A cardiovascular and thoracic anesthesiologist administers anesthesthetic medicine.

Graduate medical education in anesthesiology at Mayo Clinic

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The management of patients undergoing cardiothoracic and major vascular surgery represents some of the most interesting and challenging cases in anesthesiology. These patients are typically older and have complex comorbidities. Furthermore, the physiologic changes that occur, particularly during cardiac surgery and cardiopulmonary bypass, are unique.

If you are pursuing an academic career in cardiovascular and thoracic (CVT) anesthesiology, or are someone who will manage these cases in the private setting, the Adult Cardiothoracic Anesthesiology Fellowship at Mayo Clinic's campus in Rochester, Minnesota, offers excellent training and a range of opportunities.

Program overview: Adult Cardiothoracic Anesthesiology Fellowship


Program overview: Adult Cardiothoracic Anesthesiology Fellowship

Unique program opportunities include:

  • Mayo Clinic has around 3,000+ cardiac and 1,500+ non-cardiac thoracic surgical procedures each year
  • Time allotted to research in diverse areas within the Division of Cardiovascular and Thoracic Anesthesia
  • Experience serving as both a learner and faculty co-instructor in the Multidisciplinary Simulation Center
  • Opportunities to teach medical students, anesthesiology residents, and others 
  • Ability to tailor training based on interests; some fellows have sought training tailored to the cardiothoracic and vascular practices seen in the private setting; others have concentrated in echocardiography, worked on clinical or laboratory-based research projects, or focused on the congenital practice
  • A wealth of opportunities related to thoracic or major vascular surgery

hospital in Minnesota and nationally recognized on the Best Hospitals Honor Roll (U.S. News, 2023-2024)

A Mayo Clinic anesthesiology fellow leaning in the classroom.

Your training experience

As a fellow at Mayo Clinic, you'll have access to robust clinical, educational, and research resources. You'll find support both inside and outside of the campus to promote physical and mental wellness and ensure your work/life balance.

Mark Smith, M.D.

Director's welcome

This fellowship is dynamic and offers a range of opportunities that can be tailored to your individual interests. When you successfully complete this fellowship you will be superbly trained to manage cardiothoracic and major vascular surgical cases. 


The Adult Cardiothoracic Anesthesiology Fellowship is accredited by the Accreditation Council for Graduate Medical Education (ACGME).


After successfully completing the program, you are eligible to take the advanced perioperative transesophageal echocardiography (PTE) examination offered by the National Board of Echocardiography, and you will be eligible for advanced PTE certification.

Program history

The Adult Cardiothoracic Anesthesiology Fellowship at Mayo Clinic in Rochester, Minnesota, began in the 1980s and became accredited in 2007. We anticipate three trainees will complete this program annually.

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