About the Program
The ÌÇÐÄÊÓÆµ of Medicine Aortic Surgery Fellowship (TMB #580-48-04-14) program is a one-year non-ACGME accredited program, approved by the Texas Medical Board. The program may be extended to a second year as determined by the program director. Fellows will undergo an evaluation of performance during the academic year, which may be used to determine the feasibility of extending their stay.
The mission of this fellowship is to provide specialized training in aortic surgery beyond cardiothoracic residency training in an environment that is aortic-focused and stresses clinical excellence. This fellowship includes an intense clinical experience in aortic and adult cardiac surgery, which includes but is not limited to: the treatment of aortic disease (aneurysms and dissection) utilizing both open and endovascular techniques; the treatment of coronary and valvular disorders (predominantly aortic but also including other heart valves); treatment of pulmonary, esophageal, mediastinal, chest wall, diaphragmatic, and other cardiovascular disorders, and the use of cardiac and respiratory support devices.
View a list of faculty on the Division of Cardiothoracic Surgery site.
Programs Objectives
The aortic surgery fellowship will provide the trainee with knowledge and technical skills in the preoperative evaluation, operative management, and postoperative care of patients with aortic aneurysms and dissection, including those resulting from genetic connective tissue disorders, such as Marfan syndrome and Loeys-Dietz syndrome, as well as other cardiac diseases. The fellowship will prepare the fellow to function as a qualified practitioner of thoracic and cardiovascular surgery at the high level of performance expected of a certified specialist.
The fellow will become skilled in the important diagnostic procedures including ultrasound, computed tomography, roentgenography, radionuclide imaging, and angiography, and will learn to interpret all appropriate imaging studies used to assess patients with aortic, cardiac, pulmonary, thoracic vascular, esophageal, mediastinal, and chest wall disease. This aspect of training enhanced by daily opportunities to correlate the diagnostic and pathologic aspects of aortic and cardiothoracic disorders.
The fellow will become skilled in providing critical care for patients with aortic, cardiac, thoracic and cardiovascular disorders.
Admissions
Fellows are recruited on a yearly basis. Once the applications are received, a fellowship committee, chaired by Dr. Marc Moon, will review the applications for potential candidates who meet the requirement for appointment to the Aortic Surgery Fellowship program.
These candidates' credentials will be verified, recommendations will be obtained, and appropriate applicants may be invited to interview for the training program. Fellows will be selected by early Spring.
Residents and practicing surgeons who have completed their cardiothoracic surgery training (or equivalent) and desire further training in aortic surgery are eligible to apply to our program.
These applicants must have either completed the required training or be in their final year of training in their home country when they apply to the program. English fluency (both written and spoken) is required.
Our program provides experience in the private practice sector at Baylor St. Luke’s Medical Center. There is extensive hands-on experience in all aspects of the management of aortic and other cardiothoracic surgical patients. Operative experience is gained in the repair of aneurysms and dissection of the ascending aorta, arch, descending aorta and thoracoabdominal aorta as well as aortic root and aortic valve repair and replacement. These experiences encompass both open and endovascular repairs.
Additional experience in cardiac valve procedures, coronary artery bypass, pulmonary resections, chest wall resections, thoracic vascular repairs, esophageal procedures, and other thoracic surgical operations are also part of this experience, which may also include cardiac transplantation and lung transplantation.
Fellows attend and participate in several multidisciplinary conferences including a weekly cardiothoracic surgery educational conference, a weekly morbidity and mortality conference, Department of Surgery Grand Rounds, and a cardiothoracic surgery journal club.
Many of our faculty have on-going research programs in which the fellows are welcome to participate. Opportunities are available during this fellowship in clinical, translational and basic science research in the cardiothoracic research laboratories with the individual faculty in the Division of Cardiothoracic Surgery. Several outstanding papers and presentations have been prepared by the fellows in this training program and this activity is encouraged.
- A completed ÌÇÐÄÊÓÆµ of Medicine House Staff Application
- Personal statement
- Curriculum Vitae
- Three passport-sized photographs (optional)
- Three letters of recommendation from faculty members
Letters should be addressed to:
Marc Moon, M.D.
Professor and Chief, Division of Cardiothoracic Surgery
Program Director, Aortic Surgery Fellowship Program
ÌÇÐÄÊÓÆµ of Medicine
1 Baylor Plaza, BCM 390
Houston, Texas 77030
- USMLE 1, 2, and 3 Board Scores (Note: These are required without exception for foreign applicants)
- American Board of Surgery In-Training (ABSITE) exams (required of US applicants)
- Medical school diploma in its original language, as well as in English (copied and notarized, stating that is a true copy of the original)
- Medical school transcript in its original language, as well as in English (copied and notarized, stating that is a true copy of the original)
- Dean's verification of pending or past graduation
- ECFMG certificate if a foreign medical graduate (copied and notarized). Please allow 4-6 weeks for processing.
International graduates will need to contact the Educational Commission for Foreign Medical Graduates for information regarding the process of paperwork for students and graduates of foreign medical schools. ÌÇÐÄÊÓÆµ of Medicine requires international medical graduates to meet the requirements for an Institutional Permit, as outlined by the Texas Medical Board, and the documents necessary for a J-1 Visa.
Submit application material to our program coordinator:
Ashli Hall
Sr. Program Coordinator, Aortic Surgery Fellowship Program
ÌÇÐÄÊÓÆµ of Medicine
1 Baylor Plaza, BCM 390
Houston, Texas 77030
Phone: 713-798-6078
Fax: 713-798-8941
Email: thoracicsurgerytraining@bcm.edu
Curriculum
The Aortic Surgery Fellowship emphasizes responsibility for a balance between surgical application, patient care, and extensive didactic education, both as student and teacher.
Expectations for fellows' experience include a full understanding of the anatomy, physiology, and planning of specialized cardiothoracic operations as well as the technical performance of these procedures. Fellows will learn skills in important diagnostic procedures, such as bronchoscopy and esophagoscopy; will learn to interpret all appropriate imaging studies; and will correlate the pathologic and diagnostic aspects of aortic and cardiothoracic disorders.
The fellowship is designed to expose fellows to a wide variety of complex aortic and other cardiothoracic cases and to allow increasing responsibility for decision-making and operative technique. Fellows are exposed to a large volume of thoracic aortic cases, coronary bypass, routine and complex cardiac valve procedures, and general thoracic surgery. Fellows also receive exposure to VATS (video-assisted thoracoscopic surgery) cases and endovascular aortic procedures. Inpatient postoperative care is provided by fellows with increasing responsibility. Outpatient preoperative assessment and postoperative care are also provided by fellows in the thoracic surgery clinic.
The program is structured to allow progressive responsibility commensurate with competency for independent practice by the end of the year. In addition to clinical duties, fellows are expected to prepare research presentations, contribute as needed for weekly morbidity and mortality conferences and assist with teaching students assigned to the service.
Fellows are assigned to the Division of Cardiothoracic Surgery and work with faculty members at the Baylor St. Luke's Medical Center. Trainees will not practice as independent consultants. At all times, trainees will be under supervision of the faculty. There will be no independent billing by trainees.
Fellows are evaluated on a regular basis with the supervising faculty member and/or chief of the Division of Cardiothoracic Surgery, Dr. Joseph Coselli. Daily feedback is also provided to fellows by the supervising faculty member to foster continual growth during the fellowship period.
Our program provides experience in the private practice sector at The Texas Heart Institute at ÌÇÐÄÊÓÆµ of Medicine. There is extensive hands-on experience in all aspects of the management of aortic and other cardiothoracic surgical patients.
Operative experience is gained in the repair of aneurysms and dissection of the ascending aorta, arch, descending aorta and thoracoabdominal aorta as well as aortic root and aortic valve repair and replacement. These experiences will encompass both open and endovascular repairs. Additional experience in cardiac valve procedures, coronary artery bypass, pulmonary resections, chest wall resections, thoracic vascular repairs, esophageal procedures, and other thoracic surgical operations will also be part of this experience, which may also include cardiac transplantation and lung transplantation.
Fellows attend and participate in several multidisciplinary conferences including a weekly cardiothoracic surgery educational conference, a weekly morbidity and mortality conference, Department of Surgery Grand Rounds, and a cardiothoracic surgery journal club.
Many of our faculty have on-going research programs in which the fellows are welcome to participate. Opportunities are available during this fellowship in clinical, translational, and basic science research in the cardiothoracic research laboratories with the individual faculty in the Division of Cardiothoracic Surgery. Several outstanding papers and presentations have been prepared by the fellows in this training program and this activity is encouraged.
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