One year of advanced cardiothoracic surgery fellowship is offered to those individuals who wish an additional year to supplement their training in cardiothoracic surgery. Though the fellowship will cover all clinical areas of cardiothoracic surgery, emphasis will be on pediatric cardiac surgery.
During the year, the fellow participates in the preoperative evaluation, surgical repair, and postoperative management of virtually all of the thoracic and cardiac conditions, with emphasis on pediatric cardiac surgery. State of the art approaches are used including the arterial switch operation for transposition, and the Norwood Procedure for hypoplastic left heart syndrome. Due to the complexity of many of these cases, operative experience under the guidance of the staff surgeon is variable, depending on the type of procedure and on the fellow's expertise. The fellowship takes place in parallel with an accredited residency program, and the operative needs of cardiothoracic residents takes precedence over that of the fellow. The clinical service is a very busy one, however, and it is expected that the fellow will have a fully scheduled operative experience.
The fellow is expected to participate in hospital call during this period of time. This includes house and intensive care unit in-hospital call on an every third night basis.
Clinical research during the year is not required, but is encouraged. Formal seminars and conferences on the thoracic and cardiovascular surgery are scheduled several times each week, and the fellow is expected to attend these. Fellows are also encouraged to attend meetings in general surgery and allied medical fields.