Preventive Cardiology Clinical and Research Components

Fellows spend 5 days per week on an inpatient Heart Failure and Transplant service under the direction of the Advanced Heart Failure physicians.

One half day outpatient fellow’s clinic is held weekly.

The educational approach is experiential with both direct and indirect supervision. In all experiences the fellow is required to be the first to meet the patient to formulate an appropriate plan and to discuss this with the Advanced Heart Failure attending.

Participant’s Supervisory and Patient Care Responsibilities

The learning objectives of the year are:

  1. Evaluation of in- and out-patient CHF
  2. Systematic diagnostic approach to CHF, including physical examination, multi-modality noninvasive, and invasive techniques
  3. Choice of appropriate CHF therapy
  4. Identifying end-stage CHF and indication for surgical therapies (mechanical assist support, heart transplant)
  5. Evaluation of pre- and post-transplant patients
  6. Approach to patients in cardiogenic shock
  7. Proper use of device therapy (ICD/CRT)
  8. Assessment of patients pre and post mechanical assist device
  9. Basic understanding of cardiothoracic techniques of mechanical assist device implantation, valvular surgery, and heart transplant
  10. Conduct of clinical and translational research in the area of CHF.
Fellows are expected to participate in the education of medical students, medical residents and cardiology fellows.

Procedural Requirements

None.

Didactic Components

Weekly sessions are held in various subspecialties including patient signout, ventricular assist device patient selection and management, heart transplant patient selection and management, didactic sessions, journal club.

Program Length

Twelve months

Evaluation Process

Fellows will be evaluated monthly on progress of research projects and gained clinical skills.