Cardiac Fellowship Overview

The Division of Cardiac Anesthesia offers an ACGME Accredited Cardiothoracic Fellowship following the Clinical Associate 3 year. The division provides anesthesia for approximately 1200-1400 cases per year. Case types include coronary artery bypass procedures, valve replacement and repair (including Ross Procedures), pediatric and congenital disease related procedures, heart and lung transplantation, and major aortic surgery. Our practice employs transesophageal echocardiography extensively, and fellows typically train not only in the OR, but with the Department of Cardiology as well.

A number of our faculty are board certified in Critical Care Medicine and divide their clinical time between cardiac anesthesiology and ICU medicine in our Cardiac Surgical Intensive Care Unit. In addition, both the Cardiac Anesthesia Division and the Department of Anesthesiology support a number of faculty with well-established basic science programs which offer exciting training opportunities in areas directly applicable to cardiovascular medicine.

Interested applicants should send a letter of intent, a C.V., and 3 letters of recommendation.

General Program Information

Numbers of Positions Available
CA-4: 3-4

Type(s) of Fellowship Training Available:
Clinical only
Clinical/Basic Research
Clinical/Clinical Research

Comments: Combined Cardiac/ICU and Cardiac/Vascular-Thoracic Fellowships Available
Clinical Responsibility: Clinical 80%, Non-clinical 20%
Annual Salary: 51,310 (PGY-5)
Minimum Length of Training: 12 months
Number of CA-4/CA-5 Fellows Completing 12-24 Months Cardiothoracic/Cardiovascular Training in Previous 5 Years: 12

Faculty

Daniel P. Nyhan
Expertise: Cardiopulmonary bypass, Pulmonary vasoregulation

Mary Beth Brady
Expertise: Transesophageal Echocardiography

Jackie Martin
Expertise: Anesthetic-induced Hepatotoxicity

Dan Berkowitz
Expertise: Mechanisms of microgravity induced cardiovascular deconditioning

Nauder Faraday
Expertise: Mechanisms of platelet pathophysiology; ICU

Wei Dong Gao
Expertise: Heart Failure; Ischemia-reperfusion Injury

Kelly Grogan
Expertise: Heart Failure; Ventricular Assist Devices

Charles Hogue, Jr.
Expertise: Neurological outcomes after Cardiac Surgery

Jeff Dodd-o
Expertise: Mechanisms of acute lung injury; ICU

Elizabeth Martinez
Expertise: Cardiac Surgical Outcomes and Safety; ICU

Joshua D. Stearns
Expertise: TEE; Medical Economics

Percent of Cardiac Anesthesia Faculty with NBE Perioperative TEE Certification: 40%

Academic Program

Fellow Conferences Frequency: 3
Type: Echo, Clinical, Research, Fellow Presentations, Journal Club
Extra-Institutional Educational Conference Support: 1 meeting per year
In the Previous 5 Years, Fellows were 1st or 2nd Author On:
Abstracts: 8
Peer-Reviewed Journal Articles: 3
Book Chapters: 4

Funding: Dept/Institutional Funds; Pharmaceutical/equipment industry grants; peer-review grants
Dedicated Research Time: 50% in research fellowship
Echocardiography Instruction: Intraop and ongoing echo lab participation and instruction throughout the year
Critical Care Rotation: One month
Formal Course Work Available in: Optional
Maximum Time in Non-OR Activities: 2 months out of 12

Clinical Program

Number of Cardiac Procedures with CPB Per Year: 900
Distribution of cases: 25% CABG, 40% Valves, 15% Congenital, 15% Aortic, 5% VAD
Average Number of CPB Procedures Per Trainee Per Year: 250
Number of Cardiac Procedures off-CPB Per Year: 100
Distribution of cases: 30% Off-pum CABG, 40% Thoracic Aneurysm, 30% AICD/Pacemaker
Average Number of off-CPB Procedures Per Trainee Per Year: 20
Number of Non-Cardiac Thoracic Cases Per Year: 500
Number of Heart, Lung and Heart/Lung Transplants Per Year: 75
Number of Major Vascular Cases Per Year: 300
Operating Room Equipment Available: TEE (Philips and GE), ECG ST segment analysis, transcranial Doppler, mixed venous oximetry, continuous cardiac output, evoked potentials, cerebral blood flow, inhaled nitric oxide

For more information, please contact:
Gloria Ward-McCoy
Program Coordinator, Adult Cardiac Anesthesia
Department of Anesthesiology and Critical Care Medicine Department
The Johns Hopkins Medical Institutions
Carnegie 280
Baltimore, MD 21287
gwardmc1@jhmi.edu