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Clinical Training

There will be 12 months of clinical rotations, 8 of these on the Heart Failure Transplant Service. In addition there are 1 month rotations on Lung Transplant, Transplant ICU (abdominal transplant), Transplant Infectious Disease and HLA Laboratory. The fellow must be available for any new heart transplant or VAD implant for periop period and subsequent 72 hours regardless of service obligation.

A typical week's schedule on the primary heart transplant service would include the following:


8-11 Hospital rounds
11-12 Outpatient CHF/Transplant
1-5 Outpatient CHF/Transplant


7-8 Cardiology Conference
8-10 Biopsies/RH Caths
10-12 Hospital rounds
1-5 Outpatient CHF/Transplant


8-11 Hospital Rounds
11-12 Outpatient CHF/Transplant
12-1 Transplant journal club
1-5 Pulmonary hypertension clinic

7-8 Cardiology Conference
8-10 Annual L, R heart caths
10-12 Hospital rounds
1-3:30 Outpatient CHF/Transplant
3:30-4 Pathology conference
4-5:30 Transplant selection committee

8-11 Hospital rounds
11-12 Outpatient CHF/Transplant
1-5 Outpatient CHF/Transplant


While on this rotation, the Fellow is expected to attend required educational conferences provided by the Cardiovascular Division, including weekly Cardiac Catheterization Conference, Echocardiography Laboratory Conference and Cardiovascular Grand Rounds. In addition, there is a Heart Failure Journal Club, which is held the first Tuesday of the month for all Staff and Fellows in the subspecialty field of Heart Failure Cardiology.

Didactic Training
Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are integral parts of this fellowship. There is a full core curriculum which designates the expectation for the Fellow in terms of didactic learning.

Research Training
Although this fellowship is primarily a clinical fellowship, the individual is expected to complete one clinical project during this fellowship year. A research mentor will be assigned at the outset of the year.

Call Frequency
The residency call rotation is different for each rotation. Mayo Clinic College of Medicine follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Teaching Opportunities
Opportunities are available for teaching rotating residents and medical students.

To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your program training. You will be evaluated formally by your supervising faculty member after each clinical rotation and will meet with the program director to review these evaluations. In addition, you will regularly evaluate the faculty to ensure that your educational needs are being met. The heart failure/transplantation Fellow is evaluated on a quarterly basis with review of written evaluations from all key clinical faculty who have had contact with the heart failure Fellow during the previous quarter. In addition, the fellow meets with the Heart Failure/Transplantation Program Director on a biannual basis.Evaluations are accomplished through an electronic process (Integrated Scheduling and Evaluation System – ISES) available 24/7 from any Mayo Clinic workstation or via remote access. ISES is linked to the Six Core Competencies identified by the Accreditation Council for Graduate Medical Education (Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Practice Based Learning and Improvement, and Systems-Based Practice. Completed faculty evaluations are reviewed by the Program Director who assigns a pass/fail grade based on the scores and comments by the faculty members. Upon approval of the evaluation by the Program Director, the evaluation immediately becomes available electronically to the fellow in the ISES system. The fellow will also have an opportunity to complete an evaluation of faculty following each rotation, as well as evaluating the program on an annual basis.

  • ART758395