Cardiothoracic anesthesia (ACTA) fellowship 2025

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So talking to a few friends in other programs that have CV fellowships. It seems like there are actually a large number of people going into CV and wanting to stay in their home programs. I’ve even heard of programs with not enough fellowship spots for their number of internal applicants who want to stay so I’m beginning to believe it is a more competitive year for CV fellowship overall

Larger number than last year? Lol

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I don’t know for sure but I would believe there are more.
Last few cycle, applicants every year think that their year is more competitive than the year before. I doubt there are more applicants this year than last, but you never know. We may have reached the lowest point last year. We will find out in June when SF releases the match data.

Highly competitive programs having more internal applicants than the number of spots is not a new thing. A wise program would never fill all of their spots with internal candidates year after year.
 
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I would be willing to bet that the post data will show a decrease in overall applicants. The job market is good right now and fellowship applications across all subspecialties typically suffer when that is the case.
 
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I would be willing to bet that the post data will show a decrease in overall applicants. The job market is good right now and fellowship applications across all subspecialties typically suffer when that is the case.

Same, I’ll bet on that as well. There will be unfilled positions
 
How many interviews did most people end up doing?
 
Applied to 25 programs (way too many), went on 14 interviews (declined 7)
 
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What led you to decline the 7 interviews? Just curious.
I honestly didn't know how competitive I was and broadly applied hoping for 12-15 interviews. Once I got enough, I started declining places my partner didn't want to live
 
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Applied 10, got 7.
 
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I would be willing to bet that the post data will show a decrease in overall applicants. The job market is good right now and fellowship applications across all subspecialties typically suffer when that is the case.
Reaching out to colleagues cardiac anesthesiology seems to be the least impacted by the strong job market than other fellowships. Look at the article posted on the pediatric anesthesia fellowship thread. I would contend that "Ikigai" is also present in cardiac anesthesiologists. Income is being lost by starting a year later in practice but I have more than made up the difference. I am two years past my official retirement but with the explosion of structural heart procedure and EP procedures, I have no problem doing cardiac cases on a per diem basis any time I desire.
 
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Reaching out to colleagues cardiac anesthesiology seems to be the least impacted by the strong job market than other fellowships. Look at the article posted on the pediatric anesthesia fellowship thread. I would contend that "Ikigai" is also present in cardiac anesthesiologists. Income is being lost by starting a year later in practice but I have more than made up the difference. I am two years past my official retirement but with the explosion of structural heart procedure and EP procedures, I have no problem doing cardiac cases on a per diem basis any time I desire.
With that in mind, would you recommend training in the general area (west coast for west coast, east for east, etc.) for easier job placement post training? It appears for generalists it doesn't seem to matter as much anymore but if cardiac wasn't as impacted then it's something I'm strongly considering to shape my rank list.
 
With that in mind, would you recommend training in the general area (west coast for west coast, east for east, etc.) for easier job placement post training? It appears for generalists it doesn't seem to matter as much anymore but if cardiac wasn't as impacted then it's something I'm strongly considering to shape my rank list.




If you know of a specific practice you’d like to join, go where current partners trained. Beyond that, I don’t think geography matters as much as it used to. Most places will hire any willing victim ;)
 
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Anyone know when the program ranklist deadline is? Not ours as applicants but when programs have to submit their final list by?
 
I am, but I'm leaving in a few hours. Definitely feels like AATS overshadowed SCA at this conference lol
 
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I am, but I'm leaving in a few hours. Definitely feels like AATS overshadowed SCA at this conference lol
Agreed. The AATS had the venue and invited us to join. Hopefully the next time it will be better integrated. On the plus side, Arnold Schwartznegger would not have come to just speak to anesthesiologists.
 
Agreed. The AATS had the venue and invited us to join. Hopefully the next time it will be better integrated. On the plus side, Arnold Schwartznegger would not have come to just speak to anesthesiologists.
Uncle Arnie was there?!!?!
 
Uncle Arnie was there?!!?!
Yes. Pleasant surprise. He had a congenital bicuspid aortic valve and has multiple cardiac operations so he has a lot of gratitude for doctors. He was very inspirational.
 
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Does anyone have any thoughts on Duke vs Stanford? Obviously both are nationally known programs, but I was having some trouble trying to rank one above the other. Looking back through old threads there seemed to be some comments on this, but I’ve heard rumors of institutional changes to the cardiothoracic departments at both programs over the past few years and was curious if anyone had any insight or thoughts on ranking one program more highly.
 
Both are solid programs. I trained at Duke, and one of my good friends trained at Stanford. Yes there are changes in the Duke anesthesia and CT surgery divisions, but I'm sure that's happening at many academic places across the country. Feel free to PM if you want more details.

Ultimately it depends on where you want to end up. Stanford will open a lot opportunities if you want to stay in the west coast. Duke will open doors for you in the south and Atlantic areas. It's pretty reflective when you see where their grads go.
 
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Yes. Pleasant surprise. He had a congenital bicuspid aortic valve and has multiple cardiac operations so he has a lot of gratitude for doctors. He was very inspirational.
Arnold is a genuinely decent human being.

And a great man.

It's no wonder modern Republicans hate him so much.
 
Can anyone shed light on the regional exposure fellows get at CCF?
 
My attending said he got his regional fellowship from youtube. Hes the best at regional where I am at lol
 
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Submitted rank list. Out of curiosity, had any programs reached out to you outside of interview invites and implied their interest to you?
 
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Can anyone shed light on the regional exposure fellows get at CCF?
They do PIF blocks for some sternotomies and serratus blocks for thoracotomies. But ACTA fellowship is just not very regional heavy to start with…
 
how would you guys rank the following: USC, CCF, NYU, Mt. Sinai, Maryland, Wake forest, henry ford, U of Miami, UTSW, UT houston, loyola
 
Maybe a dumb question but can you edit your rank list after you submit it?
 
Maybe a dumb question but can you edit your rank list after you submit it?

I think all NRMP matches are the same in that you can edit it up until the deadline. So if you submit 2 days before deadline, you have 2 days to change your mind and edit. After the deadline, that’s why there’s a deadline. Then you wait one month for something it took the computer about 5 seconds to calculate and double check one million times.
 
I think all NRMP matches are the same in that you can edit it up until the deadline. So if you submit 2 days before deadline, you have 2 days to change your mind and edit. After the deadline, that’s why there’s a deadline. Then you wait one month for something it took the computer about 5 seconds to calculate and double check one million times.
This is INCORRECT FOR SFMATCH. The rank list is final, for both the applicants and programs.
 
I have done this and it let me edit and resubmit freely. I think it explicitly says this is the functionality somewhere in the wall of text on that page.
Excellent, can panic and change it all at the last minute now
 
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Reminder that rank lists are due at noon tomorrow. Good luck everyone!
 
if you matched at a program but see a vacancy at a program you would rather go to what are the rules on contacting the program with a vacancy?
I think you're committed. That's the agreement you signed when you went through the match.
 
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I think you're committed. That's the agreement you signed when you went through the match.
I have a slightly different take. Yes, you are contracturally obligated to the match result. But if you truly believe you will be unhappy at your matched program, you should speak to them like an adult, and accept the consequence of your decisions. It would be a miserable year for everyone involved if you don't bring your best. In theory, the right sequence would be to de-commit from your matched program, then reach out to the unfilled program of your interest, NOT THE OTHER WAY AROUND. I believe programs can see the applicant match results. Remember what they say about grass and fence.
 
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