Our high volume program extensive exposure to heart and lung transplant and mechanical circulatory support (IABP, ECMO, VAD, percutaneous VAD), minimally invasive approached to valve surgery, thoracic, pediatric and adult congenital patients, myocardial revascularization procedures, and our fellows have had a 100% board pass rate on the TEE examination for several years. Structured didactics include ACTA topics, TEE topics, leadership and career development topics.