Report - Accreditation of Adult Report - Accreditation of Adult Cardiothoracic Fellowships Cardiothoracic Fellowships

Lois L. Bready, M.D. Lois L. Bready, M.D.

Vice Chair, Vice Chair,

Anesthesiology RRCAnesthesiology RRC

Adult Cardiothoracic AnesthesiologyAdult Cardiothoracic Anesthesiology

Progress to date Progress to date Program Requirements approved 2/14/06Program Requirements approved 2/14/06# applications received to date: # applications received to date: 4242– Approved: Approved: 3030– Reviewed at 10/07 RRC meeting: Reviewed at 10/07 RRC meeting: 1212

6 initial application6 initial application6 deferred from Spring 07 meeting6 deferred from Spring 07 meeting

Accredited - Alpha by StateAccredited - Alpha by Stateas of 10/8/07as of 10/8/07

University of Alabama Medical CenterUniversity of Alabama Medical CenterStanford University Stanford University University of California (Davis)University of California (Davis)USC/LAC+USC Medical CenterUSC/LAC+USC Medical CenterUniversity of Colorado University of Colorado Emory UniversityEmory UniversityLoyola UniversityLoyola UniversityUniversity of ChicagoUniversity of ChicagoOchsner Clinic FoundationOchsner Clinic FoundationBeth Israel Deaconess Medical Ctr Beth Israel Deaconess Medical Ctr Brigham and Women's HospitalBrigham and Women's HospitalMassachusetts General HospitalMassachusetts General HospitalJohns Hopkins UniversityJohns Hopkins UniversityUniversity of MarylandUniversity of MarylandHenry Ford HospitalHenry Ford Hospital

University of Michigan University of Michigan Mayo School of GME (Rochester) Mayo School of GME (Rochester) Duke University Hospital Duke University Hospital Albert Einstein College of MedicineAlbert Einstein College of MedicineMount Sinai School of Medicine Mount Sinai School of Medicine NY Presbyterian (Columbia Campus) NY Presbyterian (Columbia Campus) NY Presbyterian (Cornell Campus)NY Presbyterian (Cornell Campus)New York University SOMNew York University SOMUniversity at Buffalo University at Buffalo Cleveland Clinic FoundationCleveland Clinic FoundationUniversity of Pennsylvania University of Pennsylvania Medical University of South CarolinaMedical University of South CarolinaBaylor College of MedicineBaylor College of MedicineUniversity of Texas SouthwesternUniversity of Texas SouthwesternVirginia Commonwealth Univ Hlth SysVirginia Commonwealth Univ Hlth Sys

Overview of Program RequirementsOverview of Program Requirements

FacultyFacultyat least 3 faculty members, at least 2 FTEs at least 3 faculty members, at least 2 FTEs (including PD)(including PD)

ratio of no less than one FTE faculty:one fellow.ratio of no less than one FTE faculty:one fellow.

Overview of Program RequirementsOverview of Program Requirements

Program Curriculum – ClinicalProgram Curriculum – Clinical

6 mos clinical anesthesia6 mos clinical anesthesia– 70 surgical procs – adults, CPB70 surgical procs – adults, CPB

40 valve repair/replacement40 valve repair/replacement

50 myocardial revasc +/- CPB50 myocardial revasc +/- CPB

Minimally invasive card surgMinimally invasive card surg

Adults with congenital Adults with congenital

– IABPIABP– LVADLVAD

Overview of Program RequirementsOverview of Program Requirements

Program Curriculum – ClinicalProgram Curriculum – Clinical

1 mos noncardiac thoracic1 mos noncardiac thoracic– 10 adults – ascending or descending thoracic 10 adults – ascending or descending thoracic

aorta (CPB, L bypass, +/or deep hypothermic aorta (CPB, L bypass, +/or deep hypothermic circ arrest)circ arrest)

– Thoracic stents under anesthesia count (but Thoracic stents under anesthesia count (but can’t be all the thoracic cases)can’t be all the thoracic cases)

1 mo ICU1 mo ICU - adult CT surgery/non-surg - adult CT surgery/non-surg

Overview of Program RequirementsOverview of Program Requirements

Program Curriculum – ClinicalProgram Curriculum – Clinical2 mo electives2 mo electives (min 2 wks each) - inpatient or (min 2 wks each) - inpatient or outpatient outpatient – cardiology or cardiology or – pulmonary medicine, pulmonary medicine, – invasive cardiology, invasive cardiology, – medical or surgical critical care and medical or surgical critical care and – extracorporeal perfusion technology.extracorporeal perfusion technology.

Experience with Experience with pediatricpediatric cardiothoracic cardiothoracic anesthesia is encouragedanesthesia is encouragedor 1-2 mos research or 1-2 mos research

Overview of Program RequirementsOverview of Program Requirements

Program Curriculum – ClinicalProgram Curriculum – ClinicalOther Other – cath lab; adults for pacemaker– cath lab; adults for pacemaker– AICDAICD– Surg rx cardiac arrhythmiasSurg rx cardiac arrhythmias– CathCath– Cardiac EP dx/txCardiac EP dx/tx– advanced perioperative echocardiography education advanced perioperative echocardiography education

ASE/SCA “Guidelines for Training in Perioperative ASE/SCA “Guidelines for Training in Perioperative Echocardiography”. Echocardiography”.

– study of 300 complete perioperative echo exams, of study of 300 complete perioperative echo exams, of which at least 150 are comprehensive intraoperative which at least 150 are comprehensive intraoperative TEE examinations performed, interpreted, and TEE examinations performed, interpreted, and reported by the fellow.reported by the fellow.

Adult Cardiothoracic AnesthesiologyAdult Cardiothoracic Anesthesiology

Questions?Questions?