Cardiac Division Cardiac division members The Division of Cardiac Anesthesiology provides anesthesia for approximately 800 adult cardiac surgical procedures annually. Given the status of URMC as a tertiary and quaternary referral center, we see a very high level of acuity. Although we perform a large number of coronary revascularizations, we do an equal number of valve cases, and URMC is also one of the busiest centers of its size in the country for implantation of ventricular assist devices (VADs). Approximately 20 orthotopic cardiac transplants are completed each year. One third to one half of coronary procedures are performed without cardiopulmonary bypass, providing unique challenges in anesthetic management. Anesthetic care for these cases is provided by the seven members of the cardiac anesthesia faculty, five of whom are fellowship trained. All members of the team are proficient in transesophageal echocardiography (TEE), and five are certified by the National Board of Echocardiography. The Cardiac Division is responsible for the education and training of residents in cardiac anesthesiology. All residents are required to complete two one-month rotations in cardiac anesthesiology, and many do senior electives in cardiac anesthesia and/or TEE. We also have the privilege of having medical students rotate in the cardiac operating rooms, both during their general anesthesia experience and for a specific very popular elective in Hemodynamic Monitoring. Our adult cardiac anesthesia fellowship is accredited by the ACGME, and we offer two fellow positions each year. Our fellows have a dedicated educational curriculum, and are given graded responsibility in the care of complex cardiac surgical patients, such that they finish their training as fully qualified consultants in cardiac anesthesiology meeting requirements for board certification in TEE. Research efforts are a constant feature of the cardiac anesthesia group, led by Dr Larry Glance, who is also the Department Vice Chair for Research. Dr. Glance is a nationally recognized expert in outcomes research, with an outstanding record of publications. There are also a number of ongoing clinical studies, many in the area of coagulation issues in pediatric cardiopulmonary bypass led by Dr. Eaton. Three of our recent residents have completed studies in the cardiac division, and scholarship is a required part of every fellowship year.