UNMC_Acronym_Vert_sm_4c
University of Nebraska Medical Center

Your Education

We provide a broad curriculum and clinical experiences that allow our fellows to develop the knowledge and skills necessary to care for children of all ages.

Core rotations are:

  • Cardiac operating room/catheterization lab: 26 weeks
  • Cardiac intensive care medicine: 2 weeks
  • Perioperative echocardiography: 2 weeks
  • Perfusion: 1 week
  • Electrophysiology: 1 week

Fellows may choose another two-week rotation from the core list or choose from: 

  • Adult congenital heart disease
  • Research/Quality Improvement
  • Interventional cardiology
  • Neonatal Intensive Care Unit

Scholarship

The fellow will be fully integrated into the academic mission of our division. Our group participates in the anesthesia component of the Society of Thoracic Surgeons Congenital Heart Surgery Database and has access to a large national dataset for quality improvement research.

Beyond the cardiac service line is the Child Health Research Institute, an innovative partnership between UNMC and Children's Nebraska. The institute is a unique multidisciplinary pediatric research enterprise that provides study coordination, grant-writing assistance, biostatistical support and other infrastructure, and project start-up funding.

Didactics

  • Self-directed reading: We provide a copy of Anesthesia for Congenital Heart Disease, 4th Edition to trainees, with a reading plan to work through this fundamental text in alignment with our didactic conference sequence

  • Congenital Cardiac Anesthesia Society (CCAS): We provide a membership in CCAS for our fellow, affording them access to high-quality online lectures on congenital cardiac anesthesia as well as a subscription to a monthly webinar targeted at all cardiac fellows in the country.

  • Congenital Cardiac Anesthesia Seminar (bi-weekly): Problem-based discussion seminar covering the full curriculum. We begin with foundational sessions on cardiac embryology, coagulation and hemostasis, cardiopulmonary bypass, neuroprotection, hemodynamics, and arrhythmias, and progress to focused sessions on specific categories of lesions, as well as intensive care, mechanical support and other ancillary topics. Some of these ancillary lectures are co-taught by our content-expert colleagues from other relevant disciplines.

  • Cardiac Care Conference (weekly): This multidisciplinary conference is a forum in which upcoming surgical and interventional patients are discussed in detail for procedural planning. It is attended by cardiac surgeons, cardiologists, intensivists, and anesthesiologists, and is a dynamic and high-yielding opportunity for the fellow to learn the nuances of surgical decision-making.

  • Cardiac Section Meeting (monthly): This is a standing meeting of the cardiac operating room team, where surgeons, nurses, perfusionists, and anesthesiologists discuss operational issues and quality improvement initiatives.

  • Cardiac Journal Club (quarterly): This is a wide-scope, multi-specialty forum for the entire cardiac operating room team. We review current literature on controversial topics, often leading to process changes within our practice.

  • Collaborative Multidisciplinary Assessment of Performance (CMAP): Weekly heart center-wide discussion of the previous week’s surgical cases, focused on performance improvement.  

Clinical Experience

The data below reflects our center's annual case volume for the target categories as outlined in the ACGME program requirements.

Surgical Procedures 2022 2023 2024
Norwood procedures 10 3 8
Other neonatal procedures 29 23 27
Transposition of the great arteries 8 6 8
Tetralogy of Fallot 17 16 17
Atrial septal defects 13 19 22
Ventricular septal defects 23 39 42
Atrioventricular canal defects 11 13 12
Bidirectional Glenn procedure 11 6 7
Fontan procedure 8 6 15
Other valve repair procedures 36 37 43
Palliative shunts 8 3 9
Coarctation of the aorta 17 9 17
Patent ductus arteriosus 2 2 0
Vascular rings 10 13 11
TOTAL index cases 224 243 299
Total neonatal index cases 58 33 53

Other

Catheterization Lab Procedures 2022 2023 2024
Diagnostic/Interventional 420 387 469
Electrophysiology 108 84 83