Medical Global Academy

Program overview

MGA Medical Global Academy’s Fellowship in Pediatric Cardiac Surgery is a specialized, advanced training program for cardiothoracic surgeons, pediatric surgeons, and healthcare professionals interested in improving their skills and knowledge of surgical treatment in infants, children and adolescents with congenital and acquired cardiac conditions. This 36 month comprehensive fellowship has a blend of academic learning, clinical exposure, surgical training, and case-based discussions to give a comprehensive view of pediatric cardiac surgery. Participants learn about congenital heart defect correction, pediatric cardiopulmonary bypass, perioperative care, postoperative care, and new technologies in pediatric cardiac care. The program focuses on patient safety, evidence-based medicine, multi-disciplinary team work, and surgical excellence to equip the fellow with the knowledge and skills needed to provide quality cardiac care to pediatric patients.

What Skills You Will Gain

  • Gain in-depth understanding of cardiac anatomy, physiology and congenital cardiac disorders.

  • Know all aspects of pre-operative assessment, surgical planning and risk assessment of children with cardiac conditions.

  • Develop skills in performing and assisting procedures including ASD/VSD closure, PDA ligation, TOF repair, Glenn shunt, Fontan procedure and arterial switch procedures.

  • Be familiar with the techniques and myocardial protection during pediatric CPB procedures.

  • Develop skills in perioperative and postoperative care of neonates and children with congenital cardiac surgery.

  • Understand how to interpret pediatric echocardiographic, CT/MRI and cardiac catheterization studies for surgical decisions.

  • Acquire skills in handling complex congenital cardiac anomalies and reoperative cardiac surgeries.

  • Learn the basic principles of ECMO, VADs, and cardiac transplantation in children.

  • Improve inter-disciplinary working with paediatric cardiologists, intensivists, anaesthetists and rehab teams.

  • Be familiar with new technologies and techniques including 3D surgical planning, artificial intelligence applications, hybrid surgery and minimally invasive pediatric cardiac surgery.

  • Improve clinical research and audit skills, academic presentation and evidence-based practice skills in paediatric cardiac surgery.

Career Outcomes

  • Serve as a Pediatric Cardiac Surgeon in tertiary care hospitals and special cardiac centers.

  • Become a surgical specialist with top children’s hospitals and congenital heart disease programs.

  • Seek more senior positions within pediatric cardiac thoracic surgery units and universities.

  • Participate in multi-disciplinary congenital heart disease and pediatric cardiac intensive care teams.

  • Acquire skills and knowledge in pediatric cardiac transplantation and mechanical circulatory support programs.

  • Sponsor and join national and international research programs and clinical trials in cardiac surgery for children.

  • Embark on medical college and hospital teaching and faculty roles, surgical training centers.

  • Be a team leader in the cardiac surgery for children and congenital heart disease units in public and private healthcare institutions.

  • Support global health efforts to enhance access to care for CHD.

  • Improve the credibility and enhance the opportunity for advanced pediatric cardiac surgical practice internationally.

What you will learn 

Learn from Industry-Leading Pediatric Cardiac Surgeons and Child Heart Specialists 

Skill-Driven Workshops on Advanced Pediatric Cardiac Surgery Techniques 

Flexible Learning for Modern Medical Professionals 

Future-Ready Pediatric Cardiac Surgery Curriculum 

Clinical Training for Real-World Surgical Practice

Course curriculum

  • Embryology and development of the heart and great vessels
  • Pediatric cardiovascular anatomy & physiology
  • Differences between adult and pediatric cardiac surgery
  • Basic principles of congenital heart disease (CHD)
  • Overview of diagnostic tools (Echo, CT, MRI, Cath)
  • History-taking and physical examination in pediatric cardiac patients
  • Risk stratification and surgical planning
  • Interdisciplinary evaluation (cardiology, anesthesia, intensivists)
  • Informed consent and family counseling
  • Preoperative optimization (nutrition, infection control)
  • Transthoracic and transesophageal echocardiography (TTE/TEE)
  • Cardiac catheterization and angiography
  • 3D imaging and modeling for surgical planning
  • Role of CT/MRI in complex CHD
  • Pediatric cardiopulmonary bypass (CPB) techniques
  • Myocardial protection in infants and neonates
  • Minimally invasive and hybrid surgical approaches
  • Instrumentation and surgical tools
  • Anesthetic considerations in neonates, infants, and children
  • ASD, VSD, PDA closures
  • Coarctation repair
  • Pulmonary artery banding
  • Tetralogy of Fallot (TOF) repair
  • Total anomalous pulmonary venous connection (TAPVC)
  • AV canal defect repair
  • Glenn procedure
  • Fontan operation
  • Arterial switch operation (TGA)
  • Norwood procedure
  • Ross procedure
  • Truncus arteriosus repair
  • Pediatric ICU management
  • Ventilator strategies in infants
  • Fluid & electrolyte balance
  • Inotropes and hemodynamic monitoring
  • Complication recognition and management (bleeding, arrhythmias, infection)
  • Growth and development monitoring
  • Management of residual lesions
  • Cardiac rehab in children
  • Transition to adult congenital heart disease (ACHD) care
  • Single ventricle physiology: staged palliation
  • Double outlet right ventricle (DORV) and complex VSDs
  • Ebstein’s anomaly
  • Heterotaxy syndromes and isomerism
  • Interrupted aortic arch, hypoplastic left/right heart syndromes
  • Indications and timing for ECMO in pediatric cardiac surgery
  • Cannulation techniques for VA/ VV ECMO
  • Management protocols for ECMO in the OR and ICU
  • Pediatric ventricular assist devices (VADs)
  • Weaning and decannulation strategies
  • Indications, contraindications, and patient selection
  • Donor organ preservation and transportation
  • Long-term surveillance for graft rejection
  • Impact of congenital heart disease on brain development
  • Strategies to reduce neurological injury during surgery
  • Perioperative neuro-monitoring
  • Developmental follow-up and support services
  • Burden of CHD in low-resource settings
  • Outreach and mission-based surgeries
  • Global initiatives (e.g., Children’s HeartLink, Save a Child’s Heart)
  • Building sustainable pediatric cardiac programs in developing countries
  • Managing operating room logistics
  • Surgical team leadership and communication
  • Quality assurance, morbidity & mortality (M&M) meetings
  • Financial and ethical aspects of high-cost pediatric procedures
  • Crisis management (e.g., intraoperative deaths, system failures)
  • 3D printing in surgical planning
  • Artificial intelligence and predictive analytics in CHD
  • Robot-assisted pediatric cardiac surgery (experimental)
  • Fetal cardiac interventions
  • Tissue engineering and future valve/conduit technologies
  • Challenges of redo sternotomy
  • Adhesion management and dissection techniques
  • Managing failed Fontan, conduit degeneration, and patch breakdown
  • Re-intervention strategies for valve dysfunction
  • Post-operative infection and mediastinitis management
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  • Working with pediatric cardiologists, intensivists, anesthesiologists
  • Joint decision-making in complex cases
  • Tumor boards and combined clinics (e.g., cardiogenetics, cardio-oncology)
  • Palliative care and end-of-life discussions
  • Minimum number of independently performed surgeries (categorized by complexity)
  • Logbook audit and case portfolio submission
  • Final viva and surgical OSCE (Objective Structured Clinical Exam)
  • Thesis or original research paper (if part of curriculum)
  • Feedback and review by surgical mentors
  • Genetic syndromes associated with CHD (e.g., Down, DiGeorge, Noonan)
  • Genetic counseling for families
  • Use of genetic testing and screening in clinical practice
  • Future prospects in gene therapy and personalized medicine
  • Management of neonates and premature infants
  • Surgery in children with syndromic and multisystem involvement
  • Approaches to children with coexisting non-cardiac congenital anomalies
  • Pediatric patients with acquired cardiac diseases (e.g., Kawasaki disease, cardiomyopathies)
  • Strategies for children with significant comorbidities (renal, neurological, metabolic disorders)
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