UTSW is the biggest of those programs. Not that UTSW has huge cardiac volumes, but I doubt UT Houston does any cardiac beyond PDAs and ASDs/VSDs. I don’t know about Austin but I would imagine it is similar (I didn’t even know they had a fellowship program). If that matters to you, then I guess you could consider it. The bottom line though is that ever program follows the ACGME guidelines and you get the same clinical training wherever you go, put in lines, turn up ventilators, Turn down vasoactive, etc. etc.