The Cardiothoracic Anesthesiology rotation is required as a two- month rotation during the CA-2 year or near the completion of the CA-1 year. This rotation may be taken as an elective for one to three months during the CA-3 year. Residents at the CA-3 level electing to take a three- month rotation may take one of the three months as a special transesophageal echocardiography month. During the rotation the resident will gain experience with anesthetic management of patients with coronary artery occlusive disease, valvular cardiac disease, or congenital cardiac disease. The resident will also obtain experience-managing patients having intra-thoracic non-cardiac procedures. The CA-3 resident will be assigned to the more complex cardiothoracic cases.
Goals of the rotation are to provide the CA-1 or CA-2 resident with an introduction to:
Conferences and Reading Assignments CA-1, CA-2 Level of Training
The CA-1, CA-2 level resident rotating on cardiothoracic anesthesiology will attend the weekly conferences that are sponsored by the Division of Cardiothoracic Anesthesiology. These include the bimonthly joint conferences of Cardiothoracic anesthesiology and Cardiothoracic surgery, the bimonthly Cardiothoracic Conferences and the Monthly Chairman’s Conference. The CA-1, CA-2 resident is expected to attend the weekly departmental Grand Rounds at 5pm Tuesday. Intensive and extensive reading is expected of the resident during this rotation. Reading should include chapters from a general anesthesiology textbook covering cardiac and pulmonary physiology, cardiovascular monitoring, transesophageal echocardiography, electrocardiography, and anesthesia for thoracic surgery and anesthesia for adult cardiac surgery. Suggested textbooks may be obtained from the Program Director or the Rotation Chief of Service
Advanced Cardiothoracic Anesthesiology Rotation, CA-3 level of training
The advanced cardiothoracic anesthesiology rotation is a one to three month elective rotation for the CA-3 resident who has successfully completed the basic cardiothoracic anesthesiology rotation. This rotation is usually combined with a one month concentrated study of Transesophageal Echocardiologaphy.
The overall goal of the rotation is to provide a more complete and advanced understanding of the sub-specialty of cardiothoracic anesthesiology. The CA-3 resident, in general will be assigned more complicated patients undergoing cardiac surgery or thoracic surgery and will be expected to achieve more independence in their assessment and management with less direct instruction and supervision from a faculty member who is always immediately available or a cardiothoracic anesthesiology fellow.
Specific goals of the rotation are to provide the CA-3 resident with experience in:
Conferences and Reading Assignments CA-3 level of training
The CA-3 resident rotation on cardiothoracic anesthesiology will attend the weekly conferences that are sponsored by the Division of Cardiothoracic Anesthesiology. These include the bimonthly join conferences of the Cardiothoracic anesthesiologist and Surgeons, the bimonthly Cardiothoracic Anesthesiology Conferences and the monthly Chairman�s Conferences. The CA-3 resident is also expected to attend the weekly departmental Grand Rounds Conferences Tuesday 5pm. Intensive and extensive reading is expected of the CA-3 resident on the Cardiothoracic Anesthesiology Rotation. Reading should include a textbook in cardiac anesthesiology which will be more in-depth that a general anesthesiology textbook. Suggestions for reading textbooks may be obtained from the Program Director or the Rotation Service Chief.
Transesophageal Echocardiography Experience: CA-3 level of Training
This rotation is an advance experience in TEE beyond the introductory exposure as a CA1 or CA-2 level of training. A CA-3 resident who elects to do two months of advanced work on the Cardiothoracic Anesthesiology Service will be offered the opportunity for a one month elective rotation concentrating on transesophogeal echocardiography. The resident will work with an attending faculty member each day in the OR performing TEEs on cardiothoracic surgical patients.
During the month of advanced TEE the resident will be expected to: