Cardiac Anesthesiologist | Autonomy, Flexibility & Advanced Cardiac Care in the Finger Lakes | Rochester, NY

At Rochester Regional Health, our anesthesiologists provide comprehensive perioperative care across a wide range of surgical specialties in a collaborative, physician-led environment. We are seeking a fellowship-trained Cardiac Anesthesiologist to join our growing and highly specialized cardiac program.

This position offers substantial cardiac case exposure, flexibility in case selection, and a supportive call structure designed with long-term sustainability in mind. Physicians benefit from a practice model that combines the autonomy and flexibility often associated with private practice with the stability of an integrated health system.

The Cardiac Anesthesiologist provides high-quality anesthesia care for patients undergoing cardiac, thoracic, vascular, and general surgical procedures. Physicians practice at the top of their training in both personally performed and supervisory care models, with flexibility in case selection through our physician-driven scheduling system.

Cardiac anesthesiologists typically spend approximately 60–70% of their clinical time performing cardiac and thoracic anesthesia, while maintaining the option to participate in general anesthesia cases based on individual preference and departmental needs.

Provide anesthesia care for complex cardiac surgical procedures, including:

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  Coronary artery bypass grafting (CABG)

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  Valve repair and replacement

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  Left ventricular assist device (LVAD) placement

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  Minimally invasive valve and CABG procedures

Support structural heart and hybrid procedures including:

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  Transcatheter Aortic Valve Replacement (TAVR)

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  MitraClip

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  Watchman procedures

Additional responsibilities include:

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  Providing anesthesia for the majority of thoracic procedures

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  Supporting high-complexity vascular cases

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  Participating in a predominantly personally performed cardiac anesthesia model

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  Collaborating with highly experienced cardiac CRNAs as the department continues to thoughtfully expand its cardiac care team model

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  Provide anesthesia services across a broad range of surgical specialties

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  Participate in daily case assignments through an equitable physician pick system that allows flexibility to select either cardiac or general assignments

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  Supervise CRNAs and/or personally perform cases as appropriate

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  Deliver comprehensive perioperative care including preoperative evaluation, intraoperative management, and postoperative assessment

The physician scheduling model offers a unique level of autonomy and flexibility rarely found in employed practice settings.

We recognize the importance of balancing subspecialty practice with a manageable and sustainable call model.

• One weekday cardiac anesthesia call per week (from home)

• One cardiac anesthesia weekend call approximately every 5–8 weeks (from home)

• Heart call activation rate is approximately 10%

Because heart call is home-based with a low activation rate, post-call days are not routinely scheduled. However, physicians who are called in overnight are prioritized for relief as early as possible the following day.

• Cardiothoracic anesthesiologists take reduced in-house overnight general anesthesia call responsibilities — approximately once per month — in exchange for participation in home cardiac call

• In-house overnight calls are general anesthesia calls and do not include cardiac anesthesia responsibilities

• Guaranteed post-call day off following overnight in-house call shifts

• Physician-led department with collaborative leadership and meaningful physician input

• Flexible scheduling model with autonomy in case selection

• Stable and growing cardiac program with strong institutional support

• Collegial culture focused on teamwork, quality, and long-term sustainability

• No non-compete clauses or exclusivity requirements

• Integrated health system with a strong reputation for community-based care

Rochester offers the advantages of a mid-sized city with easy access to the Finger Lakes, outdoor recreation, excellent public schools, and a vibrant arts and food scene. Physicians enjoy short commutes, affordable living, and proximity to all major hospitals and surgical centers.

• Board Certified or Board Eligible in Anesthesiology

• Completion of an ACGME-accredited Cardiac Anesthesia Fellowship

• Certification in Advanced Perioperative Transesophageal Echocardiography (TEE)

• Eligible for medical licensure in New York State

This is a unique opportunity to build a highly specialized cardiac anesthesia practice while maintaining flexibility, autonomy, and balance within a collaborative and physician-centered department.