Dual training in Critical Care Medicine (CCM) and Adult Cardiothoracic Anesthesiology (ACTA) provides a very powerful skill set. Dual fellowship training is becoming a more popular pathway among applicants. This training pathway has been particularly popular at Washington University in St. Louis / Barnes-Jewish Hospital, 75% of the ACTA fellows in the past 5 years have completed prior fellowship training (typically CCM). We find applicants who have chosen to pursue dual fellowship training in CCM and ACTA are among the most highly sought after.

Though these fellowships enjoy close collaboration and many mutual faculty, they are separate ACGME fellowship training pathways and are completed sequentially (our preference is for CCM to precede ACTA fellowship training). In an effort to streamline the application process, one application may be completed with the SF Match for either the CCM or the ACTA program. We will share the application information with all relevant parties.

Application Information

In an effort streamline the application process, applicants may simply complete the SF Match CCM or ACTA fellowship application. In order to assure your application is flagged appropriately for dual CCM/ACTA fellowship training, please email the program directors of both fellowships emmertd@wustl.edu and brianwessman@wustl.edu and express your interest in this training pathway.

We work to coordinate a busy, but comprehensive interview day comprised of observing rounds in both the Cardiothoracic ICU and the Surgical ICU (the 2 core intensive care units), lunch with fellows from both fellowships, and interviews with a variety of faculty (including dual CCM/ACTA faculty) from diverse specialties relevant to dual fellowship training.

How to apply

We participate in the San Francisco Match’s Central Application Service.

For the 3 letters of recommendation submitted with the SF Match application, please include at least one intensivist and one cardiothoraciothoracic anesthesiologist letter commenting on your interest in each fellowship or dual fellowship training.

For applicants currently in a residency training program (or graduated within the last five years), one of the three required letters of recommendation MUST be from your residency Program Director.

We also request these supplemental documents:

  • Curriculum Vitae
  • Copy of In-service training exam
  • Copy of Step 1, 2, 3 scores
  • Current self-photo

Supplemental documents should be sent to:
Kendra Gregory
Program Coordinator
Anesthesiology Critical Care Fellowship
Washington University School of Medicine
Campus Box 8054
660 S. Euclid Ave.
St. Louis, MO 63110
Office: (314) 362-8538
Fax: (314) 747-1710

Contact Information

For additional information please contact:

Brian Wessman, MD, Program Director, Anesthesiology Critical Care Fellowship Program

Carolyn Iezzi, Program Coordinator

Daniel Emmert, MD, PhD, Program Director, Cardiothoracic Anesthesiology Fellowship Program

Lydia Swink, Program Coordinator