Texas Heart Institute

http://www.tmc.edu/thi

Interim Chair: John R. Cooper, Jr., M.D.
Email: pcarpenter@heart.thi.tmc.edu
Cardiothoracic/Cardiovascular Anesthesia Fellowship Director: C. David Collard, M.D.
Email: pcarpenter@heart.thi.tmc.edu
Mailing Address:
Texas Heart Institute
Division of Cardiovascular Anesthesiology
P.O. Box 20345, MC 1-226
Houston, TX/USA 77225-0345
Telephone: 832-355-2666
Fax: 832-355-6500

APPLICATION PROCESS:

Completed application (include wallet-size photo), updated CV, and personal statement (500 word maximum) mailed to the attention of Patricia Carpenter. In addition, three letters of recommendation (written and mailed to the attention of C. David Collard, M.D.)

GENERAL PROGRAM INFORMATION

Numbers of Positions Available:
CA-4: 6
CA-5: 2
Total CA-4 and CA-5: 8

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

Comments: Fellows at THI participate in the care of approximately 2100 patients that undergo coronary revascularization (including off-pump cardiac surgery, transmyocardial laser revascularization, robotic and minimally invasive cardiac surgery), cardiac transplantation, valvular surgery, mechanical assist device placement, and electrophysiological surgery. Additionally, approximately 1000 thoracic and vascular cases (aortic aneurysm repair, aorta-femoral bypass, carotid endarterectomy, and A-V access grafts) are performed each year. Fellows also have the opportunity to participate in lung, liver and kidney transplantation. Transesophageal echocardiography (TEE) and preparation for the TEE Boards is integral to the Fellowship, with Fellows receiving 2 months of dedicated TEE training. Optional rotations in pediatric cardiovascular surgery and adult thoracic surgery are also available at the Texas Children's Hospital and M.D. Anderson Hospital, respectively (located directly adjacent to the THI). Finally, our service is directly involved in patient postoperative care and Fellows will be exposed to critical care medicine outside of the operating room. In addition to the outstanding clinical opportunities, Fellows are offered (not mandated) the opportunity to participate in clinical and translational research. Our Department has published numerous manuscripts, chapters, and DVDs (including most recently, the Lippincott's Interactive Echocardiography Library). Didactic programs include a weekly Fellow's conference and a monthly journal club.
Clinical Responsibility: Graduated
Annual Salary:
Minimum Length of Training: 12 Months
Number of CA-4/CA-5 Fellows Completing 12-24 Months Cardiothoracic/Cardiovascular Training in Previous 5 Years: 30

FACULTY

James M. Anton, M.D.
Email: janton@heart.thi.tmc.edu
Expertise: Cardiovascular Anesthesiology Fellowship Co-Director

Lance Blanchard, M.D.
ldblanch@bcm.tmc.edu

Paul W. Brock, Jr., M.D.
Email: pbrock@heart.thi.tmc.edu

Li Qian Chen, M.D.
Email: lchen@heart.thi.tmc.edu

C. David Collard, M.D.
Email: ccollard@heart.thi.tmc.edu
Expertise: Cardiovascular Anesthesiology Fellowship Director

John R. Cooper, Jr., M.D.
Email: jcooper@heart.thi.tmc.edu
Expertise: Interim Chief, Cardiovascular Anesthesiology

Heinrich Epple, M.D.
epple@bcm.tmc.edu

Noel Martin Giesecke, M.D.
Email: ngiesecke@heart.thi.tmc.edu

Alina Grigore, M.D.
Email: agrigore@heart.thi.tmc.edu
Expertise: Director, Intraoperative Echocardiography

Charles R. Kiser, M.D.
Email: kiser@bcm.tmc.edu

Prashant Lotlikar, M.D.
Email: plotlikar@heart.thi.tmc.edu

Wei Pan, M.D.
Email: wpan@heart.thi.tmc.edu

Manu Sethi, M.D.
Email: sethi@bcm.tmc.edu

Zachariah Thomas, M.D.
Email: zthomas@heart.thi.tmc.edu

Byron Tsusaki, D.O.
Email: btsusaki@heart.thi.tmc.edu

Percent of Cardiac Anesthesia Faculty with NBE Perioperative TEE Certification: 95%

ACADEMIC PROGRAM

Fellow Conferences Frequency: Weekly
Type: Didactic Lectures, Case Conferences
Extra-Institutional Educational Conference Support: 1 meeting per year
In the Previous 5 Years, Fellows were 1st or 2nd Author On:
Abstracts: 18
Peer-Reviewed Journal Articles: 6
Book Chapters: 1
Other Publications:
Comments:

Funding: Intramural
Dedicated Research Time: Varies with fellowship type.
Echocardiography Instruction: 2 months intraoperative TEE, didactic lectures
Critical Care Rotation: Integrated
Formal Course Work Available in: None
Maximum Time in Non-OR Activities: Varies with fellowship type.

CLINICAL PROGRAM

Number of Cardiac Procedures with CPB Per Year: 2100
Distribution of cases: 35% ACB, 15% Pedi, 24% Valves, 13% Aneurysm, 13% Thoracic
Average Number of CPB Procedures Per Trainee Per Year: 350
Number of Cardiac Procedures off-CPB Per Year: 400
Distribution of cases: 70% off pump ACB, 20% TMLR, 10% Misc.
Average Number of off-CPB Procedures Per Trainee Per Year: 75
Number of Non-Cardiac Thoracic Cases Per Year: 300
Number of Heart, Lung and Heart/Lung Transplants Per Year: 50
Number of Major Vascular Cases Per Year: 1000
Operating Room Equipment Available: The new THI Denton A. Cooley Building which opened in 2001 includes state of the art operating rooms and ICU facilities, new Drager 6000 machines, new Marquett rapid infusers, TEE machines, and fiberoptic scopes.


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