The Fellowship in Adult Cardiothoracic Anesthesiology at Washington University School of Medicine in St. Louis offers a dynamic and flexible program to develop expert-level skills, judgment, and competence in clinical care of cardiac and thoracic surgical patients.

Our ultimate goal is to train our fellows to be motivated physicians who are highly skilled professionals who can offer impeccable care to the sickest patients. We encourage critical thought, healthy academic debate and cutting edge research. Apart from routine cardiothoracic procedures, we have extensive local expertise in:

  • lung and heart transplantation
  • adult congenital cardiac surgery
  • esophageal surgery
  • aortic surgery
  • complex valvular surgery
  • ventricular assist device surgery

We have a strong interest in promoting dual critical care medicine/adult cardiothoracic anesthesiology fellowship training. Nearly half of the faculty in the Division of Cardiothoracic Anesthesiology are critical care trained and attend in the SICU and/or CTICU. Learn more about our dual Critical Care Medicine/ Adult Cardiothoracic fellowship training program at Washington University and the Barnes-Jewish Hospital.

For additional information please contact:

Lydia Swink
Program Coordinator Anesthesiology Cardiothoracic Fellowship
Washington University School of Medicine
Campus Box 8054
660 S. Euclid Ave.
St. Louis, MO 63110
Office: (314) 362-1196

Fellowship Overview

The Adult Cardiothoracic Anesthesiology Fellowship is structured to provide a flexible and robust educational experience to trainees while abiding by ACGME requirements.

The fellowship is composed of 13 four-week blocks:

  • One block of thoracic anesthesia
  • Six weeks of dedicated transesophageal echocardiogram (TEE)
  • One block of CTICU
  • Eight blocks of cardiothoracic anesthesia
  • Two blocks for electives

The fellowship training will include experience in providing anesthesia for diagnostic and therapeutic electrophysiology (EP) procedures, as well as percutaneous interventions for valve replacements, valve repairs, and heart failure therapy. We perform complex cases for aortic aneurysms repairs in our state-of-the-art hybrid operating room combining open and percutaneous approach.

Call expectations are approximately one week each month of home fellow call. Fellow call is designed to allow participation in difficult or interesting cases in conjunction with a resident to provide experience in a supervisory role.

We recognize that experience and ultimately accreditation in TEE is an essential component of cardiothoracic fellowships. Therefore, we offer structured bedside and didactic teaching as well as protected time to perform and interpret perioperative TEE exams. Our fellows are expected to obtain Certification in Advanced Perioperative Transesophageal Echocardiography by the National Board of Echocardiography after the fellowship year.

Experience in postoperative care of a cardiothoracic patient is an important part of our cardiothoracic anesthesia training. During the cardiothoracic intensive care unit rotation, our fellows function as a critical care fellows who supervise residents rotating through the 27-bed specialized ICU and becomes a member of one of the most respected critical care communities in the United States. We also offer the opportunity to pursue dual cardiothoracic/critical care medicine fellowships. Potential applicants are encouraged to contact us and to discuss their specific needs and career goals.

Electives may be chosen from:

  • Perfusion
  • Transfusion Medicine
  • Cardiology Echocardiography
  • Heart Failure Cardiology
  • Congenital Cardiac Anesthesia
  • Research
  • Jennifer Cole International Education Initiative

Application

The Adult Cardiothoracic Anesthesiology Fellowship program at Washington University participates in the SF Match process, under the auspice of the Society of Cardiovascular Anesthesiologists. Please apply via the  Common Application Service (Program ID# 4790). Three letters of recommendation are required.

For additional information please contact:

Program Director: Daniel Emmert, MD, PhD
Program Coordinator: Lydia Swink

Benefits

All fellows will receive a stipend appropriate for their postgraduate year status (currently $67,367 for the 2019-2020 academic year) issued by the GME office of Washington University School of Medicine. In addition, all fellows will receive a discretionary allowance of $2,500.

The fellowship year will include three weeks of vacation and one week available to attend the conference of your choice.

Non-clinical time will be granted to participate in clinical research, to maintain the educational program (i.e. conferences, etc.), or for additional TEE training.

Research Training

As a leading research institute, Washington University School of Medicine provides many opportunities for participation in clinical and basic research. Faculty members have extensive experience in clinical research related to cardiothoracic surgery and critical care. Active funded research by faculty in the Division of Cardiothoracic Anesthesia includes the areas of neurologic outcomes, hemostatic perturbations resulting from cardiac surgery, and critical care related investigations. Other department members are extensively involved in basic research related to anesthesia and pain mechanisms, vascular biology, sepsis, genetics, and other areas.

The interdisciplinary approach at Washington University School of Medicine provides outstanding opportunities for participation in nearly every area of biomedical research. Fellow involvement ranges from participation in active research protocols to mentored development of fellow initiated protocols. The latter avenue provides experience in formulating a clear and relevant hypothesis, research protocol design, analysis and data interpretation, and reporting of the results. This training aims to provide our fellows with opportunities to present original research at national meetings and to publicize the results in peer-reviewed journals. Continuation of fellowship training is possible for selected individuals to provide further focused research training.

Current ACTA Fellows

Robert Bowen, M.D.
Residency: New York-Presbyterian/Weill Cornell Medical Center, New York, NY
Fellowship: Critical Care – Washington University School of Medicine

Michael Hakim, M.D.
Residency: Barnes-Jewish Hospital, St. Louis, MO

Steven McAfee, M.D.
Residency: University of Missouri, Columbia, MO
Fellowship: Critical Care – Washington University School of Medicine

Amber Zdanovec, M.D.
Residency: Medical College of Wisconsin Affiliated Hospital, Milwaukee, WI
Fellowship: Critical Care – Washington University School of Medicine

Previous Fellows


2018-19 Fellows

Sarah Alber, M.D.
Residency:  Barnes-Jewish Hospital, St. Louis, MO
Fellowship: Critical Care – Washington University School of Medicine
Current Position: University of Colorado, Boulder, CO

Esad Kiveric, D.O.
Residency: Barnes-Jewish Hospital, St. Louis, MO
Current Position: St. Elizabeth Hospital, Belleville, IL

Jacob McDowell, M.D.
Residency:  Barnes-Jewish Hospital, St. Louis, MO
Current Position: Sutter Medical Center, Sacramento, CA

Brian Tolly, M.D.
Residency: McGaw Medical Center of Northwestern University, Chicago, IL
Current Position: University of Minnesota, Minneapolis, MN

2017-18 Fellows

Aaron Dahl, M.D.
Residency: Virginia Mason, Seattle, WA
Fellowship: Critical Care – Washington University, St. Louis
Current Position: University of Chicago, Chicago, IL

David DeCresce, M.D.
Residency: Washington University, St. Louis
Fellowship: Critical Care – Washington University, St. Louis
Current Position:  Washington University, St. Louis

Joseph Larese, M.D.
Residency: Washington University
Current Position: Midwest Anesthesiologist, Oak Lawn, IL; Advocate Christ Hospital, Oak Lawn, IL

Bryan Marchant, M.D.
Residency: Wake Forest University School of Medicine, Winston-Salem, NC
Fellowship: Critical Care – Washington University, St. Louis
Current Position: Wake Forest University School of Medicine, Winston-Salem, NC

2016-17 Fellows

Steven Gregory, M.D.
Residency: Duke University, Durham, NC
Current Position: Washington University, St. Louis, MO

Zev Noah Kornfield, M.D.
Residency: Hospital of the University of Pennsylvania, Philadelphia, PA
Fellowship: Critical Care Medicine – Washington University, St. Louis
Current Position: University of Pennsylvania Health System, Philadelphia, PA

Jonathan Kramer Zoller, M.D.
Residency: University of Kansas, Kansas City, KS
Current Position: Washington University, St. Louis, MO

Jessica Wilkin, M.D.
Residency: Washington University, St. Louis
Current Position: Memorial Hermann Memorial City Medical Center, Houston, TX

2015-16 Fellows

Broc Burke, M.D., Ph.D
Residency: Washington University
Current Position: Washington University School of Medicine, St. Louis, MO

Zachary Cohen, M.D.
Residency: Washington University
Current Position: Anesthesia Consultants of Indianapolis, Indianapolis, IN

David Hastie, M.D.
Residency: Washington University
Fellowship: Critical Care Medicine – Washington University
Current Position: Excel Anesthesia, Dallas, TX

Ilya Treskov, M.D.
Residency: Washington University
Fellowship: Critical Care Medicine – Washington University
Current Position: Ozark Anesthesia, Springfield, MO

2014-15 Fellows

Wayland Cheng, M.D., Ph.D.
Residency: Washington University
Current Position: Washington University School of Medicine, St. Louis, MO

Philip Copper, M.D.
Residency: Washington University
Current Position: St. Luke’s Hospital, St. Louis, MO

Julianne Donnelly, M.D.
Residency: Washington University
Fellowship: Critical Care Medicine – Washington University
Current Position: St. Luke’s, Chesterfield, MO

Charlene Swift, M.D., Ph.D.
Residency: Washington University
Current Position: UCSF

2013-14 Fellows

Mohammad Helwani, M.D.
Residency: Saint Louis University
Fellowship: Critical Care Medicine – Mayo Clinic
Current Position: Washington University

Philip Kalarickal, M.D.
Residency: Tulane University
Fellowship: Abdominal Organ Transplant – Washington University
Current Position: Emory University

Michael Kopec, M.D.
Residency: Washington University
Current Position: Springfield, IL

2012-13 Fellows

David Grenda, M.D., Ph.D.
Residency: Washington University
Fellowship: Critical Care Medicine – Washington University
Current Position: Piedmont Atlanta Hospital, Atlanta, GA

Rashmi Rathor, M.D.
Residency: Washington University
Fellowship: Abdominal Organ Transplant – Washington University
Current Position: Washington University

Tracey Stevens, M.D.
Residency: Washington University
Current Position: Washington University

2011-12 Fellows

Alicia Jeffcoat, M.D.
Residency: Washington University
Current Position: New Orleans, LA

Larisa Zhurav, M.D.
Residency: Washington University
Fellowship: Critical Care Medicine – Washington University
Current Position: St. Luke’s Hospital, Kansas City, MO

Isaac Lynch, M.D.
Residency: UT Southwestern
Fellowship: Critical Care Medicine – Washington University
Current Position: UT Southwestern

2010-11 Fellows

Heidi Coco, D.O.
Residency: Saint Louis University
Fellowship: Critical Care Medicine – Washington University
Current Position: St. Luke’s, Chesterfield, MO

Stephen Dieker, Jr., M.D.
Residency: Washington University
Fellowship: Critical Care Medicine – Washington University
Current Position: Eureka, CA

Daniel Emmert, M.D., Ph.D.
Residency: Columbia University
Fellowship: Critical Care Medicine – Washington University
Current Position: Washington University