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The Heart Failure and Transplant Fellowship provides inpatient and outpatient training in evaluating and treating patients with advanced heart disease, and follow-up of patients after cardiac transplant. This is a one year ACGME Accredited Fellowship Program.
Stephanie Moore, MD
Our primary training facility is the Massachusetts General Hospital, a teaching hospital affiliated with the Harvard Medical School. The Mass General Hospital Heart Failure and Transplant Service was founded in 1985 and serves as a national and international resource for patients with advanced heart disease.The Mass General Hospital Heart Failure and Transplant Fellowship Program was established in 1988 with the goal of training future leaders of academic cardiology in the increasingly demanding need of cardiologists in this specialty.
Marc J. Semigran, MDMedical Director of the Mass General Hospital Heart Failure and Cardiac Transplant Program. Dr. Semigran's major research interest is in the role of right ventricular function in the pathophysiology of heart failure, and in cardiac and vascular NO/cGMP signal transduction.
William Dean Carlson, MD, PhDDr. Carlson’s research has focused on the design and development of drugs for the treatment of heart failure. He has used the three dimensional structure of proteins to design and develop carvedilol, renin inhibitors and growth factor mimetics.
Chris Newton-Cheh, MD, MPHDr. Newton-Cheh's research seeks to identify genetic contributors to complex cardiovascular diseases including sudden cardiac death, hypertension and heart failure.
Stephanie Moore, MDDr. Moore's major interest is in determining the role of mechanical circulatory support in the treatment of advanced heart disease.
Jordan Shin, MDDr. Shin's major research interest is in using murine and zebrafish models of vascular development to identify changes in signaling pathways that are relevant to human disease.
Requirements of the Heart Failure and Cardiac Transplant Fellowship include:
It is anticipated that the fellow will acquire expert knowledge in the following areas:
A core curriculum has been developed and is updated yearly. This reviews key articles in the area of cardiomyopathy, heart failure diagnosis and management, and transplantation medicine. In addition, several textbooks are utilized for didactic instruction. These include Heart Failure (editors Poole, Wilson, Colucci, Massie, ChatterJee, and Coats), Thoracic Transplantation (editors Shumway and Shumway), Transplantation (editors Cosimi, Ginns, and Morris), and Congestive Heart Failure (editors Hosenpud and Greenberg).
Dr. Semigran, director of the program, reviews each fellow's performance on a quarterly basis. Feedback will provided to them regarding their strengths and areas in need of improvement. Written evaluations are given to the fellow with a copy stored on file in the Transplant Director's office. Career counseling for the fellow is available from the entire faculty of the program, and research mentoring is also provided by the faculty based on the fellow's particular skills and interests.
The fellow is asked to provide the director with a written evaluation of the fellowship at the conclusion of the year, including comments on the faculty, the structure, and organization of the fellowship, and the degree to which the objectives of the fellowship have been met.
Fellows will spend the majority of their effort on the inpatient Heart Failure Service, where have responsibility for diagnostic and treatment planning for patients with advanced heart disease, and for the care of patients after cardiac transplant or mechanical circulatory support surgery. They will be expected to be thoughtful and independent in their approach to patient care, working closely with the supervision of the attending physician.
Outpatient evaluation of patients with advanced heart disease will occur in the Heart Failure Center. This will include the initial evaluation and design of a treatment plan for patients with advanced heart disease, as well as the follow-up care of patients that have received cardiac transplants. Experience in the outpatient management of patients receiving mechanical circulatory assistance is also included. The fellow is expected to round on the service's patients on ten weekends over the year. No coverage of private patients is expected of the fellow.
Fellows will receive training in the performance and interpretation of right and left ventricular endomyocardial biopsy.
Fellows are closely supervised in their clinical work by the faculty. Inpatients being followed by the fellow are reviewed with the faculty at least twice a day, with at least one of these rounds occurring at the bedside. All outpatient visits in which the fellow participates are supervised, in person, by a faculty member.
The fellow is also responsible for the weekly Heart Transplant/Heart failure Research Conference. This conference includes: a journal club discussion of the recent literature by the fellow, presentation of research by the fellow, presentations by the Mass General Hospital faculty of their ongoing research projects, and presentation by extramural speakers concerning basic and clinical research in heart failure.
Attendance at Cardiac Grand Rounds, Heart Failure/Transplant Research Conference, and other didactic conferences of the Division (morning report, catheterization report, etc.) are required. Attendance at the monthly meetings of the New England Consortium for Heart Transplantation is also required of the fellow.
A research mentor is assigned to each fellow. This individual will review their progress and academic development in the field. In particular emphasis will be placed on the development of abstracts and original publications based on ongoing projects within the section.
Fellows are encouraged to participate in the ongoing clinical research projects or basic science projects under the direction of the faculty of the section. They are encouraged to utilize this preliminary data for the writing of a grant proposal, and several fellows have been successful in obtaining support from national organizations such as the ACC or AHA and the NIH for their proposals.
The fellow is responsible for journal club presentations at the Friday Heart Failure Conference. They are also expected to educate the medical and surgical house staff participating in the care of the patients on the service as to the appropriate diagnostic tests and treatments of heart failure patients.
All of our positions starting July 2014 and July 2015 have been filled.
Applicants interested in a position starting July 2016 should submit the following documents by email to Lisa DeFabritiis between November 1, 2014 and March 1, 2015:
**Please note that a prior Cardiology Fellowship is a pre-requisite of the program.
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