners for either community or academic practice. The fellowship curriculum emphasizes intraoperative echocardiography and complex, high risk cardiothoracic surgery, including heart and lung transplantation, adult congenital heart disease, thoracic aortic surgery, and ventricular assist devices.
Intraoperative echocardiography is the essence of state-of-the-art cardiothoracic anesthesiology practice. The University of Washington cardiothoracic anesthesiology division has superb resources in echocardiography, under the guidance of Donald Oxorn, MD, FACC, Professor of Anesthesiology and Medicine (Cardiology) and Director of Intraoperative Echocardiography. Transesophageal echocardiography is performed in virtually all patients undergoing cardiac surgery, using the latest digital echocardiography imaging equipment. A world famous echocardiography laboratory (faculty includes Drs. Alan Pearlman and Catherine Otto) is available for consultation and participates in our teaching program. A cardiac surgery population with a large proportion of valvular and adult congenital heart disease provides superb opportunities to observe cardiac structural pathology, ranging from the common to the very rare. The diverse echocardiography experience of our fellowship is well represented in the, “Atlas of Intraoperative Transesophageal Echocardiography” authored by Drs. Oxorn and Otto. Fellows typically spend a month in the echocardiography laboratory becoming familiar with transthoracic echocardiography. Further transthoracic echocardiography experience is gained through the use of transthoracic echo for postoperative hemodynamic management in the ICU.
The core activities of the Cardiothoracic Clinical Fellowship take place at the University of Washington Medical Center. We also make use of resources from our other hospitals-- Northwest Hospital Medical Center, Childrens Hospital and Medical Center, and the Veterans Administration Medical Center. The cardiac surgery practice is under the direction of Edward Verrier, MD, Chief of Cardiothoracic Surgery and William K. Edmark Professor of Cardiovascular Surgery, and Gabriel Aldea, MD, Chief of Adult Cardiac Surgery. The program is of moderate size, but of enormous complexity, with many cases of valvular and adult congenital disease, heart transplant, cardiomyopathy requiring ventricular assist devices, and thoracic aortic surgery. Adult congenital heart disease is a major emphasis. Dr. Verrier is an adult congenital heart surgery specialist. Two of our anesthesiologists, Drs. Natrajan and Joffe, have extensive experience with both pediatric and adult congenital heart surgery. The thoracic surgery practice, under the direction of Douglas Wood, MD, and Michael Mulligan, MD, is a large program, also with enormous complexity, including lung volume reduction, complex pulmonary resections and pulmonary thromboendarterectomy for chronic pulmonary embolization. Our lung transplant program is one of the larger programs in the country. There are ample opportunities to perfect skill at thoracic epidural catheter placement, and management of single lung ventilation.
Rotations include 1 month each in the echo lab, the cardiothoracic ICU, and attached to the adult congenital heart disease service. Didactic teaching includes the weekly combined Cardiology/Cardiac Surgery/Cardiothoracic Anesthesiology Conference that is a forum for review of interesting and difficult cases, often involving presentation of echocardiography, weekly TEE Review, and monthly Cardiothoracic Anesthesiology Journal Club. Every effort is made to enable our fellows to attend the didactic lectures and tutorials of the Cardiology and Cardiothoracic Surgery fellowship programs.
The University of Washington is consistently one of the top medical research universities in the country. Fellows interested in obtaining research experience following a clinical fellowship will find many opportunities in both clinical and basic research.
Applicants should submit the following documents:
Note: Transcripts should be sent directly to the program by the transcript-issuing entity. There is no application form per se, only the documents listed above.
The UW Adult Cardiothoracic Anesthesiology Fellowship program will be entering its fellowship positions, beginning with those for the 2014-2015 academic year, in the new nation-wide Adult Cardiothoracic Anesthesiology Fellowship Match organized by SF Match. Candidates must be registered with SF Match before the deadline for rank list submission = June 3, 2013. Please note that SF Match does not provide a centralized application service for Adult Cardiothoracic Anesthesiology fellowships at this time. Applications and supporting documentation should be submitted directly to the fellowship program.
Please send application and supporting documentation to:
Fellowship Program Coordinator
Department of Anesthesiology & Pain Medicine
University of Washington, Box 356540
Health Sciences Bldg., BB-1440
1959 NE Pacific Street
Seattle, WA 98195-6540
phone: 206-221-6453 / fax: 206-543-2958
Jörg Dziersk MD FRCA
Health Sciences Building, AA-117E, Box 356540