Heart Failure/Transplant Fellowship
The heart failure fellowship is under the auspices of the University of Utah School of Medicine and the U.T.A.H. Cardiac Transplant Program.Our fellows rotate among three hospitals: University of Utah Health Science Center, George E. Wahlen Department ofVeterans Affairs Medical Center and Intermountain Medical Center.The three hospitals serve as major referral centers for advanced heart failure and transplantation for the state of Utah, states from the surrounding intermountain region and veterans fromaround the country. The program has been in continuous operation for almost 25 years and more than 1,000 patients have received heart transplants.
Our fellows gain experience in the medical management of advanced heart failure, heart transplantation, mechanical circulatory support and cardiogenic shock.Other specialty clinics include hypertrophic cardiomyopathy, pulmonary hypertension and cardiac amyloidosis.Fellows have protected time to gain experience in heart biopsies, invasive hemodynamics, device interrogation and interpretation.Upon completion of the program, the fellows meet all criteria necessary for United Network for Organ Sharing (UNOS) certification.Fellows are encouraged to participate in heart failure and transplant research. Based on such work, our fellows have co-authored over 50 manuscripts and 50 abstracts during the last ten years.
The AHF/TX fellowship at the University of Utah is accredited by the ACGME and fellows completing the AHF/TX year are eligible to take the AHF/TX board examination administered by the ABIM. The ACGME stipulates that the AHF/TX year follow three years of general cardiology fellowship.
We aim to provide the most comprehensively trained advanced heart failure physicians, to expose the fellows to a diverse patient population with varying disease processes, & to work collaboratively within several systems, both in the hospital setting, as well as working with all types of hospitals, VA, private practice, as well as academic.
The schedule is divided in 13 rotations. Fellows spend in average 4 rotations at the University of Utah, 4 at the Veterans Hospital, 4 in Intermountain Medical Center and 1 rotation for elective or research time. The Clinical rotations includes rounds in the intensive care service, primary heart failure service and consultations.
Fellows perform diagnostic procedures (right heart cath, exercise hemodynamics, endomyocardial biopsies, Cardiomems implantation, and diagnostics angiographies) under the direct supervision of a heart failure attending on Tuesdays or Thursdays mornings.
Fellows attend half-day a week of outpatient advanced heart failure clinic. Fellows provide continuous care for patients with advanced heart failure, heart transplantation or mechanical circulatory support.
Intracardiac Defibrillators and Cardiac Resynchronization Clinics
During the rotation at the Veterans Hospital, fellows attend half-day clinic to develop skills to interrogate implantable cardioverter-defibrillators, cardiac resynchronization pacemakers, and cardiac resynchronization-defibrillator devices in patients with cardiomyopathy and/or heart failure to determine the burden of arrhythmias, diagnostic information, and basic device functionality.
- Weekly Heart Transplantation Meeting. During these meetings the fellows present new patients for listing, summarize the heart transplant admissions and the annual evaluations of the last week.
- Weekly Advance Heart Failure Research Meeting. During these meetings new studies are submitted for discussion. Also inclusion criteria and enrolling logs are summarized from active studies.
- Weekly Mechanical Circulatory Support Meeting. During these meetings the fellows present new evaluations for mechanical circulatory support and summarize the mechanical circulatory support implantations and admissions from the previous week.
- Monday Fellows Case Conference. Once or twice a year, the HF fellow will present a 30 min conference on Monday mornings about and advanced heart failure topic related to a clinical case which required a clinical question to be answered. Fellows pick the case and the clinical questions under the mentorship of an advanced heart failure provider.
- Weekly Advanced Heart Failure Conference. Every Wednesday at noon there is heart failure topic covered by faculty members. Topics are selected based on requirements for Advanced Heart Failure Fellowship Accreditation and relevant to the Advanced Heart Failure Boards.
- Cardiology Grand Rounds. Every Friday at noon there is Cardiology Lecture by a guest speaker covering cutting edge topics from the cardiovascular field.
- Annual Utah Cardiac Recovery Symposium. Every January the U-CARs symposium brings thought leaders together to exchange ideas, debate paradigms, and share information directly focused on issues related to myocardial recovery and regeneration. Keynotes of past U-CARS events included “living legends” of cardiovascular medicine: Sir Magdi Yacoub, M.D., Imperial College London, UK; Karl Swedberg, M.D., Ph.D., Gothenburg, Sweden; Eugene Braunwald, M.D. of Harvard Medical School and Brigham and Women’s Hospital and Valentin Fuster, MD, PhD Physician-in-Chief, Mount Sinai Hospital.