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Meanwhile, fellowship-trained pediatric cardiac anesthesiologists are declining due to aging, reduced recruitment, financial disincentives, and concerns about work–life balance and professional culture, creating a harmful mismatch that threatens access to care and drives moral injury and attrition. At one institution, a Special Cardiac Care Anesthesia model redistributed selected CHD cases and prompted the Cardiac Basics curriculum to deliver accessible, psychologically safe, case-based education. Results show strong participation and positive feedback emphasizing clarity, brevity, and clinical applicability.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/back-to-basics-a-curriculum-to-address-the-pediatric-cardiac-anesthesia-workforce-crisis/456159/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/back-to-basics-a-curriculum-to-address-the-pediatric-cardiac-anesthesia-workforce-crisis/456159.png","ImageObject",300,407,{"name":92,"@type":93},"Mabel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is the pediatric cardiac anesthesia workforce crisis occurring?","Question",{"text":112,"@type":113},"Improved congenital heart disease survival has increased both the lifetime volume and complexity of anesthetized procedures, while the supply of fellowship-trained pediatric cardiac anesthesiologists is shrinking due to aging workforce, declining recruitment, financial disincentives, and concerns about work–life balance and professional culture.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What steps did the institution take to manage increasing CHD care needs?",{"text":117,"@type":113},"Selected CHD care was redistributed to a subgroup of general pediatric anesthesiologists through the Special Cardiac Care Anesthesia (SCCA) model, with pre-assignment scheduling to support safe preparation.",{"name":119,"@type":110,"acceptedAnswer":120},"What goals guided the Cardiac Basics curriculum?",{"text":121,"@type":113},"The curriculum was designed to provide essential cardiac knowledge, present material in an accessible format for diverse learners, and create a psychologically safe environment where participants could ask questions and engage openly.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},456159,1791401427,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Pediatric Anesthesia  \nBack to Basics: A Curriculum to Address the Pediatric Cardiac Anesthesia Workforce Crisis  \nLindsey Loveland1,2  | Susan C. Nicolson1,2  \n1The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA | 2Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA  \nCorrespondence: Lindsey Loveland ([lovelandbl@chop.edu](lovelandbl@chop.edu))  \nReceived: 16 September 2025 | Revised: 21 October 2025 | Accepted: 27 October 2025  \nABSTRACT  \nThe field of pediatric cardiac anesthesia faces a critical workforce shortage. Survival of children with congenital heart disease (CHD) has improved dramatically, increasing both lifetime procedural demand and case complexity. At the same time, the supply of fellowship-trained pediatric cardiac anesthesiologists is shrinking due to an aging workforce, declining fellowship recruitment, financial disincentives, and concerns about work–life balance and professional culture. The resulting mismatch between demand and supply threatens access to care and risks moral injury and attrition within the specialty. At our institution, workforce pressures necessitated the redistribution of some CHD care to general pediatric anesthesiologists through the Special Cardiac Care Anesthesia (SCCA) model. As this team expanded, members themselves recognized a pressing need for structured education in congenital cardiac physiology and anesthetic implications. In response, the Cardiac Basics curriculum was developed to provide accessible, foundational cardiac content for anesthesiologists, fellows, advanced practice providers, and intensivists. The program was designed with three goals: (1) to provide essential cardiac knowledge,(2) to deliver material in a format accessible to diverse learners, and (3) to foster a psychologically safe environment where all participants could ask questions and engage openly. The curriculum uses weekly topic guides, brief interactive didactic sessions, and case-based reinforcement. It has been well received, with strong participation across learner groups and overwhelmingly positive feedback highlighting clarity, brevity, and clinical applicability. Educational innovations such as Cardiac Basics represent a pragmatic and scalable strategy to address the pediatric cardiac anesthesia workforce crisis. By equipping a broader group of providers with the skills to care safely for selected CHD patients, such curricula can serve as a critical “force multiplier” while longer term solutions—fellowship recruitment, pipeline repair, and cultural change—are pursued.  \n1 | Background  \nPediatric cardiac anesthesia is facing a profound workforce crisis, particularly in the United States, where patient demand has outpaced the supply of trained specialists. Advances in the care of congenital heart disease (CHD) have led to improved survival across all ages, dramatically increasing both the lifetime volume and complexity of procedures requiring anesthesia [1] . Cases are longer due to redo sternotomies and multistage catheter-based interventions, and new therapies such as hybrid ventricular assist device implantation and percutaneous valve procedures  \nrequire anesthetic support outside the operating room [2, 3] . Delayed case starts due to limited intensive care unit capacity further extend clinical workloads, frequently into evenings and weekends.  \nMeanwhile, the supply of pediatric cardiac anesthesiologists is contracting. A recent US workforce survey revealed that nearly half of programs are actively recruiting, with projections of 120– 194 additional anesthesiologists needed in the next 5–10 years [4] . More than half of the workforce is age 55 or older, and attrition unrelated to retirement or the COVID-19 pandemic is  \nThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \n© 2025 The Au","cbCaidELfgrsMxSb","https://ap.wps.com/l/cbCaidELfgrsMxSb","pdf",191726,"English","# Background\n## Workforce shortage and rising demand\n## Contracting specialist supply\n## Institutional response: SCCA redistribution\n## Need for structured education: Cardiac Basics curriculum","[{\"question\":\"Why is the pediatric cardiac anesthesia workforce crisis occurring?\",\"answer\":\"Improved congenital heart disease survival has increased both the lifetime volume and complexity of anesthetized procedures, while the supply of fellowship-trained pediatric cardiac anesthesiologists is shrinking due to aging workforce, declining recruitment, financial disincentives, and concerns about work–life balance and professional culture.\"},{\"question\":\"What steps did the institution take to manage increasing CHD care needs?\",\"answer\":\"Selected CHD care was redistributed to a subgroup of general pediatric anesthesiologists through the Special Cardiac Care Anesthesia (SCCA) model, with pre-assignment scheduling to support safe preparation.\"},{\"question\":\"What goals guided the Cardiac Basics curriculum?\",\"answer\":\"The curriculum was designed to provide essential cardiac knowledge, present material in an accessible format for diverse learners, and create a psychologically safe environment where participants could ask questions and engage openly.\"}]","Back to Basics: A Curriculum to Address the Pediatric Cardiac Anesthesia Workforce Crisis | PDF",1790745248,15]