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Adult Cardiothoracic Anesthesiology Fellowship

1-Year ACGME-Accredited Program | 2 Positions Annually | Start Date: July 1

Three anesthesiologists working together in an OR.

The University of Utah’s Adult Cardiothoracic Anesthesiology (ACTA) Fellowship offers advanced training in high-acuity cardiothoracic care. This one-year, ACGME-accredited program is designed for anesthesiologists who have completed an ACGME-accredited residency and are seeking deep clinical exposure and academic development in cardiac and thoracic anesthesia.

Quick Facts

Program Length 1 Year
Start Date July 1
Accreditation ACGME
Positions Available 2
Application Window SF Match Adult Cardiothoracic Anesthesiology Fellowship Timetable
Eligibility Completion of ACGME Anesthesiology Residency
Apply Via SF Match

Program Overview

The University of Utah’s Adult Cardiothoracic Anesthesiology (ACTA) Fellowship offers robust exposure to high-complexity cases and advanced imaging. Fellows provide care in 800–1,000 cases annually at the University Hospital and Salt Lake City VA Medical Center, including:

  • Heart and lung transplants
  • Ventricular assist device (VAD) placement
  • Total artificial heart
  • Major aortic surgeries
  • Valve-sparing and minimally invasive valve procedures
  • Structural heart interventions (TAVR, MitraClip)
  • ECMO and catheter-based procedures

Specialized Training & Academic Opportunities

In addition to high-volume clinical exposure, our fellowship offers advanced training opportunities in echocardiography and pediatric cardiac anesthesia—plus a well-structured rotation schedule that prepares fellows for independent practice.

Rotations

Rotation Duration
Cardiac Anesthesia 6-7 months
Thoracic Anesthesia 1 month
Cardiac Surgical ICU 1 month
Echocardiography Lab 1 month
Pediatric Care Elective 1 month
Perfusion, EP, Cath Lab 2 weeks each
Dr. Zimmerman teaching a resident echocardiography on a mannequin.

Echocardiography

Fellows spend one month in the only anesthesia-directed, full-service echo lab in the U.S., gaining hands-on experience in:

  • Comprehensive transthoracic echocardiography (TTE)
  • Outpatient transesophageal echocardiography (TEE)
  • Echocardiographic stress testing

Our faculty includes 12 ASE Level 3-trained echocardiographers, and our online echo curriculum is used by nearly 100 healthcare institutions worldwide.

Learn More About Our Echo Fellowship

Pediatric Cardiac Elective

In partnership with Primary Children’s Hospital, fellows have the option to complete a one-month pediatric cardiac anesthesia elective for additional exposure to congenital cardiac cases.

Learn More About Primary Children's Hospital

Dual Fellowship Track

2-Year Combined ACTA + Perioperative Echocardiography

For those interested in both ACTA and advanced echocardiographic training, we offer a dual fellowship track:

  • Year 1: Adult Cardiothoracic Anesthesiology (ACGME-accredited)
  • Year 2: Perioperative Echocardiography (non-ACGME)

How to apply:

  1. Apply to ACTA via SF Match
  2. Submit a separate application for Perioperative Echo directly to the University of Utah Department of Anesthesiology. For dual-track application details, please email our Cardiothoracic Program Coordinator, Franki Roberts.

How to Apply

    Submit your application via SF Match between November 11-March 1.

    Invitations to interview will be sent to selected applicants. 

    Interviews are held between March 12 and April 16.

    Match results follow the SF Match schedule.

    Application Timeline

    • November 3, 2025 | Applicant Registration Opens
    • March-April 2026 | Interviews
    • June 4, 2026 @ 12PM | Match Deadline
    • June 18, 2026 @ 12PM | Match Results

    Leadership & Faculty

    Leadership

    James Lee, MD

    Cardiothoracic Fellowship Director

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    Patrick Upchurch, MD

    Cardiothoracic Associate Fellowship Director

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    Faculty

    Christian Guay, MD, MS

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    Bryce Hill, MD, MPH

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    Simon Martin, MD

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    Candice Montzingo, MD

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    Daniel Pulsipher, MD

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    Andrew Scott, MD

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    Warner Smith, MD

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    Questions?