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Fellowship in Advanced Heart Failure and Transplant Cardiology at North Shore University Hospital & Long Island Jewish Medical Center (NS/LIJ)

The Advanced Heart Failure program of Northwell Health is a multidisciplinary team including heart failure cardiologists and surgeons, nurse practitioners and registered nurses, as well as pharmacy, behavioral health, social work, and nutritional services. We offer the full spectrum of care to the advanced heart failure patient including cardiopulmonary exercise testing, CardioMems™ implantation and monitoring, an active clinical trials program, as well as LVAD and transplant. NSUH is the only hospital to offer heart transplantation on Long Island and also has the fastest growing LVAD program in the region. NSUH also has an ACGME advanced heart failure fellowship for one qualified candidate per year available through the National Residency Matching Program.

Clinical experience

The AHFTC fellow will spend 40 weeks (10 blocks) on the inpatient advanced heart failure consultation service either at North Shore University Hospital (site 1) or Long Island Jewish Hospital (site 2), which are teaching sites of the Zucker School of Medicine at Hofstra/Northwell.  Both sites offer diverse socio-economic and multicultural patient populations of sufficient size to support achieving the expected competencies. Responsibilities will include participation in supervised patient care in all hospital areas, including the intensive care unit, to act as a first-line consultant with appropriate and timely backup of the cardiomyopathy attending physician. The fellow will issue informed recommendations and implement patient plans of care. He/she will also have supervisory and educational responsibilities for a rotating general cardiovascular fellow, internal medicine residents, and/or medical students.

The remaining 12 weeks (3 blocks) are used for 8 weeks of elective and 4 weeks of vacation. Elective time should be used to focus on particular areas of interest. Suggested electives include adult congenital heart disease, critical care, cardiac surgery, palliative care, advanced cardiac imaging, and pulmonary hypertension (with Pulmonary Medicine), but the fellow may propose an alternative elective experience. Vacation time must be taken during these 3 blocks and not during an inpatient rotation.

Throughout the year, with the exception of vacation time, the fellow will have an outpatient advanced heart failure continuity clinic supervised by an AHFTC faculty member. This clinic will be a half-day session every week. The fellow will also alternate weekly in the post-VAD or pre-VAD/pre-transplant evaluation clinic a half-day every week. Collectively, this will count for 20% of the fellow’s clinical time.

Education

The educational goals and objectives of the AHFTC fellowship focus on understanding the pathophysiology of heart failure and pulmonary hypertension, the management of patients with acute and chronic heart failure and pulmonary hypertension, acquiring a working knowledge of all phases of cardiac transplant evaluation and post-transplant management, and the use of temporary and durable mechanical circulatory support, including extracorporeal membrane oxygenation (ECMO), in the treatment of patients with advanced heart failure.

Research and scholarly activity

The AHFTC fellow will be expected to engage in scholarly activities and carry out a research project during the fellowship year. He/she will identify one of the faculty members as a research mentor by the beginning of the training year. The program will strive to augment the fellow’s abilities to perform clinical, translational, or basic research, depending upon his/her interests and background. There is an active clinical research program staffed by full time research personnel. On-going studies include both sponsored and investigator initiated trials. The fellow will be required to become familiar with all active protocols to be able to assist in the recruitment of patients from outpatient and inpatient areas. Through regular interaction with the dedicated research staff and the Principal Investigators, the fellow will become familiar with the basic principles of the clinical trial process and the regulatory bodies involved. By the end of the fellowship year the fellow will be expected to have had sufficient exposure to be able to serve as a responsible co-investigator for a sponsored clinical trial.

Application

Applicants interested in the Hofstra-Northwell Advanced Heart Failure and Transplant Cardiology Fellowship program should apply through the standardized Electronic Residency Application Service (ERAS®) starting July 1st. Positions are offered through the National Residency Matching Program (NRMP) Specialties Matching Service® (SMS®).

No applications are reviewed after September 15th.

Essential application information includes:

  • Common application form
  • Curriculum vitae
  • USMLE transcripts (3 steps)
  • A personal statement
  • Cardiovascular Fellowship Program Director’s letter of recommendation
  • Two (2) letters of recommendation
  • ECFMG Status Report, if applicable
  • Wallet-sized color photograph

Interested candidates must have successfully completed a three-year cardiovascular disease fellowship program and be board certified in Internal Medicine to apply.