Keywords: Accreditation Council for Graduate Medical Education; American Board of Anesthesiology; American Society of Anesthesiology; American Society of Echocardiography; Cleveland Clinic; Harvard Macy Institute; Kaplan Award; National Board of Echocardiography; Ochsner Clinic, Thomas Jefferson University; San Francisco Match; Society of Academic Anesthesiology Associations; Society of Cardiovascular Anesthesiologists; University of Pennsylvania; cardiothoracic anesthesiology; designated institutional official; fellowship size; graduate medical education; program director.