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SCA Fellowship Template

Required Fields in Red

Institution Name:
Website:
Chair
    Email:
Cardiothoracic/Cardiovascular Anesthesia Fellowship Director / Email:
    Director Email:
Mailing Address:
City:
State:
Postal Code :
Country:
Phone:
Fax:
Application Process:

General Program Information

Number of Positions Available:
   CA-4:
   CA-5:

Type of Fellowship Training Available:
    Clinical only:
    Clinical / Basic Research:
    Clinical / Clinical Research:
    Clinical Research only:
    Basic Research only:
Comments: (optional)
Clinical Responsibility: (e.g. Clinical 80% Non-Clinical 20%)
Annual Salary:
Minimum Length of Training:
Number of CA-4/CA-5 Fellows Completing 12-24 Months Cardiothorcic / Cardiovascular Training in Previous 5 Years:

Faculty
Cardiac Anesthesia Faculty - Research Interest and/or Clinical Expertise
Name 1:
Email:
Expertise:
Name 2:
Email:
Expertise:
Name 3:
Email:
Expertise:
Name 4:
Email:
Expertise:
Name 5:
Email:
Expertise:
Name 6:
Email:
Expertise:
Name 7:
Email:
Expertise:
Name 8:
Email:
Expertise:
Name 9:
Email:
Expertise:
Name 10:
Email:
Expertise:
Name 11:
Email:
Expertise:
Name 12:
Email:
Expertise:
Name 13:
Email:
Expertise:
Name 14:
Email:
Expertise:
Name 15:
Email:
Expertise:
Percent of Cardiac Anesthesia Faculty with NBE Perioperative TEE Certification:  %

Academic Program

Fellow Conferences Frequency:
Type:
Extra-Institutional Educational Conference Support:

In the Previous 5 Years, Fellows were 1st or 2nd Author On:
    Abstracts:
    Peer-Reviewed Journal Articles:
    Book Chapters:
    Other Publications:
Other Comments:
Funding:
Dedicated Research Time:
Echocardiography Instruction:
Critical Care Rotation:
Formal Course Work Available in:
Maximum Time in Non-OR Activities:

Clinical Program

Number of Cardiac Procedures with CPB Per Year:
    Distribution of cases (e.g. 50% CABG, 20% Valves, 10% Thoracic Aneurysm, 20% Congenital):
Average Number of CPB Procedures Per Trainee Per Year:
Number of Cardiac Procedures off-CPB Per Year:
Distribution of cases (e.g. 65% off-pump CABG, 30% thoracic aneurysm, 5% AICD):
Average Number of off-CPB Procedures Per Trainee Per Year:
Number of Non-Cardiac Thoracic Cases Per Year:
Number of Heart, Lung, and Heart/Lung Transplants Per Year:
Number of Major Vascular Cases Per Year:
Operating Equipment Available:



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