Residents will spend at least two months (two one-month rotations) administering anesthesia to patients undergoing a variety of cardiac surgeries including valvular repairs and replacements, aortic repairs, coronary artery bypass grafts, transcatheter aortic valve replacement, left ventricular assist devices, and extracorporeal membrane oxygenation. We do more robotic cardiac surgeries than any hospital in Illinois and have one of the busiest heart and lung transplant programs in the region. Our patients are sick and their pathophysiology is complex. Attendings are often assigned to only one cardiac room and make a concerted effort to spend most of the time in the operating room teaching. Lecture topics covered include invasive monitoring, hemodynamic management, cardiopulmonary bypass, arrhythmias, coagulopathy, inotropes, extracorporeal membrane oxygenation, balloon pumps, acid-base management, and much more. There is ample opportunity for perfecting procedure skills as nearly every patient needs an arterial line, central line, pulmonary artery, and transesophageal echocardiography (TEE). Because TEE is an integral part of our cardiac practice, residents also have the opportunity of doing a three-week rotation focusing solely on TEE. All of the cardiac faculty have passed the advanced TEE exam, and many of the clinicians have presented or are presenting at national echocardiography conferences.