The Division of Cardiothoracic Surgery offers one to two-year clinical fellowships in adult cardiac surgery, pediatric cardiac surgery, and heart transplantation. The adult cardiac fellowship provides extensive experience in arterial revascularization, complex valve repairs, minimally invasive valve repairs, replacement robotic assisted cardiac valve, bypass surgery, and the use of homografts as well as the Ross procedure.
Academic research opportunities are an integral part of all fellowships. The pediatric cardiac surgery fellowship offers training in the Fontan procedure, arterial switch operations, Norwood operation, and stage management of pulmonary atresia with/without ventricular septal defects.
The cardiac transplantation fellow experiences all aspects of heart transplantation, including patient selection, pre-operative and post-operative management, as well as training in harvest and implantation techniques.
Applicants must have completed a general and cardiothoracic surgery residency and should apply at least one year in advance of the July 1st start date. A California Medical License is required. Please send curriculum vitae and letter of interest to:
Richard J. Shemin, MD
Robert and Kelly Day Professor and Chairman of Cardiothoracic Surgery
Director of Residency and Fellowship Program
Division of Cardiothoracic Surgery
UCLA School of Medicine, 62-182 CHS
10833 Le Conte Avenue
Los Angeles, CA 90095
Telephone: (310) 206-8232
Acceptance in the two-year Cardiothoracic Surgery residency requires satisfactory completion of a five-year General Surgery program. In addition, prospective Cardiothoracic residents are encouraged to spend a year or two in laboratory research prior to beginning their specialty training. Two new residents join the Residency Training Program with two being appointed Chief Resident each year.
In addition to the Cardiothoracic training program, the Division of Cardiothoracic Surgery has educational programs for residents in the PGY-1 and PGY-2 years. Post graduate fellowships in cardiac transplantation/circulatory support, general thoracic, and congenital heart disease are available.
The Division of Cardiothoracic Surgery is staffed by full-time faculty members based at the UCLA Medical Center and at the West Los Angeles VA Medical Center. Faculty members from Surgical Oncology and Pediatric Surgery also participate in the program. Clinical faculty members provide additional teaching support.
The surgical residents attend numerous interdisciplinary weekly conferences with participation by Cardiology, Radiology, Pathology, etc., as well as daily teaching rounds led by faculty members. Rotation on interventional and diagnostic cardiology services are available.
The patient mix is balanced between those with general thoracic problems (of the lung, esophagus, and mediastinum) and those with cardiac lesions (coronary artery disease, valve malfunction, congenital heart disease, endstage cardiac failure, etc.). Residents have the opportunity to work with both adult and pediatric patients. They participate in the pediatric and adult heart transplant program, the heart/lung transplant program, and the lung transplant program. There is a major forum on minimally invasive cardiac valve repair and replacement often with robotic assistance. In addition, the residents perform implantation of circulatory assist devices.
Training in cardiac surgery focuses on mastering accurate assessment of cardiac performance and effective medical management of myocardial dysfunction. Management methodologies considered include pacing, drugs, and application of intra-aortic balloons and left ventricular assist devices. Pathology staff provide histologic reviews of surgical specimens to help residents correlate pathologic findings with intra-operative observations.
Basic Surgical Training Programs for residents in the PGY-1 and PGY-2 years provide ample opportunity to perform thoracentesis and pericardiocentesis. During their rotation in Cardiothoracic Surgery, they place chest tubes, central venous catheters, and intra-arterial lines. The resident will assist in the operating room, and will be trained to appropriately handle tissues, repair arteriotomies, open and close thoracotomy incisions, perform lung biopsies, tracheostomies and bronchoscopies, and insert pacemakers. The resident assists the senior surgeon on major operations.
Constant emphasis is placed on the principles involved in making patient management decisions. Under supervision, the resident is responsible for postoperative patient care. Residents are expected to acquire skill in diagnosing and treating patients with hypovolemia, depressed cardiac performance, arrhythmias, pericardial tamponade, oliguria, arterial hypertension, and respiratory insufficiency.
Residents are involved in the education and mentorship of PGY1 and 2 general surgery residents as well as medical students from UCLA and other institutions. Academic and scholarly pursuits are encouraged to prepare residents for an academic career.
Surgical responsibility is increased based upon experience and ability. Surgical goals and objectives are established for each rotation leading to independence in the conduct of a cardiac operation both on and off cardiopulmonary bypass for coronary artery surgery, valve repair and replacement, aortic dissection, arrhythmia surgery, congenital cardiac and long transplantation. Our residents surpass all case residents of the American Board of Thoracic Surgery and receive excellent job or fellowship offers. The faculty at West Los Angeles VA Hospital is the same at the Ronald Reagan UCLA Medical Center, providing continuity of training and mentorship.
Length of Program:
Two per year at the PGY-6 level.
Successful completion of the USMLE Steps 1 - 3
Completion of five years of General Surgery
Board Eligible in General Surgery
Universal Application Form
Registration with the National Residency Matching Program
USMLE Step 1 - 3 Scores
Three Letters of Recommendation
The UCLA Division of Cardiothoracic Surgery has a rich tradition of dedicated Thoracic Surgeons that provide expert surgical services to patients with all types of benign and malignant diseases of the chest. Thoracic Surgery is an integral part of the Division of Cardiothoracic Surgery and to the educational program of residents and fellows. It provides a broad and diversified experience in benign and malignant non-cardiac thoracic pathology with over 900 surgical procedures performed annually at UCLA and its affiliated hospitals.
This includes, but is not limited to, the following conditions and operations: