The Advanced Heart Failure and Transplant Cardiology fellowship curriculum qualifies trainees to sit for the American Board of Internal Medicine (ABIM) subspecialty certification in Advanced Heart Failure and Transplant Cardiology. The 12-month curriculum is as follows:
Inpatient Service (6-7 months)
Our inpatient service is run by two Advanced Heart Failure Attendings. The service is split into two teams, one concentrating on AHF and Cardiac Transplantation, the other focusing on the care of LVAD patients. We have a 42-bed IMC for Advanced Heart Failure, but regularly see around 50 patients daily throughout MHVI. The team is composed of two hospitalists based in the IMC, at least two Nurse Practitioners, as well as a general cardiology fellow and 3-4 Internal Medicine residents. The AHF Fellow serves as a junior attending on the service helping to supervise the NPs and housestaff.
Outpatient Clinics (3 months)
We have a large outpatient practice with around 6000 patient visits annually. Our patients are seen in various clinics including Advanced Heart Failure, Heart Transplant Clinic, MCS/LVAD Clinic, Infiltrative Cardiomyopathy Clinic, Pulmonary Hypertension Clinic, amongst others. The fellow has a continuity clinic weekly in the Heart Transplant Clinic, regardless of assigned rotation. The fellow rotates through all the various clinics in order to be exposed to a variety of patients, giving a broad outpatient experience. Other outpatient activities included cardiopulmonary stress testing, right heart catheterization, and endomyocardial biopsy of transplant patients.
Research (1 month)
In addition to having protected time on a weekly basis to work on research projects, there is a dedicated one-month rotation for research.
Elective (1-2 months)
Fellows are offered one-month electives from which they choose a variety of areas including Pulmonary Hypertension, Infiltrative Cardiomyopathy, Hypertrophic Cardiomyopathy, CVICU Critical Care, Adult Congenital Heart Disease, Transplant ID, Palliative Care, amongst others.
- Core Curriculum Conference – Weekly
- Advanced Heart Failure Conference – Weekly
- Transplant Listing Conference - Weekly
- Journal Club – Monthly
- Morbidity and Mortality Conference – Monthly
- QA/PI Conference - Monthly
- Pathology Rounds – Quarterly