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Each year, Boston Children's Hospital offers one 12-month fellowship in pediatric cardiac anesthesia. The minimum requirement for this fellowship is completion of board eligibility requirements in anesthesiology, though previous pediatric and/or cardiac anesthesia experience is preferred.
During the fellowship year, six to 10 months are spent on the clinical service, with the remaining time devoted to related areas such as intraoperative transesophageal echocardiography, postoperative management, and clinical or laboratory-based research.
Cardiac Anesthesia Fellowship
James Di Nardo, MD
Co-Director, Cardiac Anesthesia Service, Pavilion 341
E-mail: James Di Nardo
To request an application or information about a fellowship in the Department of Anesthesia, please complete our online form or print our application form using Acrobat Reader from Adobe, fill out the information as indicated, and return it to us at:
Department of Anesthesia
Boston Children's Hospital
300 Longwood Avenue
Boston, MA 02115
Subspecialty: Pediatric Cardiac Surgery
The Cardiovascular Surgery Fellowship Program at Boston Children's Hospital has been in existence since 1972. Over the years, it has served more than 50 fellows who have completed either the six- or 12-month fellowship training program.
The pre-requisite criteria for selection are individuals who have completed their training in Cardio-Thoracic Surgery and wish to subspecialize in pediatric cardiac surgery. Typically, fellows have had some exposure, albeit limited, to surgery for congenital heart defects.
The goals of the program are to provide an introduction to all forms of congenital heart defects, and to provide a graded progression of responsibility in the intraoperative and postoperative management of patients with congenital heart defects. The details of the training program depend on whether the candidate chooses the six- or 12-month program.
The Department of Cardiac Surgery includes three full-time board certified cardiac surgeons, all of whom have extensive experience in congenital cardiac surgery, including congenital heart surgery procedures in adults. Faculty members include Pedro J. del Nido, MD, John E. Mayer, Jr., MD, and Frank Pigula, MD. Additional instruction will be provided by Amy Juraszek, MD, from the Department of Cardiology and Cardiac Pathology, and faculty members of the Cardiac Intensive Care Unit under the direction of Peter Laussen, MD.
At the end of either the six-month or 12-month fellowship program, the trainees receive an evaluation from each of the staff surgeons in the Department. Their evaluations are discussed with the trainee. For individuals in the 12-month program, an interim review is done after the first six months.
This is a six-month fellowship designed for surgeons who anticipate that they will predominantly undertake surgery for acquired heart disease, but in addition will undertake simple congenital cardiac procedures for older children and adults. Trainees will receive instruction in the following areas:
This program is aimed at individuals who expect to practice primarily pediatric cardiac surgery, and therefore require an extended period of training and increased surgical responsibility.
In addition to Pathology Conferences, Peri-operative Management experience and didactic teaching sessions available through the six-month fellowship, fellows in the 12-month program will have graduated operating room experience.
Trainees will have the opportunity to work as the operating surgeon, assisted by an attending surgeon in procedures that are much more complex and involve neonates. The goal will be to provide the trainees with sufficient experience to perform most congenital heart procedures as an independent surgeon.
Examples of the type of procedures fellows are expected to perform include an arterial switch procedure, repair of truncus arteriosus, repair of interrupted aortic arch, Norwood procedure for hypoplastic left heart syndrome and Fontan operation.
Experience in cardiovascular research is an essential component of fellowship training in cardiology. In addition to patient-care responsibilities, fellows are expected to become involved in a clinical research project during the first year, under the guidance of a faculty member. Such projects, either new or ongoing, are often of the chart review type, and may form the basis for a future prospective study for those fellows interested in clinical research.
Fellows should identify a clinical or basic science research mentor from among the faculty by the end of the first year. Three months of the second year, and virtually all of the third year, are dedicated to ongoing research training.
During the first half of the second year, it is expected that each fellow will, with appropriate guidance, write and submit a proposal for a research project which:
The project may be either basic science or clinical; clinical research will in all probability entail a prospective study. Fellowship training in the department beyond the second year is based on finding a suitable mentor and appropriate research project(s).
The Department has an institutional NIH training grant, which permits selected fellows to train in basic research laboratories throughout the Harvard Medical Area, as well as in clinical research. Fellows are encouraged to write individual grant applications, but fellowship funding does not depend on such grants being funded. Fellows interested in higher-level training in clinical research can take part in the Program in Clinical Effectiveness at the Harvard School of Public Health or the Scholars in Clinical Science Program at Harvard Medical School.
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”