Cardiothoracic Anesthesiology (CT) Fellowship
Fellow reviewing TEE images between cases.
Program Director, Jeffrey C. Gardner, M.D.
Wake Forest Baptist Health comprises an integrated health care system that includes Wake Forest School of Medicine, 872 beds at Wake Forest Baptist Medical Center, and 160 beds at Brenner Children’s Hospital. The Department of Anesthesiology supports in excess of 40,000 surgeries annually in 40 operating rooms with additional off-site anesthetizing locations. The core anesthesiology residency provides training for nearly 60 residents from faculty who include a half-dozen principal investigators on National Institutes of Health (NIH) grants, the Editor-in-Chief of Anesthesiology, 2 former directors and presidents of the American Board of Anesthesiology, and the editorial offices for both the journal Anesthesiology and the Anesthesia Patient Safety Foundation Newsletter. The history of the Section on Cardiothoracic (CT) Anesthesiology proves distinguished as well, having produced 6 chairs of major academic departments and offering a highly subscribed fellowship training program in CT Anesthesiology for over 20 years. Currently, 9 faculty serve within the CT Anesthesiology section. All faculty have completed advanced training in CT anesthesiology and possess expertise in transesophageal echocardiography (TEE).
Clinical Case Load
Wake Forest Baptist Medical Center annually performs 600-700 cardiac surgeries requiring CPB comprised of coronary artery bypass graft (CABG) surgery, valve repair/replacement, surgery of the aortic arch and descending thoracic aorta (DHCA), cardiac transplantation, ventricular assist device (VAD) insertion, percutaneous valve replacement, and correction of congenital heart disease. Transesophageal echocardiography is performed for all cardiac surgical patients as well as to assess hemodynamic instability in non-CT surgery and ICU patients. In addition, we provide anesthesia for 500 non-cardiac thoracic surgical procedures per year including thoracotomies, mediastinoscopies, minimally invasive thoracoscopies, robotic thoracic surgery, and esophagectomies. Thoracic epidural catheters are used extensively for postoperative pain management. Our clinical case load encompasses all aspects of adult and pediatric contemporary cardiac and thoracic surgery.
Anesthesiology Department Grand Rounds occur Wednesday mornings from 06:50-07:45 followed by a Cardiothoracic Anesthesiology Subspecialty Conference from 07:45 - 08:30. A separate Fellow Tutorial session led by CT Anesthesiology faculty is held Wednesday afternoons from 16:00-17:00. Both the Cardiothoracic Anesthesiology Subspecialty Conference and Fellow Tutorials are faculty led and comprise didactic lectures, journal club, research presentations, and case conferences (CQI). The Anesthesiology Department as a whole conducts 4 conferences per week during the academic year as well as offering mock oral examinations for fellows and residents twice annually. Faculty led resident focused conferences occur Monday and Thursday afternoons.
Our group actively pursues both clinical and laboratory based research initiatives. Specific interest areas of include cerebral protection during CPB, myocardial function and ischemia, cardiovascular pharmacology, perioperative hemostasis and coagulation monitoring, and aging and diastolic ventricular function.
The Fellowship Year
The 12-month Adult Cardiothoracic Anesthesiology fellowship experience may be tailored to meet the needs of both the future academician and private practitioner. Nearly half of our fellows pursue academic faculty positions after completion of training. Fellowship training commences on July 1. Fellows receive 6 months of adult clinical cardiothoracic operating room experience in both supervisory and primary provider roles, 2 months of dedicated transesophageal echocardiography (TEE) training, 1 month in the Cardiothoracic Intensive Care Unit, 1 month of thoracic anesthesia, and 2 months elective time which may be selected from TEE, Pediatric CT Anesthesiology, Critical Care Medicine, or a focused mentored research experience. Fellows are expected to contribute to ongoing research programs and dedicated research time will be available throughout the 12 month continuum.
Interested individuals should contact the fellowship program director, Jeffrey Gardner, MD, or call the Department of Anesthesiology at (336) 716-4498 for further information.
Thank you for your interest in our program.
Jeffrey C. Gardner, M.D.
Assistant Professor, Section on CT Anesthesiology
Fellowship Program Director CT Anesthesiology
We are no longer accepting applications for 2018-19. We will begin accepting applications for 2019-20 as of November 1, 2017.
Wake Forest offers 2 ACGME fellowship positions within the Adult Cardiothoracic Anesthesiology Fellowship Match. All applications should be submitted at http://www.sfmatch.org/. Additional information regarding the Match is available on the SF Match website.
Eligibility Criteria to Enter Program