Overview

Heart Failure/Transplant Fellowship

Program Director: Dr. Edward M. Gilbert

Associate Program Director: Dr. Line Kemeyou

Associate Program Director: Dr. Rami Alharethi

Highlights of Training at the University of Utah for Heart Failure & Transplant Cardiology Fellowship:

The University of Utah welcomes applicants interested in training at our program with a rich history of advancing the fields of heart failure (HF), mechanical circulatory support (MCS), and transplant cardiology. During training, advanced heart failure (AHF) fellows here will gain a truly unique experience by training in 3 distinct environments. Our AHF Fellows rotate between the University of Utah Health Science Center, George E. Wahlen Department of Veterans 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 from around the country. The program has been in continuous operation for almost 25 years and more than 1,000 patients have received heart transplants. In 2019, the combined program performed 27 heart transplants, 22 LVAD implantations, and 101 temporary mechanical circulatory support device placements.

With respect to clinical experience, AHF fellows will function as cardiologists who are obtaining subspecialty expertise training within HF, MCS and transplantation. Fellows will provide consultant care for inpatients with cardiogenic shock, those awaiting transplantation with and without MCS, and patients immediately after and post-transplantation. Importantly, AHF fellows will not be expected to take call from home and will not be asked to come in after hours. Fellows will have access to multiple fellow didactic conferences per week and actively participate in two weekly meetings regarding transplant listing of our HF patients. Once per year, the University of Utah hosts its Utah Cardiac Recovery Symposium (U-CARS) which brings thought leaders together to exchange ideas, debate paradigms, and share information directly focused on issues related to myocardial recovery and regeneration. AHF fellows will be able to attend this meeting, which also hosts renowned international faculty.

From a procedural standpoint, fellows will gain sufficient exposure in heart catheterization and endomyocardial biopsy to obtain Level III training. AHF fellows will have meaningful exposure to heart procurement and heart transplantation working with our cardiothoracic surgeons. Lastly, within the outpatient experience, fellows will gain expertise level of exposure and training on the management of unique cardiomyopathies including cardiac amyloidosis, hypertrophic cardiomyopathy, and cardiac sarcoidosis.

The faculty you will train with have a breadth of experience and bring knowledge and insight from many of the top cardiovascular institutions around this country. Many are considered international experts within the fields of transplantation, heart failure, and MCS. The network and academic opportunities afforded by training here are truly unique: research opportunities and scholarly projects are available during the one year of training in our AHF fellowship and previous fellows have presented their work at scientific meetings including the ISHLT and HFSA Scientific Sessions.

After training at the University of Utah, our AHF fellows have gone on to diverse and fulfilling practices. These include both academic and non-academic career opportunities. A full list of graduate destinations are provided:

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Life in Salt Lake City will provide a safe home with true exposure to beautiful mountain views, affordable housing, significant outdoor recreation, and some of the best skiing in the country! We appreciate your interest in our training program.


Program Curriculum:

  • Rotations
    • Fellows will have 13 rotations divided up at each of our institutions, University of Utah Hospital, Veterans Hospital and Intermountain Medical Center.
    • Each institution will include rounding in the intensive care service, primary heart failure service and consultations.
  • Procedures
    • Under the direct supervision of a HF Attending at UofU, fellows perform diagnostic procedures such as:
      • Right Heart Cath
      • Exercise Hemodynamics
      • Endomyocardial Biopsies
      • Cardiomems Implantation
      • Diagnostics Angiographies
  • Clinics
    • Fellows will attend at least one half-day outpatient advanced Heart Failure Clinic a week to provide continuous care for patients with:
      • Advanced Heart Failure
      • Heart Transplantation
      • Mechanical Circulatory Support
    • Fellows will also attend one half-day intracardiac defibrillators and cardiac resynchronization clinic a week when at the VA to develop skills to interrogate different kinds of devices in patients with cardiomyopathy and/or heart failure to determine the burden of arrhythmias, diagnostic information, and basic device functionality,
  • Meetings
    • Tuesdays at 7AM – Heart Transplantation Meeting (HF Fellow will actively participate in discussions)
    • Tuesdays at 12PM - Mechanical Circulatory Support Meeting (HF Fellow will actively participate in discussions)
  • Conferences
    • Mondays at 7AM – Fellows Case Conference (HF Fellow will present at once in the year)
    • Wednesdays at 12pm – Heart Failure Conference
    • Fridays at 12pm – Cardiology Grand Rounds (HF Fellow will present at once in the year)

Faculty

Application Process

Program Resources