Riley Hospital for Children has one of the highest acuity of illness levels among reporting hospitals. More than 19,000 pediatric anesthetics are performed each year at this clinical site; over 500 of these are cardiac surgery cases, and more than 600 are cardiac catheterization procedures. The advanced fellowship in pediatric cardiac anesthesia is associated with the ACGME-accredited core pediatric fellowship at Riley Hospital. One 12-month fellowship position is available each year.
While accreditation by the ACGME is not currently available for the Advanced Fellowship in Pediatric Cardiac Anesthesia, all program requirements set forth by the ACGME apply. Advanced fellows are expected to demonstrate proficiency in the six competency areas, and they are evaluated regularly on this basis.
Fellows gain appropriate knowledge of the pediatric cardiovascular system and develop a systematic comprehension of the various forms of congenital heart disease. Clinical training, didactic instruction and opportunities for research or quality improvement projects are essential components of the program curriculum. Fellows become expert consultants in anesthetic care for patients with a wide variety of congenital cardiac defects, as well as for ECMO and VAD devices. Skills for the preoperative evaluation of patients presenting for cardiac surgery, including experience with echocardiography, are developed. Mastery of essentials of patient monitoring and appropriate pre-bypass, bypass and post-bypass anesthetic management is emphasized.
- 9.5 months clinical exposure in operating room/cardiac catheterization laboratory
- 1 month cardiovascular intensive care unit
- 1 month echocardiography
- 0.5 month perfusion
Fellows for this training program must have completed an ACGME-accredited anesthesia residency as well as an ACGME-accredited pediatric anesthesia fellowship. Applicants must have participated in a minimum of 25 pediatric cardiopulmonary bypass cases.