This one-year program provides training in structural heart disease procedures for fellows with a completed cardiac catheterization and coronary interventional fellowship.
Requirements of the Structural Heart Disease Fellowship Program include:
- A minimum of 12 months experience in cardiac catherization, angiography and coronary interventions
- Completion and passing of all three USMLE steps
- ABIM board certified or board eligible
- The accepted applicant must obtain a full Massachusetts license (limited license if on visa)
- A valid ECFMG certificate for all foreign medical graduates
- Only J1 visas accepted
- For all sub-specialty programs in cardiology, completion of previous cardiology fellowship training is required
The patient population in the Cardiac Catheterization Laboratory allows the fellow to gain knowledge of multiple manifestations of structural heart disease. Fellows rotate through the catheterization laboratory for one year. The objective is to make all fellows’ educational experiences more uniform from month to month. The first time a fellow rotates through the catheterization laboratory, many of the concepts of pathophysiology and management will be new. It is our hope that with repetition of a core didactic session, in addition to clinical experience obtained from prior rotations, the fellow will learn new layers of complexity each time. It is expected that the case mix will vary from month to month, allowing for teaching opportunities outside of those outlined below.
Central to the teaching mission is the use of the resident’s physical diagnostic skills in concert with the array of invasive and non-invasive, diagnostic and therapeutic modalities available. Fellows should become facile with reading electrocardiograms, chest radiographs, hemodynamic tracings and coronary angiograms, vascular angiography and the recognition of basic echocardiographic anatomy.
- Physical examination skills, particularly identification of murmurs, gallops (especially S3), pericardial rub and examination of jugular venous pressure
- Obtaining central venous access
- Identification and interpretation of data from invasive hemodynamic monitoring devices, specifically right and left-sided cardiac filling pressures, pulmonary arterial tracings and systemic arterial tracings
- Cardiac output and index measurements (including indicator methods such as green dye, thermodiluton) and systemic vascular resistance
- Use of mixed venous and/or comparative saturations for diagnostic purposes
- Therapy for acute ST-elevation myocardial infarction
- Therapy for unstable angina and other acute coronary syndromes
- Acute MI risk stratification and indicators of prognosis
- Complications of MI including cardiogenic shock, ventricular rupture, ventricular septal rupture, ventricular tachycardia, heart block and congestive heart failure
- Therapy for cardiogenic shock
- Congestive heart failure: etiologies and relation to intensive therapy, “dobutamine holiday” and cardiac transplant evaluation
- Critical valvular disease: aortic stenosis, mitral stenosis, etc.
- Thoracic aortic aneurysm and dissection: imaging and therapy
- Peripheral vascular disease: imaging non invasive and invasive, and therapy
- Congenital heart disease: diagnosis, non-invasive and invasive, evaluation and imaging, and treatment
- Intra-aortic balloon counterpulsation: basic concepts, indications/contraindications and role in various clinical settings
- Ventilator management in cardiac patients
- Percutaneous pulmonary valve replacement
Next available positions will begin July 1, 2019. To apply, please submit the following documents to Lisa DeFabritiis beginning June 2018:
- Personal statement
- Three letters of recommendation
- USMLE transcripts
- Valid ECFMG certificate (if foreign medical graduate)
**Please note that a prior Cardiology Fellowship and Interventional training is a pre-requisite of the program.
Call for more information: 617-643-3238