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Twelve Month Curriculum




The twelve month program is designed to expose the candidate to a variety of clinical cases, to familiarize the candidate with TEE, and to help with preparation for the Oral Boards and publishing one paper. The monthly rotations and requirements are as follows:

July:
Clinical rotation at St. Joseph Hospital in Denver. Fellow does his or her own cases for the duration. TEE requirements: Physics and Basic Knobology.

Academic requirements:

  • Attendance of 4 lectures:
    1. Embryological development of cardiac structures.
    2. Anatomy and Physiology of the human heart.
    3. TEE: Physical principles of Ultrasound I.
    4. TEE: Physical principles of Ultrasound II.
  • Supervision of cardiac anesthesia journal club.
  • Take two hours of mock orals.
  • Take one academic day per week to work on clinical study/publish a paper.

August:
Clinical rotation at UCHSC.
Fellow does his or her own cases for the duration. TEE requirements: A complete normal exam and evaluation of the left and right ventricles.

Academic requirements:

  • Attendance of 4 lectures:
    1. Anesthetic management of patients with ischemic heart disease.
    2. Anesthetic management of patients with cardiomyopathies.
    3. Evaluation of systolic function.
    4. Evaluation of diastolic dysfunction.
  • Supervision of cardiac anesthesia journal club.
  • Take two hours of mock orals.
  • Take one academic day per week to work on clinical study/publish a paper.

September:
Clinical rotation at UCD or VAMC.
Fellow spends two weeks with cardiology to perform TTE and spends two weeks with perfusion to understand the CPB machine. As well, fellow follows patients in ICU during the whole month to get an appreciation of post-op patient hemodynamics and extubation times. TEE requirements: Evaluation of the atria, pulmonary veins, SVC and IVC views and appreciation of TEE artifacts.

Academic requirements:

  • Attendance of 5 lectures:
    1. Anesthetic management of patients with heart failure.
    2. Anesthetic management of patients with pericardial disease.
    3. Pericardial tamponade and constrictive pericarditis.
    4. Evaluation of RV function.
    5. Anesthetic management of patients with mitral stenosis.
  • Supervision of cardiac anesthesia journal club.
  • Take two hours of mock orals.
  • Take one academic day per week to work on clinical study/publish a paper.

October:
Clinical rotation at UCD or VAMC.
Fellow supervises residents during clinical cases. TEE requirements: Evaluation of the mitral valve and tricuspid valve.

Academic requirements:

  • Attendance of 5 lectures:
    1. TEE lecture: Mitral stenosis.
    2. Anesthetic management of patients with mitral regurgitation.
    3. TEE lecture: Mitral regurgitation.
    4. Anesthetic management of patients with aortic stenosis.
    5. TEE lecture: Aortic stenosis.
  • Supervision of cardiac anesthesia journal club.
  • Take two hours of mock orals.
  • Take one academic day per week to work on clinical study/publish a paper.

November:
Clinical rotation at UCD or VAMC.
Fellow supervises residents during clinical cases. TEE requirements: Evaluation of the aortic valve and pulmonary valve.

Academic requirements:

  • Attendance of 4 lectures:
    1. Anesthetic management of patients with aortic regurgitation.
    2. TEE lecture: Aortic regurgitation.
    3. TEE lecture: Evaluation of prosthetic valves.
    4. Congenital heart disease.
  • Supervision of cardiac anesthesia journal club.
  • Take two hours of mock orals.
  • Take one academic day per week to work on clinical study/publish a paper.

December:
Clinical rotation at UCD or VAMC.
Fellow supervises residents during clinical cases. TEE requirements: Evaluation of the aorta and other miscellaneous TEE findings.

Academic requirements:

  • Attendance of 4 lectures:
    1. TEE lecture: Congenital heart disease.
    2. Cardiac anesthesia: Neoplastic and infectious heart diseases.
    3. TEE lecture: Intracardiac masses.
    4. Anesthetic management of patients with cardiac arrhythmias.
  • Supervision of cardiac anesthesia journal club.
  • Take two hours of mock orals.
  • Take one academic day per week to work on clinical study/publish a paper.

Fellow will be evaluated monthly by the faculty and quarterly by the Chairman of the Department of Anesthesiolgy.