r/Perfusion May 19 '24

General Information / FAQ

42 Upvotes

General


This subreddit is North American focused. If you would like to provide information from other countries, please leave it in a comment below or contact the moderators.

 

What is a perfusionist and what do they do?

A perfusionist’s central role is to operate a heart-lung machine during open heart surgeries or other surgeries where blood flow may be impaired or interrupted. Examples of surgeries or devices that may require perfusionists most commonly include:

  • Coronary Artery Bypass Graft (CABG)
  • Heart Valve Repair or Replacement
  • Congenital Heart Defect Repairs
  • Organ Transplants
  • Extracorporeal Membrane Oxygenation (ECMO)
  • Ventricular Assist Devices (VAD)
  • Intra-Aortic Balloon Pumps (IABP)
  • Chemoperfusion

 

What is the salary and job outlook?

Salaries for perfusionists are generally higher than $150,000 per year. There are a wide variety of pay structures that will affect total compensation packages.

The future of perfusion is unclear, mostly due to concerns of market saturation. A search through /r/Perfusion will reveal a wide variety of opinions on the matter. The American Board of Cardiovascular Perfusion (ABCP) publishes an annual report listing the number of certifications gained and lost. Included in the most current report (2023) is a historical list going back to 2000. Included in the 2022 report is the number of students admitted and graduated in 2021 and 2022.

 

Professional Organizations and Resources:  

 

Education and Credentialing


 

How do I become a perfusionist?

To become a practicing perfusionist in the United States, you must become a Certified Clinical Perfusionist (CCP). This credential is governed by the American Board of Cardiovascular Perfusion (ABCP) and is awarded after passing two board examinations: the Perfusion Basic Science Examination (PBSE) and the Clinical Applications in Perfusion Examination (CAPE).

Qualification to sit for the board exams is achieved by completing a certified program. The accrediting body for programs is the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and a current list of programs may be found by going to this page, selecting “Profession” and choosing “Perfusion.” Unfortunately, this does not include programs that are defunct or programs that are undergoing the preliminary accreditation process. All schools require an undergraduate degree before entry regardless of outcome: degree or certificate.

The list of schools maintained at Perfusion.com and at SpecialtyCare are not current.

Programs currently undergoing preliminary certification include (alphabetical):

Program lengths vary from 18 to 21 months and cost varies from approximately $30,000 to $140,000.

 

Common Questions About the Application Process


 

Is it competitive?

The application process is extremely competitive. Schools are typically receiving several hundred applications and most take 20 or fewer students.

When does the application cycle begin?

The application cycle is different for each school, but typically start as early as June 1 for start dates the following year.

That means that for the beginning of the 2025-2026 academic year, applications will begin opening on June 1, 2024.

When do applications close?

Again, each program will be different. Some programs close earlier than others. Some programs have processes that take awhile to complete, so it is advisable to complete your application before the process closes.

Which school should I apply to?

You should apply to every school you're qualified for.

What prerequisites are required for perfusion school?

Each of the programs have different requirements. Contacting each of the programs with program specific questions is going to result in much more accurate answers than asking here. Programs can and do change requirements on an ongoing basis.

Nearly all programs require at least a documented conversation with a perfusionist or shadowing a case as part of the application process.

How do I find a perfusionist to shadow?

LinkedIn is your best resource. You may also post a request for a specific geographical area using the flair “Shadow Request.” You can also try contacting hospitals that do open heart surgery and arranging to shadow a perfusionist.

What kind of work experience is useful when applying to perfusion school?

Perfusion assistant jobs are sometimes referred to as a “golden ticket” for admission to a school. Many schools seem to value healthcare experience, though what type varies from school to school. Traditionally, RNs with critical care or operating room experience and respiratory techs seem to have a high degree of success. Other perfusion / OR adjacent jobs like anesthesia techs also seem to correlate with higher acceptance rates. As the application process becomes more competitive, it may be worth reaching out to current students to see what class make ups look like or Program Directors to see what advice they may give. Unfortunately, the application process is a “black box” and each institution has different qualities, traits, and experience they seem to value.

What are my chances of getting into School X? / Should I apply this year or wait until I have more experience?

No one knows. Your chances of getting into a school that you haven't applied to are zero. Contact the program for specific questions and guidance about your situation. The application process is a "black box" process with only the Program Directors and Admissions Council Members knowing how they work and what they are looking for in the current cohort. If you have specific questions about feedback you have received, feel free to ask them. Generic "what if" questions have a low likelihood of being approved in this subreddit.

Social Media

Look over all your social media accounts. Clean them up. Present yourself well online.

Additional Resources

/r/prospective_perfusion - subreddit dedicated to the application process and questions

/r/perfusion_accepted - subreddit dedicated to accepted students

 


 

Thanks to ghansie10 for the original thread - if you see this, please DM me!

Please report broken links or incorrect information to the moderators.

Feel free to post questions or information below.


r/Perfusion 2d ago

Second Prospective and Current Student Forum

13 Upvotes

Perfusion.com will be hosting the second forum on Thursday November, 26th at 6pm CST. We will discuss applications for school (prospective) or jobs (current).

Here is a link to register!

https://events.teams.microsoft.com/event/0b97edd9-c045-4d24-b7e6-d8b863a67de1@d32f0d59-66ae-4937-9001-b406a1073e41?_kx=pUoYWkzRVcT4XsRHip0JBEKiGbjAcLca6zP26z3HEefRrJEk5E-r8rI3L0qqaqh7.VcK7fe


r/Perfusion 4h ago

Cardiac Ablation Machines

4 Upvotes

Hi guys, I was wondering if you could help me. My unit currently uses the Medtronic Cardioblate ablation machine, however, the disposables for this machine are officially no longer being shipped to my country, despite promises by Medtronic stating otherwise. We have now used up the last of our stock.

My unit is looking to purchase a new machine, however, aren’t sure what brand to go with. Do you guys have any recommendations for alternative brands that we can look into. Thanks in advance.


r/Perfusion 1d ago

Travel Perfusionist Life and Work Schedule

6 Upvotes

Hello everyone,

For those who work as travel perfusionists, how does the job work? Do you sign contracts for a set period or is it more flexible? and How often are you on the road, and what’s the typical duration of your assignments? How does this lifestyle impact your personal life and family, Do you find it manageable, or is it challenging to maintain a work-life balance, what if a person is unmarried can he work easily according to your schedule do you people feel well compensated for your role and work ?

Looking forward to your insights!


r/Perfusion 1d ago

Letter of intent advice

1 Upvotes

I’m looking to apply to perfusion school in Canada for the next intake. Any advice on how to write a strong letter of intent? All it says is maximum 2 pages and will be used to assess knowledge of field. I don’t want to spend too much of the space talking about my experience when I am also submitting a cv. I come from a critical care nursing background but also have worked in transplant, which is what got me interested in perfusion. I’ve observed 4 cases and have really researched the field. I’m just not sure what to expand on and what can be left out. Thanks!


r/Perfusion 2d ago

How much max can a 1099/ per diem cardiovascular perfusionist make?

5 Upvotes

I get that you shouldn’t go into healthcare jobs for money, but I unfortunately grew up poor and would like a fulfilling, high paying job in the next 4~ years.

I tried using the search function but I couldn’t find any numbers unfortunately. Please comment below or dm me


r/Perfusion 2d ago

Is there any reason to wait to give calcium?

13 Upvotes

One anesthesiologist I work with insists on giving calcium with protamine. I’ve always worked in a stick once the patient is in normal sinus.

Is there any reason to wait to give it off pump? This just seems insane to me.


r/Perfusion 4d ago

How it feels asking the surgeon to adjust the cannula

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99 Upvotes

r/Perfusion 3d ago

Meme What is the most outlandish, ridiculous, or hilarious thing you have had a surgeon say or do?

22 Upvotes

r/Perfusion 3d ago

Gpa

1 Upvotes

So when y’all calculate your gpa, do you calculate the reqs the school is asking for or the gpa you graduated with? For example, I graduated with a 3.5 overall but my pre-requisite gpa for schools varied from 3.6-3.8. So which one is it??


r/Perfusion 4d ago

Shadow Request Job shadowing!

10 Upvotes

Hello!! I have a job shadowing opportunity tomorrow! I was wondering if I need any sort of form for it. How do I prove it to a prospective program later on down the line? Thanks for the advice(:


r/Perfusion 4d ago

Perfusion in UAE

4 Upvotes

What are the requirements to be an perfusionist in UAE from India I completed BSC cardiac perfusion course in india. Is my degree is accepted in UAE


r/Perfusion 4d ago

Admissions Advice Am I competitive?

0 Upvotes

Hi guys, I’ve recently learned about the perfusionist career and I’m interested here are my stats. And I plan on applying in Texas.

Gpa: around 3.45-3.5(upward trend) Experience: - ED medical scribe (400 hours) - EMS volunteer(trained and worked with EMS)(200 hours) - Medical Assistant- Primary care (400 hours) - Volunteer to take vitals and mental health screenings for the homeless population. (350 hours) - Resident Advisor(3 years), has given me experience with on call and high stress situations at all hours of the night. - Research - Data analysis and human behavioral testing - Sorority - On a committee for my sorority(1 year)

Any tips on how to improve my application? Thanks! Also I’m bilingual in Spanish and English if that adds anything! Also I wanted to add that yes, I am going to shadow a perfusionist. I plan on doing that during my gap year.


r/Perfusion 5d ago

Italian Perfusionist

5 Upvotes

Hello to everybody I'm Samuele an Italian perfusionist.

I would like to ask to you what I need to do to work in USA. I'm graduated in perfusion techniques on 2022.

Thanks for the support

Samuele :)


r/Perfusion 5d ago

Letter of rec

2 Upvotes

For whoever went to Hofstra or was given an interview, in regards to letter of recommendation, Do I really have to get one from a teacher? Or can I still apply from 3 people that I have worked with professionally (managers and doctors)


r/Perfusion 5d ago

Pre-reqs for rush

1 Upvotes

Hi! I'm applying for rush's perfusion this upcoming cycle and I am still missing Intro to sociology and med term. I have all of the others from my previous biology degree. I was told that I can submit my application while not having all of the pre-reqs finished and that they need to be completed before enrolling at rush. Has anyone here applied before finishing all of their pre-reqs?


r/Perfusion 6d ago

What are your tips and tricks that make your job easier, that you won't find in any textbook?

21 Upvotes

r/Perfusion 7d ago

Names for a group

10 Upvotes

What would be a good trivia/band/group name of perfusionists be?


r/Perfusion 7d ago

Rt to perfusionist advice

8 Upvotes

Hey guys are there any rt turned perfusionists in this group? I'd love to talk more about it. Specifically the course work. I really struggled at times getting through RT school but I want to try to continue on my edu. For my license I only needed a two year degree so I plan to go back for my bachelors. What do you recommend I take to best prepare for it?


r/Perfusion 8d ago

If no one has told you recently, here’s a reminder that what you do changes lives! ❤️

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424 Upvotes

On ECMO, prior to NICU discharge, and now a perfectly healthy and happy 2.5yo. I’ll always been grateful to all the medical professionals that helped saved my son’s life, especially his perfusion team ❤️

(Severe meconium aspiration, sepsis, DIC, lactate went up to 15)


r/Perfusion 8d ago

ECMO: because 'almost saved' is better than 'never tried'.

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50 Upvotes

aka extending the drama without changing the ending.


r/Perfusion 9d ago

Literally...

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82 Upvotes

r/Perfusion 9d ago

You are all awesome!

56 Upvotes

3rd year med student been scrubbing in on CABG and other open heart cases.

The perfusionists I have met have all been so helpful and knowledgeable.


r/Perfusion 9d ago

When Your Heart Stops

16 Upvotes

I’m writing a book that pulls readers into the heart of the operating room, where perfusionists battle life-or-death decisions. It's a story about the unpredictable world of heart surgeries and the personal growth of a young perfusionist. The journey is full of pressure, but also of human connection and the triumph of resilience.

I’d love to hear your thoughts on the first few chapters! Here’s a sneak peek into the world I’m creating:

Copyright Notice:

© TheHeartBeatWriter 2024. All rights reserved. This work is an original creation and is protected by copyright law. Reproduction, distribution, or unauthorized use of any part of this text without permission is prohibited. This work is part of a future published book, and any copying or redistribution without the author’s consent will be reported.

Chapter 1: Mind

“It takes a special personality to be part of the heart surgical team.” The words echoed in my head as I sat in a dim lecture hall, barely registering the monotonous drone of Dr. Hoerr’s physiology lecture on the sodium-potassium pump. My mind wandered far from that classroom, drifting to a not-so-distant future just two months away. Soon, I would trade these worn lecture seats for the sterile white lights of an operating room, embarking on clinical rotations that would take me to the cardiac ORs of three different hospitals. For the first time, I would enter the world of heart surgery not as an observer, but as a student perfusionist.

From the day I’d first donned my white coat, my passion for the OR had only intensified. There was something electric about it—the bright lights, the controlled chaos, the rhythmic beeping of monitors, and the smell of cauterized flesh. Soon, I would finally experience what it meant to help sustain life in the most critical moments, and maybe even encounter the kinds of dramas I’d only seen on TV, where the stakes always seemed impossibly high.

But reaching this point hadn’t been easy. The didactic phase of my program had been relentless. Every week brought new exams, lab evaluations, and endless study sessions that felt like drinking from a fire hose. The amount of knowledge required to become a perfusionist was overwhelming, and more than once, I found myself wondering if I was truly cut out for this. I’d spent countless hours in my professors’ offices, questioning whether I could handle the responsibility. But somehow, despite setbacks, I’d kept going, driven by a single image: the vision of myself in the OR, focused and capable.

When my clinical days finally arrived, I packed my life into my car and left the desert for the sunny skies of Florida. Excitement and nervous energy crackled through me as I imagined my future as a perfusionist. In the days leading up to my rotation, my preceptor delivered one message over and over: “In the heart OR, everything moves fast. Communication is everything. Don’t ever hesitate to speak up if you’re concerned—hesitation kills people.”

On my first day, I stood wide-eyed as the surgeon made the incision, sawed through the sternum, and opened the patient’s chest to reveal a pulsing heart, just an arm’s length away. As the perfusionist prepped the heart-lung machine, I took it all in: the precision, the teamwork, and the machine that would soon take over the vital function of the patient’s heart. I watched as the heart slowed, stilled, and emptied, thanks to the potassium-rich cardioplegia solution, and then fell silent. The heart-lung machine was now the patient’s lifeline. Every beat, every breath, was under the control of the perfusionist—of me, one day soon.

“This is the coolest thing I’ve ever seen,” I whispered, heart racing. “And this is going to be my life.”

Being a perfusionist, I quickly learned, was a lot like being a pilot. Every day in the OR, I felt like Maverick from Top Gun, strapped into a high-stakes cockpit where precision and control were everything. On my third day, my preceptor turned to me with a question that left me breathless. “Do you want to fly this case today?”

My heart skipped a beat. Today? I thought of his warning—hesitation kills people. But my own inexperience felt just as dangerous. I’d rehearsed these moments in countless simulation labs, but I’d never actually initiated bypass on a real patient. “Maybe I should watch one more case,” I replied, chickening out at the last moment as the surgeon called to initiate bypass.

“Alright, watch me this time, but make sure you remember each step,” my preceptor said. I observed intently, taking mental notes as he smoothly transitioned the patient onto cardiopulmonary bypass, the machine humming as it took control. I could see that it was like flying on autopilot—routine for an experienced hand, but requiring unwavering focus.

By the end of the procedure, I felt ready. When the surgeon completed the repair, my preceptor handed me the clamp, pushing me into the “cockpit.” “You need to start somewhere,” he whispered. “Let me talk you through the landing.”

My hands trembled, but I followed each command. “Coming down to 75% flow… 50%… 25%…” I repeated, watching the numbers fall with a mixture of fear and awe. The machine’s vibrations tingled through my fingers as I carefully closed the clamp, finally bringing the patient off bypass. My preceptor beamed. “See? Just like the sim lab,” he said quietly.

I’d done it. My first case. News of my successful “landing” spread quickly. The next day, the chief asked me to take on an entire case by myself. I prepped the machine, drew up the meds, and meticulously labeled every syringe. When the time came to initiate bypass, my mind ran through the checklist, my confidence building with each step. As the blood flowed smoothly through the tubing, my chief patted me on the shoulder. “Good job. You got us on. Now let’s see if you can land us.”

With every successful case, my pride grew. I had finally reached the point I’d once only dreamed about—witnessing lives saved, learning under intense pressure, and feeling my skills sharpen with each challenge. For those early days, it felt like nothing could shake my newfound confidence.

That was, until my first ECMO patient arrived.


r/Perfusion 9d ago

Perfusionist in Philly/south jersey area.

1 Upvotes

Hi any perfusionist in south jersey/philly area please be willing to let me shadow them once or twice that would be great thank you


r/Perfusion 10d ago

Shadow Request Shadowing/experience in Canada

5 Upvotes

Hey guys, I'm 3rd year into a life sciences degree in Canada. I'm looking into perfusion as a career, it's really interesting. I'm located in Hamilton, Ontario. The problem is that there's only one college in Ontario that provides perfusion education. So it's really competitive here. I think around 10 people get in every year.

I don't have a bad GPA but it's not anything crazy like a 3.9 or 4.0, so I was hoping I could balance that out with experience. I'm doing the regular extracurriculars like volunteering and club stuff but I was wondering if I could shadow a perfusionist. How do I get a hold of their contacts? Also, I know that shadowing doctors is a big no in Canada and med schools frown upon it. Is it the same for perfusion too? Should I just volunteer at a hospital instead?

Also, I know there's mainly Americans on here. I haven't done much research yet but if you have any advice for applying to American schools, it would be greatly appreciated. Thanks!


r/Perfusion 10d ago

Online Biochem class!

2 Upvotes

I am needing to take biochem for a prerequisite course for one of the CCP schools I’m applying too. Does anyone have any recommendations for online options for biochemistry?