Advanced Heart Failure & Transplant Cardiology Fellowship Program
The UCSF Advanced Heart Failure and Transplant Cardiology Fellowship is a one-year ACGME accredited program designed to train fellows to become proficient in diagnosis and management of right, left and biventricular failure with reduced as well as preserved ejection from a wide variety of etiologies.
This ACGME accredited program is designed to prepare the fellow for the Advanced Heart Failure and Transplant Cardiology Board Certification and meet the requirements for UNOS certification. In addition to training in clinical heart failure, devices (electrophysiologic and mechanical circulatory support), heart transplantation, and pulmonary hypertension, the fellow is afforded the opportunity to participate in other academic activities such as teaching, conferences and research. In addition to inpatient care, the fellow will participate in one clinic per week. The fellow will be trained to become proficient in resting and exercise right heart catheterization with vasodilator testing and right ventricular endomyocardial biopsy.
Specific Goals and Objectives:
- Gain core competency in pathophysiology, prevention, diagnostics, and treatment of heart failure spanning ACC/AHA stages A-D
- Understand the initial inpatient and outpatient workup, management and long-term follow-up of patients with heart failure
- Right heart failure due to pulmonary hypertension of various etiologies
- Left heart failure, with reduced or preserved ejection fraction of various etiologies and severities
- Biventricular failure, usually from advanced heart failure
- Understand and implement disease management strategies, including pharmacologic, electrical device and mechanical circulatory support as well as cardiac transplant options for this patient population
- Understand the indications and interpretation of right heart catheterization, various imaging modalities including echocardiography, CT scan, MRI, and PET, and heart biopsy
- Understand arrhythmia mechanisms and management (pharmacologic, interventional and device-based)
- Learn donor management skills and donor procurement procedure and processes, as well as understanding the intraoperative procedures for heart transplantation and mechanical circulatory devices
- Learn how to evaluate and treat heart transplant and mechanical circulatory support patients in a multidisciplinary team setting
- Perform post-procedure and long-term follow up
- Understand the immunology of cellular and antibody-mediated rejection, as well as screening and monitoring protocols, pharmacologic interventions, plasmapheresis, and photopheresis
- Understand allosensitization screening, monitoring and possible interventions
- Adjust medications, including immunosuppression therapy with attending supervision
- Participate in the evaluation of patients with implantable cardioverter defibrillators, implantable hemodynamic monitors, and cardiac resynchronization therapy.
- At the completion of training, fellows will meet requirements for UNOS certification and will be eligible for the ABIM Advanced Heart Failure and Transplant Cardiology subspecialy board examination
- Participate in the inpatient service in concert with the Core Cardiology Fellow
- Attend Advanced Heart Failure/Heart Transplant Clinic once a week
- Review all outpatient labs with pre- and post-transplant coordinators daily with supervision by attending physician
- Present new and ongoing patients at Heart Transplant and Mechanical Circulatory Support Committee meetings
- Participate in heart biopsy and resting and exercise right heart catheterization with or without pharmacologic challenge in the Cardiac Catheterization Laboratory with attending supervision
- Participate in donor procurement with the cardiothoracic surgeon (> 5 procedures)
- Review endomyocardial biopsies with heart failure attendings and cardiac pathologist
- Participate in cardiology resident teaching
- Participate in and lead the monthly Advanced Heart Failure, Mechanical Circulatory Support and Heart Transplant conference for fellows and attendings in the Division of Cardiology
The eligible candidate must have completed, or currently be on track to complete, a three-year fellowship in Clinical Cardiology by the initiation of the Advanced Heart Failure and Transplant Cardiology Fellowship.
We already filled our fellowship position starting July 1, 2018. We will be accepting applications for a July 1, 2019 start in ERAS.
We will be accepting applications through ERAS, Electronic Residency Application Service in the December application cycle. The ERAS phone is (215) 966-3940. We do not accept paper applications. The deadline for completed applications is January 31, 2018.
We require the following supporting documents to be submitted via the ERAS program:
- Personal statement
- Three letters of recommendation, including one from your current program director
- Medical school transcripts, USMLE transcripts, and Dean's letter are not required. Photos are optional.
As per ACGME, effective for programs starting 7.1.2018:
All prerequisite post-graduate clinical education required for initial entry or transfer into ACGME-accredited residency programs must be completed in ACGME-accredited residency programs, or in Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited residency programs located in Canada.
Please note that the Heart Failure & Heart Transplant program is not able to sponsor H-1B visas for clinical fellowship training. J-1 sponsored visa opportunities may be possible. Visa status at time of application can only be considered.
For Program information, please contact:
Teresa De Marco, MD
Director, Heart Failure and Pulmonary Hypertension Program
Medical Director, Heart Transplantation
505 Parnassus Avenue, M-1174, Box 0124
San Francisco, California 94143-0124
For more information, contact:
E-mail: [email protected]