Cardiothoracic anesthesia (ACTA) fellowship 2025

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Thoughts on Louisville? is it a good program?
 
Is there a benefit to interviewing on early interview dates (like February) vs late (like April)? Some programs are only offering a few dates and I'm curious if it is all relatively equal or if getting an earlier date is advantageous.
 
any idea if NY programs like Sinai or Cornell are planning to release another round of invites? I submitted early January and have not heard from them
 
Did anyone receive an interview from THI recently? Wondering if there will be another wave of interview.
 
has colorado or washinton seattle sent any out?
 
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Any word from Brigham, UPenn, Northwestern, Vandy?
 
The local program director is stepping down next month and I have been convinced to come out of semiretirement and step back into that role. I was given the SF Match applications and I am deciding who to invite for interviews over the next week in consultation with a couple of the faculty.
 
The local program director is stepping down next month and I have been convinced to come out of semiretirement and step back into that role. I was given the SF Match applications and I am deciding who to invite for interviews over the next week in consultation with a couple of the faculty.
Which program?
 
Is there a national ranking list for CT anesthesia programs?
 
Gathering information from previous posts, seems Cleveland Clinic, Duke and THI are top programs with Columbia, Stanford, MGH/BWH closely following.
Was wondering more so for programs that are not as big name institutions. For instance buffalo versus Albany.
 
Was wondering more so for programs that are not as big name institutions. For instance buffalo versus Albany.
Like ranking for annual snow fall?

But seriously, most people on this board would say your training depends more on your own effort/aptitude than the perceived prestige of the program. It looks like you have an affinity to the geographic location. It would be more important to figure out whether people are happy at those places than some national ranking that have 15 places in the top 10.
 
Can anyone comment on this program? Is it comparable to Baylor?
UT Houston is split between Memorial Herman and Methodist. Memorial herman does a lot more bread-and-butter cases. Methodist does a lot of transplants and "bigger" cases. They are an up-and-coming program. The fellows are well trained. It's compared to BCM/THI a lot just because they are across the street from each other. You mainly sit your own cases there.

THI is a true "CA4" year. You sit your own cases and rarely supervise. You do cardiac/vascular/thoracic/liver tx/cath lab. The cases are generally very complex. There is nothing that is not done there and you get your mix of B&B CABG and valves. 70-100 lung tx. A lot of hearts tx/VADS. Known for their thoracoabdominal aneurysms and do multiples a week. Only 2 months of TEE and echo teaching is self-taught. The institution is by fellows/residents so sometimes you do noneducational cases. Regarded nationally up there with Cleveland Clinic/Duke. Fellows are very well trained there and their reputation is well known.
 
Is there a national ranking list for CT anesthesia programs?

My two cents is that it is much more important what you are bringing to the fellowship in terms of drive and work ethic. Your key word is "autodidact" In a few years there will be technology and practices that your teachers/mentors never dreamed of.
 
Is there a national ranking list for CT anesthesia programs?
I think you mainly should focus on what you want out of the fellowship.

Case quantity and complexity is huge to consider. I wanted a place doing transplants, LVADs, complex vascular and thoracic, terrible 3x redo sternotomies etc. and in high enough volume that I'd see a lot of them. That ruled out a decent amount of places.

Do you want to sit your own cases? Or supervise? Or both? Places like Cleveland, Duke, and THI are always sitting your own cases as I understand it. U of Michigan you do mostly supervision. Many places mix it up. My program did 3 months of own cases and 3 months of supervising residents so there was a good mix.

Depending on where you want to end up, your training program may be important geographically if pursuing a specific job in that locale or reputation may carry a lot of weight if you're trying to land at a big name academic place.

What's the call burden like? Some places wreck you with call. My call burden was not bad, and had plenty of flexibility (could switch on a whim if there was a good case I wanted to do).

Do you want to just explore someplace new for a year?

How big of a department do you want to be a part of? More or less co-fellows? Having at least one is nice to commiserate with and bounce ideas off of throughout the year.

Just a few thoughts.
 
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