Massachusetts General Hospital

Chairperson: Warren Zapol, M.D.

Cardiothoracic Anesthesia Fellowship Director and Chief, Division of Cardiothoracic Anesthesia: Edwin G. Avery, IV, M.D.

Address: Department of Anesthesia & Critical Care
Massachusetts General Hospital
55 Fruit Street
Boston, MA 02114

Telephone: (617)726-8980 Fax: (617)726-5985

Application Process:
Applications will be considered from all qualified individuals who will have completed an approved clinical anesthesia residency prior to the start of the fellowship. The Massachusetts General Hospital is an equal opportunity employer. Women and minorities are encouraged to apply. Contact Edwin G. Avery, IV, M.D. Application materials and fellowship information can be downloaded from www.MGHCAG.com

General Program Information

CA-4: 7

CA-5:1

Type of fellowship training available: Clinical/Basic Science, Clinical/Clinical Research.

Responsibility: Clinical 80% Non-Clinical 20% (Clinical responsibilites include adult, pediatric and adult congenital cardiac anesthesia. Research responsibilities include submission for publication of one abstract/manuscript or participation in one of the division anesthesia clinical or basic science research projects. Self constructed research projects will also satisfy a fellow's research responsibilities. )

Salary: Based upon PGY level

Minimum length of training: 12 months

# of CA-4, 5 fellows completing 12 or 24 month cardiovascular training in last five years: 35

Faculty

Scott C. Streckenbach, MD
Expertise: TEE, transfusion medicine, ICDs, pacemakers

Theodore A. Alston, MD, PhD
Expertise: Enzymology, coagulation, congenital heart disease, TEE

Fumito Ichinose, MD, PhD
Expertise: Microcirculation, nitric oxide, TEE

Marcos F. Vidal Melo, MD, PhD
Expertise: Pulmonary physiology, TEE

Robert C. Schneider, MD
Expertise: TEE, coagulation, protamine

Edwin G. Avery, IV, MD
Expertise: Coagulation, heparin resistance, heart failure, TEE

Michael G. Fitzsimons, M.D., FCCS
Expertise: Critical care, Transplant anesthesia, Trauma anesthesia and Aviation medicine.

Carolyn J. Mehaffey, MD
Expertise: TEE, myocardial protection

Vipin Mehta, MD
Expertise: Congenital heart disease, OPCAB, TEE

Xiping Zhang, MD
Expertise: Coagulation, heparin

Dwight G. Geha, MD
Expertise: Cardiac surgical postoperative neurocognitive dysfunction, early extubation after cardiac surgery

Academic Program

Fellow conferences: Minimum of 4 per week Type: Lectures, TEE review, case conferences

Extra-institutional educational conference support: 1 meeting per year

In last five years fellows were 1st and 2nd author on:
Abstracts: No responce
Peer-Reviewed Journal Articles: No responce
Book Chapters: No responce
Other Publications: No responce
Comments: No responce

Funding: Divisional funds available for selected independent fellowship research projects.

Dedicated research time: 1 day per week

Echocardiography instruction: Two months full-time TEE Fellow

Critical care rotation: One month in Cardiac Surgical ICU

Pediatric Cardiac Anesthesia Rotation: Two months at Boston Children's Hospital.

Maximum Time in Non-OR Activities: 20%

Clinical Program

# of cardiac procedures with CPB per year: 1,200
Distribution of cases: CABG 58%, Valve & Valve/CABG 29%, Aortic reconstruction 5%, Congenital heart disease 5%

# of non-cardiac thoracic cases per year: 0 10-20

# of heart, lung and heart/lung transplants per year: 20

# of major vascular cases per year: 0

Distribution of cardiac cases: 60% CABG, 25% Valves, 5% Congenital (plus two months rotation at Boston Children's)

Operating Room equipment available: Dedicated TEE console in each OR with on-line, real-time connection to cardiology ECHO reading room & echocardiography staff