Phones are down at some UNMC campuses due to a cut fiber line. Repairs are in progress.  
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, 3rd Edition to trainees, with a guided calendar 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 Conference (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.

  • 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.

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 2021 2020 2019
Norwood procedures for Hypoplastic Left Heart Syndrome 2 2 8
Other neonatal procedures (truncus, TAPVC, IAA, etc.) 27 66 58
Transposition of the great arteries 7 8 7
Tetralogy of Fallot 9 13 2
Atrial septal defects 12 11 9
Ventricular septal defects 24 17 24
Atrioventricular canal defects 8 8 13
Bidirectional Glenn procedure 6 6 7
Fontan procedure 10 3 4
Other valve repair procedures 18 20 18
Palliative shunts 2 2 4
Coarctation of the aorta 10 2 4
Patent ductus arteriosus 1 0 3
Vascular rings 5 11 12
TOTAL index cases 213 251 240
Total neonatal index cases 29 68 66

Other

Catheterization Lab Procedures 2021 2020 2019
Diagnostic/Interventional 381 347 333
Electrophysiology 88 69 62