There will be 12 months of clinical training, of which 25% will be spent in the ambulatory practice, to include experience in outpatient and inpatient heart failure, cardiac transplantation, including pre-transplantation evaluation, acute post-operative care and chronic maintenance care, mechanical circulatory device therapy including pre-implantation evaluation, acute post-operative care and chronic maintenance care, end-of-life care and advanced echocardiography. Experience will be garnered in the interpretation of oxygen uptake treadmill results and sleep studies, right and left heart hemodynamics, evaluation and treatment of Pulmonary Hypertension and performance and interpretation of endomyocardial biopsy. There will be exposure to a wide variety of conditions leading to heart failure including ischemic heart diseases, idiopathic dilated cardiomyopathy, hypertrophic cardiomyopathy, congenital heart disease, valvular heart disease and pulmonary hypertension. The addition of the additional focused cardiac transplantation training will allow this fellowship to meet requirements for UNOS certification as a Transplant Cardiologist.
It is the expectation that the Fellow will function at the level of a senior cardiovascular fellow.
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 an Advanced Heart Failure and Transplant Cardiology Journal Club, which is held the first Tuesday of the month for all Staff and Fellows in the subspecialty field of Heart Failure Cardiology and Transplant Cardiology.
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 provided which designates the expectation for the Fellow in terms of didactic learning.
Although this fellowship is primarily a clinical fellowship, the individual is expected to perform clinical research in the area of Heart Failure under the direction of supervising Heart Failure and Cardiac Transplant faculty. Dedicated blocked time is allocated through the year to allow for appropriate research training.
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) regarding duty hour expectations.
Opportunities are available for teaching rotating residents and medical students.
The Advanced Heart Failure and Transplant Cardiology Fellow is evaluated on a quarterly basis with review of written evaluations from the entire key clinical faculty who have had contact with the heart failure Fellow during the previous quarter. In addition, the fellow meets with the Cardiovascular Disease Training Program director on a biannual basis. This is 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. Fellows also have an opportunity to complete an evaluation of faculty following each rotation, as well as evaluating the program on an annual basis.