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Cardiac/Cardiothoracic
Started by Celsus
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Cardiac = heart
Cardiothoracic = heart + chest
Occasionally, you'll find an institution that splits its fellowships into a thoracic fellowship and a cardiac fellowship, but that's going to be relatively rare.
Cardiothoracic = heart + chest
Occasionally, you'll find an institution that splits its fellowships into a thoracic fellowship and a cardiac fellowship, but that's going to be relatively rare.
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neither are accredited... yet. and, it doesn't matter which one you do. just make sure that you walk away with a TEE certification. that's the only real marketable value, imho, of doing a CT fellowship. plenty of non-CT trained anesthesiologists do hearts. everyday.
http://www.acgme.org/adspublic/reports/accredited_programs.asp
as of this year I'm pretty sure the Cardiothoracic programs are ACGME accredited
I agree about getting TEE certified though!!
Did anybody notice how Pain management is not grouped with anesthesia anymore? It's Pain Medicine now. Interesting. I guess they are taking that away from us now.
That happens with the old geezers (who only did 2 years of anesthesia residency, BTW) and the smaller community hospitals. Nowadays no respectable place would go without a fellowship trained individual.
they are rolling out the official "accreditation process" for these programs now. it will take roughly 8 more years before a full test is validated and a "board certification" is instituted. most people completing fellowships now and for the next few years will simply get a shingle from the program they are completing the fellowship as well as ability to sit for TEE certification. however, they will be "grandfathered" in for the national exam when it comes into existence. until then, they will not be able to sit for a nationally standardized exam (because it doesn't exist yet), nor will they be able to call themselves "board certified" in CT anesthesia until this process is completed. that's why i qualified my statements in my first post with "yet".
there are plenty of neurology and physiatrists training in pain management programs. probably done to be more inclusive. most programs are still run by anesthesiologists. nobody is taking anything away from "us". someday, anesthesiology itself may fully evolve into and only be known as "peri-operative medicine". doesn't mean that we are losing anything, but probably instead gaining a lot...
define respectable. most places doing hearts do not have a CT trained person because, quite simply, there are not enough to go around and most practices don't see this as a limitation to providing anesthesia care for heart surgeries.
I don't understand why you equate ACGME accreditation to Subspecalty board certification. Accreditation is one thing, board certification another. There are 20-30 accredited cardiac programms as of NOW. Which mean accreditation process was completed.
Same story goes to Ped fellowship. It's ACGME accredited but there is no Board exam currently.
all programs are not yet visited and "accredited". the process is ongoing to get accreditation standards in place and fine-tuned. the only program that has been visited thus far and received initial "accreditation" (only just effective July 1, 2007), as the standards continue to be developed and evolve, is university of alabama. there are FAR more CT fellowship programs out there who offer training who have not yet been visited.
and, that's the point.
there are tons (well, not literally) of anesthesia fellowships out there. for example, OB, neuro, acute pain, etc. that are not "official" ACGME fellowships. there is no board that verifies a core curriculum or offers a certification in this. i agree, the peds fellowship (and now cards) have been officially recognized and have standards. if you want to go to a peds fellowship, pick one from that has received ACGME approval already. this is less important for CT fellowships at this time.
because they are now recognized, once the final board certification and standards are in place, you will be required by those programs to sit for their board exam at the end of your training. if you've already completed training at a program that is now or subsequently becomes "accredited" by the ACGME, you will have to sit for that exam for your training to be recognized. if your ct anesthesia program is not recognized subsequently, your training will mean little officially.
again, peds board certification - like pain already is - will come online soon. if you don't take the exam, your peds fellowship training will eventually mean little. future employers will expect you to be subspecialty board certified if you do the training. as it stands right now, you can at the very least walk away with TEE certification at the majority of CT anesthesia fellowships (or you shouldn't consider them). and, that's more important right now than worrying about ACGME accreditation.
that's the point.
30 programs accredited according to ACGME. I don't know if any of them have been visited, but they are accredited at the moment. I would be very cautious doing a non accredited fellowship right now. Who knows what can happen in 10 years?
I peds getting a board exam?
read between the lines…
http://www.asahq.org/Newsletters/2002/2_02/hall0202.htm
that was in 2002. sources i have heard (since then, obviously) have stated that they are moving forward with subspecialty certification, which stands to reason (why have an accredited fellowship without one?).
currently listed official "board certifications" from ABMS:
http://www.abms.org/Who_We_Help/Physicians/specialties.aspx
nothing else is mentioned on that site, which is generally geared towards the lay public.
and, if you read this... (especially the last paragraph… again, read between the lines)...
http://www.pedsanesthesia.org/policyprovision.iphtml
… you will understand that it is going to happen. when you make something official, you have to make sure those that are involved with it are officially official.
same thing will happen (eventually) with cardiothoracic anesthesia, now that the ACGME and is involved and standards have been adopted. it will take a few years until all programs are online (and/or have appealed if they don't get recognized by the ACGME, especially those already offering this fellowship). this is the way bureaucracy works... or doesn't work, however you see it.
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