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Stanford University

 

General Information:
Chair: Ronald G. Pearl, PhD, MD
Adult Cardiothoracic Anesthesia (ACTA) Fellowship

Program Director:
Albert Cheung, MD
Email: atcheung@stanford.edu Cell Phone 610-742-0602

Associate Program Director, Anesthesia Critical Care Medicine:
Erin Hennessey, MD
erinkh@stanford.edu

Fellowship Program Administrator:
Karlee Joice
Email: kjoice@stanford.edu
Phone: 650-736-6928
Fax: 650-724-7658

Mailing Address:
Department of Anesthesiology, Perioperative and Pain Medicine
Stanford University Medical Center 300 Pasteur Drive, MC 5640
Stanford
California
94305-5640
USA
(650) 725-0376
(650) 725-8544
Application Process:

Applications to the Stanford Adult Cardiothoracic Anesthesiology (ACTA) Fellowship Program will be accepted through the SF Match Common Application System (CAS) that can be accessed at www.sfmatch.org. 

Completed applications will be reviewed on a rolling basis from January through May of each academic year.  Selected candidates will be invited for on-site group interviews on specified dates in March, April, and May.

Individuals applying to the ACTA fellowship as a candidate to the combined two-year Critical Care Medicine (CCM) and ACTA fellowship program should submit a written statement of this intention to the program director.

 The Stanford ACTA fellowship program participates in the SF Match Program Directors Exception Agreement.

General Program Information:
Number of positions: 4
Position(s) available 2017: 4
Type(s) of Fellowship Training Available:
  • Clinical Track (1 year)
  • Clinical and Research Track (1 year)
  • Combined ACTA and Critical Care Medicine Track (2 years)
Annual Salary: $73,944
Minimum Length of Training: 12 months
Number of CA-4/CA-5 Fellows Completing 12-24 Months Cardiothoracic/Cardiovascular Training in Previous 5 Years: 17
Faculty:

Jessica Brodt, MD
Clinical Education, Electrophysiology, Fast Track Cardiac Surgery, Mechanical Circulatory Support
Albert Cheung, MD
Clinical Research, TEE, 3-DTEE, ICU
Linda Foppiano, MD
Mitral Valve Mechanics, TEE, Clinical Education
Charles Hill, MD
Cardiovascular ICU, QI/QA in Cardiac Surgery, Coagulation, TTE/TEE, Mechanical Circulatory Support
Ethan Jackson, MD
TEE, Congenital Cardiac Anesthesia, Obstetric Cardiac Anesthesia, Pediatric Anesthesia
Max Kanevsky, MD, PhD
Mechanisms of Cardioprotection, TEE

Worasak Keeyapaj, MD
wkeeyapaj@stanford.edu
TEE, Education
Christina T. Mora Mangano, MD
Organ Protection, Physiology of CPB, Circulatory Arrest

Sara Nikravan, MD
nikravan@stanford.edu
TTE Education, critical care medicine
Daryl A. Oakes, MD
TEE, TEE Education, Mechanical Circulatory Support
Sheela Pai Cole, MD
ICU, Minimally Invasive Cardiac Surgery, Fluid Management, Anesthesia for Vascular and Endovascular Procedures, Neurological Outcomes in Cardiac Surgery
Ronald G. Pearl, MD, PhD
ICU, Pulmonary Hypertension
Vidya Rao, MD, MBA
ICU, Adult Congenital Cardiac Anesthesia, Coagulation, Translational Research, TTE/TEE, Medical Education Curriculum Development

Lindsay A. Raleigh, MD

lraleigh@stanford.edu
Critical Care Medicine, Education



Academic Program:
Type: 

Weekly ACTA Fellowship Core Lecture series

Weekly Combined Cardiothoracic Surgery, Cardiology, Radiology, and Cardiac Anesthesiology Case Conference

Monthly Cardiothoracic Surgery and Anesthesiology Morbidity and Mortality Conference

Monthly Multidisciplinary Cardiothoracic Surgery, Anesthesiology, Nursing, and Perfusion Quality and Education Conference

Weekly Cardiovascular ICU and Critical Care Medicine Didactic Series

Weekly Department of Anesthesiology, Perioperative, and Pain Medicine Grand Rounds

Daily TEE Review Sessions

Fellows are also encouraged to take advantage of the rich collaborative and entrepreneurial environment that the Stanford community has to offer.   Opportunities include open lectures at the business, law, and engineering schools as well as seminars and workshops in grant writing and professional development. 


Extra-Institutional Educational Conference Support:

Support for presentation of accepted abstracts at the SCA Annual Meeting

Funding to attend Perioperative TEE review course

Educational expense account

In the Previous 5 Years, Fellows were 1st or 2nd Author On:

 

Abstract: 12
Peer-Reviewed Journal Articles: 10
Book Chapters: 5
Other Publications: 8

 

Comments:

 

Funding: Departmental/Institutional/Industrial
Dedicated Research Time: Individualized.
Echocardiography Instruction:  Fellows receive hands-on intra-operative echocardiography instruction on a daily basis as well as weekly didactic instruction by cardiology and cardiothoracic anesthesia faculty.  Fellows will have access to comprehensive 2-D and 3-D TEE imaging platforms in all cardiac operating rooms (Philips), a hospital-wide Xcelera Cardiovascular Ultrasound Image management platform, and a simulation center with a TTE and TEE simulator for education. 
Critical Care Rotation: 3 months in the Cardiovascular Intensive Care Unit
Formal Course Work Available in:  Biostatistics, Critical Care Medicine, Echocardiography, Vascular Anesthesia, Thoracic Anesthesia, Adult Congenital Heart Disease, Anesthesia for Electrophysiology and Cardiac Cath Lab procedures, Perfusion, Extracorporeal Membrane Oxygenation, and Anesthesia for high-risk non-cardiac operations.
Maximum Time in Non-OR Activities: Determined by the fellowship goals.

 

Clinical Program:
Number of Cardiac Procedures with CPB Per Year:
  • Stanford Hospital:  1160+
  • Valley Medical Center:  180
  • Kaiser Permanente  - Santa Clara:  600+
  • Lucile Packard Children's Hospital (pediatric and adult congenital): 550+
Distribution of on-pump cases:
  • Stanford:  CABG (25%), Open and Minimally Invasive Valve Surgery (35%), Open Aortic Surgery (30%), Ventricular Assist Device and Mechanical Circulatory Support (10%)
  • Valley Medical Center:   Mixture of mostly CABG and Valve Surgery, small percentage of Open Aortic Surgery
  • Kaiser Permanente - Santa Clara: CABG (30%), Open and Minimally Invasive Valve Surgery (60%), Open Aortic Surgery (10%)
  • Lucile Packard Children's Hospital: Varied
Average Number of CPB Procedures Per Trainee Per Year: 150
Number of Cardiac Procedures off-CPB Per Year:
  • Stanford:  130
  • Valley Medical Center:  5
  • Kaiser Permanente:  130
Distribution of off-pump cases:
  • Stanford: Transcatheter Aortic Valve procedures (90%), CABG (5%), other (5%)
  • Valley Medical Center: CABG (100%)
  • Kaiser Permanente - Santa Clara:  CABG (100%)
Average Number of off-CPB Procedures Per Trainee Per Year: 30
Number of Non-Cardiac Thoracic Cases Per Year: 400
Number of Heart, Lung and Heart/Lung Transplants Per Year: 70
Number of Major Vascular Cases Per Year: 400
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