The Adult Cardiothoracic Anesthesiology Fellowship program at Cleveland Clinic began in 1976 and today is the largest with 18 fellows per year. Consistently competitive candidates from residency programs across the U.S. apply, interview and match with our program. U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s top hospitals in its annual “America’s Best Hospitals” survey and has named Cleveland Clinic’s heart program No. 1 in the nation since 1995.

  • Fellows participate in a large variety of complex, high acuity cases
  • Faculty are dedicated to educating and mentoring the next generation of cardiothoracic anesthesiologists
  • Fellows at the end of fellowship demonstrate proficiency at perioperative management and echocardiography of cardiothoracic surgical patients along with developing their personal professional interest including leadership, research and educational and are prepared to enter the next phase.

Fellowship Contact Information:

Jennifer Hargrave, DO, FAOCA, FASA

Jennifer Hargrave, DO, FAOCA, FASA
Cardiothoracic Anesthesia Fellowship Program Director

Donna Baumiller, C-TAGME
Program Manager
Phone: 216.444.4674
Fax: 216.445.2536
Email: baumild@ccf.org

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Two Program Interest

Two Program Interest

Adult Cardiothoracic and Critical Care Medicine Anesthesiology Fellowships

Two-year appointment/commitment

The American Council for Graduate Medical Education (ACGME) provides individual accreditation for the following anesthesiology specialty fellowship programs: Adult Cardiothoracic Anesthesiology (ACTA) and Anesthesiology Critical Care Medicine (CCM). ACTA and CCM remain individual and separate 12-month training programs. The individual program is responsible to provide the specific ACGME program requirements during the year of enrollment. Individuals interested in pursuing both programs at Cleveland Clinic can follow the following process:

  • Applications
    • Applicants pursuing sequential ACTA and CCM fellowships at Cleveland Clinic must submit applications through the SF Match to both ACTA and CCM programs and indicate an interest in both training programs.
    • Dual interviews are not guaranteed.
  • Match
    • The Cleveland Clinic ACTA and CCM programs participate and remain in compliance with the rules and regulations of the SF Match.
    • The SF Match allows for exceptions to be requested prior to match day for applicants committing to institutions for more than one year or internal candidates.
  • Program Structure
    • Two- one year appointments will begin on August 1 (July 1, if required by military service or a candidate on a J1-Visa).
    • Applicants may request a specific sequence regarding fellowship program enrollment.
      • The final decision will be made by the program directors with the intent to facilitate request(s).
  • Completion
    • Following completion, ACTA and CCM fellows will have met the ACGME program requirements for both fellowship programs and will be eligible for board certification.


  • Positions: 18 fellows
  • Accreditation: American Council Graduate Medical Education
  • Clinical Volume:
    • 4,100 cardiac surgical cases including
      • Lung and heart transplant program
      • Advanced heart failure and mechanical device program
      • Minimally invasive cardiac surgery
      • Structural heart disease program
    • 1,600 thoracic surgical cases
    • 96 CVICU beds
  • Two week pathology specific clinical rotations to allow for focused learning
  • The only Department of Cardiothoracic Anesthesiology in the U.S.
  • Bi-weekly protected education sessions
    • Departmental and multi-disciplinary didactics
    • Workshops
    • PBLD's
    • Echo conferences
  • Daily echocardiography formal discussion and review sessions
  • Scholarly activity availability from research projects, case reports, echo rounds and quality patient safety initiative publications and dissemination at national meetings
  • Research Clinical Associate Staff position is available after fellowship:
    • Fifty percent spent developing as junior staff
    • Fifty percent spent as a clinical researcher
  • Nationally renowned faculty with leadership positions throughout the subspecialty societies with a commitment to mentoring fellows and providing professional development opportunities


Rotations are distributed into four week modules (13 total modules):

Cardiothoracic Clinical Experience
    36 weeks
    Aortic Valve
    Mitral valve
    Heart Failure
    Structural Heart Disease
    General Cardiac
    6 weeks
    6 weeks
    6 weeks
    4 weeks
    4 weeks
    4 weeks
    4 weeks
    2 weeks
Cardiovascular Intensive Care Unit
    4 weeks
    8 weeks
Electives (two, 2-week electives)
    4 weeks
    Critical Care Imaging
    Pediatric Cardiac


  • Applicants must have completed an anesthesiology residency program accredited by one of the following:
    • Accreditation Council for Graduate Medical Education (ACGME)
    • Royal College of Physicians and Surgeons of Canada (RCPSC) or CFPC-accredited residency program located in Canada
  • USMLE steps 1, 2 and 3 completion
  • Be eligible for a temporary unrestrictive Ohio medical license
Application Process

Application Process

All application materials must be sent directly to the San Francisco Match. In order to register and apply, please visit the SF Match and follow online instructions.

  • CV
  • Personal Statement
  • USMLE and In-training scores
  • Three letters of recommendation (one must be from the Program Director)
  • ECFMG Certificate (if applicable)

Application Timeline

Important dates for fellowship application and match process can be found at SF Match*



Training at Cleveland Clinic

We invite you to explore our Graduate Medical Education website to discover the reasons why Cleveland Clinic offers an ideal teaching and learning environment as well as to learn more about our rich tradition of excellence in the “education of those who serve.”

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