Advanced Heart Failure and Transplant Cardiology is a highly specialized field. We accept fellows who have completed training in General Cardiovascular Medicine, and over a year, train them to become successful specialists in the field of advanced heart failure and cardiac transplant. The experience is all encompassing with a wide variety in terms of patients and particular issues, but at the end of the fellowship, we expect the fellow to be proficient in the evaluation, treatment and management of patients with advanced heart failure, mechanical circulatory support, and cardiac transplant.
The program is developed within the Cardiology Services of Froedtert Hospital (FH) and Children’s Hospital of Wisconsin (CHW). The objectives of this fellowship have been set at a high level with a rigorous agenda: to develop first-rate skills in the management of highly complex advanced heart failure and cardiac transplant patients, and to partake in a formal project of supervised cardiac research. Fellows will learn to deal effectively with patient selection mechanical circulatory support and cardiac transplantation as well as both pre-operative and post-operative management both in the outpatient and inpatient settings. Fellows are also required to critically appraise the current literature in heart failure, ventricular assist devices and cardiac transplantation and are expected to lead a journal club monthly on his/her selected topic facilitated by a staff member within the department.
The clinical experience for each fellow is dictated by the requirements set forth by the ACGME. The minimal specific numbers of procedures that will be performed are as dictated by the ACGME as well. Over the 12 month training period, each fellow will be involved in the following:
Inpatient and outpatient consultations at FH and CHW
Pre-, peri-, and post-op management of patients undergoing cardiac transplantation and ventricular assist devices
Management of patients with Class III-IV heart failure (in/outpatient)
Mechanical Circulatory Support Device Management
Right/Left heart catheterization and endomyocardial biopsies
General management of all forms of cardiomyopathy
Advanced Heart Failure and Transplant Cardiology Fellows are expected to do at least one month of research during their training. We have a very well established Cardiovascular Research Center where fellows will have the opportunity to work with basic and clinical scientists around campus.
To this end, at the beginning of training, the fellow will meet with Dr. Michael Widlansky and Dr. Claudius Mahr to discuss potential projects. Once a project is chosen, the fellow will be expected to work towards the goal of publication or presentation at a national conference. The fellow will also be given sufficient time over the course of his/her fellowship to do so. To facilitate meeting the goal of publication and/or presentation, the fellow will participate in monthly Department of Medicine fellow conferences which include lectures regarding construction and implementation of research protocols and seminars on biostatistics. The Medical College of Wisconsin also provides resources to assist with data collection and analysis.