YOU ARE EXPLORING

Adult and Pediatric Cardiothoracic Surgery Fellowship

This one-year program offered by the Department of Surgery’s Division of Cardiothoracic Surgery at IU School of Medicine is available for individuals seeking additional training in thoracic transplantation and mechanical circulatory support. Eligible candidates must have completed a United States, board-approved training program in cardiothoracic surgery and be eligible for medical licensure in the State of Indiana.

Cardiac training emphasizes surgery for congestive heart failure, while pulmonary training emphasizes surgical management of end-stage lung disease, including ventricular assist devices, total artificial heart devices, heart transplantation, complex cardiac surgery on low EF patients, lung transplantation and ECMO. Clinical research opportunities are available and strongly encouraged. At the end of the fellowship year, trainees are competent in heart and lung procurement and implantations of hearts, lungs and ventricular assist devices as well as the initiation and care of ECMO.

Clinical Experience

Fellows in this program rotate on the cardiology heart failure service and the pulmonary transplant service. This program participates in clinical trials with innovative therapies and devices for patients with end-stage heart and lung disease and operates in an approved site for Ex Vivo Lung Perfusion as well as Transmedics Organ Care System for both heart and lungs. The fellowship program performs a significant number of heart transplants, ECMO support, ventricular assist devices, and lung transplants each year.

The transplant program of Indiana University Health and Indiana University School of Medicine includes heart, lung, liver, kidney, pancreas, intestine, bone marrow and stem cell transplants and is the most comprehensive program in Indiana and one of the top ten transplant centers by volume in the United States.

Curriculum

In the first year of the adult and pediatric cardiothoracic surgery fellowship, the PGY6 junior fellow rotates at IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children, and Roudebush Veterans Affairs Hospital. Rotations are paired in two-month blocks, when possible, to allow the trainee to provide continuity of care for patients with increased opportunities for autonomy from faculty attendings. The PGY6 junior fellow participates in the cardiothoracic surgery skills lab curriculum.

In the second year of cardiothoracic surgery training continues, the PGY7 senior fellow resident continues to rotate at IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children, and Roudebush Veterans Affairs Hospital. Rotations are paired in two-month blocks, when possible, to allow the trainee to provide continuity of care for patients with increased opportunities for autonomy. Scheduling considers the preferred track of the trainee. The PGY7 senior fellow participates in the cardiothoracic surgery skills lab curriculum.

Curriculum in the final year of training for the PGY8 chief fellow focuses on the trainee’s chosen track, with rotations blocked so fellows spend the latter part of the year on rotations that prepare them for hosen career and/or additional fellowships. Rotations continue to rotate at IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children and Roudebush Veterans Affairs Hospital. PGY8 chief residents participate in the cardiothoracic surgery skills lab and assist in the teaching of labs geared toward the PGY1-3 residents and PGY6 (junior fellow).