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Thoracic Anesthesiology Fellowship

All Fellowships

Welcome from our Program Director

Thank you for your interest in the Brigham and Women’s Thoracic Anesthesiology Fellowship. Our program provides a rich environment for fellows to acquire expertise in the anesthetic management of thoracic surgical procedures. The Thoracic Surgical Division at BWH, is one of the leading thoracic surgical divisions in North America, producing a volume of over 3,700 thoracic surgical cases, annually. We offer an unmatched experience, under the guidance of our dedicated Thoracic Anesthesia faculty, to nurture and develop the future leaders and innovators in the field of Thoracic Anesthesia. We look forward to hearing from you.

Stephanie Yacoubian, MD

Stephanie Yacoubian, MD

Thoracic Anesthesia Fellowship Program Director

Department of Anesthesiology

Arthur R, Formanek, III, MD

Arthur R. Formanek, III, MD

Thoracic Anesthesia Fellowship Associate Program Director

Department of Anesthesiology

Contact Us

If you are interested in the Thoracic Anesthesia Fellowship, please contact:

Stephanie Yacoubian, MD
Director, MGB Thoracic Anesthesia Fellowship
Mass General Brigham
Department of Anesthesiology
syacoubian1@bwh.harvard.edu

Arthur R. Formanek, III, MD
Associate Director, MGB Thoracic Anesthesia Fellowship
Mass General Brigham
Department of Anesthesiology
aformanek@bwh.harvard.edu

Aymee Beaudoin
Fellowship Program Manager
abeaudoin1@bwh.harvard.edu

Overview

The MGB Thoracic Anesthesia Fellowship is a non-ACGME-accredited program designed for anesthesiologists seeking advanced training in complex thoracic surgical care. Unlike combined cardiothoracic fellowships, this program provides a focused and immersive experience in thoracic anesthesia, including airway management, lung isolation, and perioperative care for high-acuity thoracic procedures.

Fellows rotate through two world-class academic hospitals — Massachusetts General Hospital (MGH) and Brigham and Women’s Hospital (BWH) — offering unparalleled case volume and procedural diversity. Training includes lung resections, lung transplants, esophagectomies, airway surgeries, robotic thoracic procedures, and more. The specialized training serves as the basis for the development of expertise in the perioperative management of patients with end-stage respiratory disease.

Clinical Experience

The Thoracic Anesthesia division is comprised of a group of thoracic trained anesthesiologists, with diverse clinical and academic backgrounds. The fellows will find great value in the mentorship and guidance of our staff, leaders in the field of thoracic anesthesia. The goal is for the fellow to develop detailed knowledge in thoracic anesthesia. The fellow is expected to function at the expert consultant level in the perioperative care of patients undergoing thoracic surgical procedures, and to develop expertise with thoracic anesthesia-related procedures.

Curriculum

The duration of the Thoracic fellowship is 12 months, individualized based on the experience and goals of applicants. One nonclinical day a week confers fellows guaranteed academic time to pursue educational, basic science or clinical research projects.

Admission into this program is contingent upon the applicant's prior experience. We have compiled a standardized list of core clinical competencies and case requirements that fellows must complete before graduation. This ensures that all fellows achieve the necessary clinical proficiency to successfully complete the program.

Fellows spend four clinical days per week in high-acuity thoracic ORs and one day focused on academic development. The curriculum includes:

Core Rotations

  • Thoracic ORs (6–8 months)
    • Interventional Pulmonology (1 month)
    • Thoracic ICU (optional, 1 month)
  • TTE, Basic TEE (optional)
    • Elective (1 month – research, global health, ECMO, etc.)

Technical Skills

Fellows master advanced techniques including:

  • Fiberoptic intubation (oral/nasal)
  • Double-lumen tubes and bronchial blockers
  • Lung isolation and cross-field ventilation
  • Thoracic epidurals and regional blocks
  • ECMO and pulmonary artery catheter management
  • Crisis management for mediastinal masses and airway obstruction

Thoracic Procedures

Thoracic Surgical Procedures
  • Bronchoscopy
  • Cervical Mediastinoscopy
  • Anterior Mediastinoscopy
  • Endobronchial Ultrasound-Guided Transbronchial Biopsy (EBUS)
  • Pleuroscopy / Pleural Biopsy
  • Drainage of Pleural Effusion / Pleurex Catheter Placement
  • Pleurodesis
  • Electromagnetic Navigational Bronchoscopy / Veran Spin System / Peripheral Transbronchial Biopsy/ Robotic bronchoscopy
  • Radiofrequency Ablation of Tumors of the Chest
  • VATS versus Open Pulmonary Resection (Lobectomy or lesser resection) - Wedge Resection, Segmentectomy, Lobectomy
  • Bilobectomy
  • Sleeve Resection / Bronchoplasty
  • Pneumonectomy - Standard, Intrapericardial, Completion
  • Extrapleural Pneumonectomy (+/- Intracavitary Heated Chemo)
  • Radical Pleurectomy (+/- Intracavitary Heated Chemo)
  • Chest Wall Resection
  • Tracheostomy (+/- PEG)
  • Rigid Bronchoscopy (jet ventilation versus side-port ventilation)
  • Surgery for Major Airway Stenosis
  • Tracheal / Bronchial Dilation
  • Airway Stent Deployment or Manipulation
  • Photodynamic Therapy
  • Mechanical Core-out of Major Airways
  • Laser Ablation of Airway Obstruction (Tumor, Granulation Tissue, Scar, etc.)
  • Removal of Foreign Body of the Airway
  • Tracheal Resection / Reconstruction
  • Esophagoscopy
  • Esophageal Dilation
  • Esophageal Reflux Surgeries (Nissen Fundoplication, etc.)
  • Esophagectomy (3-Hole, Transhiatal, Ivor-Lewis)
  • Redo Esophagectomy with Colonic Interposition
  • Heller Myotomy
  • Esophageal Diversion for Perforation
  • Evaluation & Treatment of Tracheoesophageal Fistula
  • Evaluation and Treatment of Bronchopleural Fistula (including Clagett Window)
  • Lung Volume Reduction Surgery
  • Lung Transplantation
  • Repair of Pectus Excavatum
  • Surgical Sympathectomy
  • First Rib Resection for thoracic outlet syndrome
  • Broncho-alveolar Lavage for Alveolar Proteinosis
  • iVATS (Image-Guided VATs)
  • Thymectomy
  • Robotic-Assisted thoracic surgery
Thoracic Anesthesia Procedures
  • Fiberoptic Intubation
  • Use of Tube-Exchange Catheters
  • Lung Isolation - Left & right double-lumen tubes, Bronchial blockers (Arndt, Cohen, Fogarty, EZ Blocker), Endobronchial Intubation
  • Fiberoptic Bronchoscopy
  • Techniques to optimize operative lung collapse
  • Use of CPAP during one-lung ventilation (OLV)
  • Optimization of PEEP during OLV
  • Optimal setting of ventilator during OLV
  • Use of air insufflation during OLV
  • Cross-Field Ventilation
  • Jet Ventilation (Sanders)
  • Thoracic epidurals (including paramedian approach)
  • Other types of postoperative pain blocks (paravertebral, proximal intercostal, etc. evolving list)
  • Ultrasound guided arterial catheters (radial and femoral)
  • Ultrasound-guided central venous catheters
  • Pulmonary artery catheters
  • Safe positioning of patients for various thoracic surgical procedures
  • Management of the airway threatened by a mass effect within the chest
  • Management of the airway threatened by an intraluminal mass (tumor, thrombus, foreign body, etc)
  • Management of the airway threatened by bronchomalacia, bronchospasm, or other causes of closure
  • Management of cardiopulmonary bypass as applied to patients receiving lung transplantation
  • Management of patients supported by VA or VV ECMO
  • Management of patients at risk for airway loss or damage from surgical procedures (core-outs, laser fire risk, stents, massive hemoptysis, etc.)
  • Lung Ultrasound

Didactics & Conferences

  • Weekly thoracic anesthesia teaching sessions
    • Departmental Grand Rounds (Thoracic Block & Respiratory Physiology)
    • Interactive case conferences and M&M discussions
    • Participation in scholarly activities and national presentations

Program Highlights

  • Dual-site training at MGH and BWH
  • Exposure to a broad range of thoracic surgical procedures
  • Hands-on experience in advanced airway, regional, and hemodynamic techniques
  • Dedicated faculty mentorship and structured bedside teaching
  • One protected academic day per week for scholarly and educational pursuits
  • Shared transplant call responsibility
  • Career pathways in clinical, educational, and investigative roles

Graduation & Career Paths

Graduates are equipped for a range of roles:

  • Academic clinician-educators
  • Clinical experts in high-volume thoracic centers
  • Fellowship or departmental leaders
  • Clinician-investigators in perioperative innovation

FAQs

Q. What are the annual salary and benefits like?
A. The starting salary for a PGY-5 in 2025 is $99,967. Employment benefits include health, dental, disability, and other insurance. For more information please refer to and the .

Q. Can you give me some information about trainee contracts?
A. Please refer to the section of our website.

Q: Do you sponsor Visas? 
A. At this time, our institution sponsors both H1b and J1 Visas.

Q. Is moonlighting available?
A. Moonlighting is available within the Mass General Brigham System to residents at the CA-2 level of training or higher. Fellows need permission from the Program Director and must have obtained a full medical license, Massachusetts Controlled Substances Registration (MCSR), and Federal DEA numbers.  Moonlighting Fellows cannot be on a J1 Visa.

How to Apply

Application Documents

Thoracic Anesthesia Fellowship Application (pdf)

Please submit the following documents electronically to Aymee Beaudoin (abeaudoin1@bwh.harvard.edu)

  • Current curriculum vitae
  • A copy of your medical school transcript
  • Valid ECFMG Certificate (if applicable)