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Senior Program Coordinator, Advanced Heart Failure and Transplant Cardiology Fellowship Program
Kristie A. Pino
Phone: 305-243-7067
Email: kxp656@med.miami.edu

Application Information

Eligibility:
We participate in the National Resident Matching Program. All of our categorical and advanced training class positions are filled through the NRMP. We do not offer out-of-match positions.

How to Apply:
Applications are accepted via the Electronic Residency Application System.

Deadline:
Applications are accepted from when ERAS opens until July. Interviews are conducted from August to October.

Call Schedule

The fellow will take call no more than one in three nights, and one in three weekends. The fellow can take call from home and is not required to be onsite. During call, the fellow will be responsible for coverage at Jackson Memorial Hospital and UHealth Tower.

Locations

Jackson Memorial Hospital

1611 N.W. 12th Avenue

Miami, FL 33136

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UHealth Tower

1400 N.W. 12th Avenue

Miami, FL 33136

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Program Requirements

Medical Licensing Examination:
All applicants must successfully complete (with passing scores) Steps 1, 2 and 3 of the United States Medical Licensing Examination or Comprehensive Osteopathic Medical Licensing Examination prior to acceptance into the program (application materials should be received between Sept. 1 and Dec. 15).

Postgraduate Training:
There is postgraduate training required in the form of a successfully completed ACGME-residency program in internal medicine and cardiovascular disease. Applicants must be a graduate of a Liaison Committee on Medical Education-accredited school if completed in the U.S. or Canada; American Osteopathic Association- accredited Osteopathic Medical School or certification from the Educational Commission for Foreign Medical Graduates.

Visas

The J1-Visa: Alien Physician Program, sponsored by the Educational Commission for Foreign Medical Graduates, is the standard visa for residents/fellows who are not U.S. citizens or permanent residents.

For specific program eligibility/qualifications or additional information, please contact:

Lourdes Boet
Hospital Services Supervisor
Physician Services Department

Jackson Health System
1611 N.W. 12th Ave. Suite ET-1004
Miami, FL 33136-1096
Phone: 305-355-1122
Fax: 305-355-1123
Email: LBoet@jhsmiami.org

Advanced Heart Failure and Transplant Cardiology Fellowship

Mission & Vision

To become competent in the evaluation and treatment of advanced heart failure patients.

Mission & Vision

To become competent in the evaluation and treatment of advanced heart failure patients.

Program Director’s Welcome

The University of Miami/Jackson Health System Advanced Heart Failure and Transplant Cardiology Fellowship Program is the only program of its kind in South Florida, meaning our fellows have access to hospitals and facilities that serve as major referral centers for advanced heart failure and transplantation for the entire state of Florida.

The program, which has been in continuous operation for more than 20 years, has produced clinical outcomes which have consistently placed it among the top tier of centers nationally. Primarily located at Jackson Memorial Hospital, the program is directly affiliated as a subspecialty fellowship under the Cardiovascular Disease Fellowship Program.

Fellows gain experience in medical management of advanced heart failure, evaluation of heart transplantation candidates, and pre-, peri- and post-transplant care. The fellow also gains experience from ventricular assist devices, both approved and investigational, which are implanted for both bridging to other forms of therapy and for destination therapy.

At the end of the program, fellows will qualify to serve as a medical director of a United Network for Organ Sharing-certified heart transplant program and be eligible for certification in the subspecialty, Advanced Heart Failure and Transplant Cardiology, by the American Board of Internal Medicine.

-Joseph E. Bauerlein, MD, FACC

Program Director’s Welcome

The University of Miami/Jackson Health System Advanced Heart Failure and Transplant Cardiology Fellowship Program is the only program of its kind in South Florida, meaning our fellows have access to hospitals and facilities that serve as major referral centers for advanced heart failure and transplantation for the entire state of Florida.

The program, which has been in continuous operation for more than 20 years, has produced clinical outcomes which have consistently placed it among the top tier of centers nationally. Primarily located at Jackson Memorial Hospital, the program is directly affiliated as a subspecialty fellowship under the Cardiovascular Disease Fellowship Program.

Fellows gain experience in medical management of advanced heart failure, evaluation of heart transplantation candidates, and pre-, peri- and post-transplant care. The fellow also gains experience from ventricular assist devices, both approved and investigational, which are implanted for both bridging to other forms of therapy and for destination therapy.

At the end of the program, fellows will qualify to serve as a medical director of a United Network for Organ Sharing-certified heart transplant program and be eligible for certification in the subspecialty, Advanced Heart Failure and Transplant Cardiology, by the American Board of Internal Medicine.

-Joseph E. Bauerlein, MD, FACC

Fast Facts

Accreditation

Accreditation Council for Graduate Medical Education

Number of Fellows per Year?

2

Duration of Fellowship?

1 year

Program Highlights

Only program of its kind in South Florida

Program in continuous operation for 20+ years

Approximately 25 heart transplantations annually

Clinical Experience

Year 1

The fellowship consists of basic curriculum (heart failure curriculum), as well as heart transplantation curriculum.

Heart Failure Outpatient Management Objectives

Diagnosis, Assessment and Prognosis

  • Identify patients with advanced disease
  • Interpret the results of laboratory testing; cardiac CT/MR and endomyocardial biopsies; cardiopulmonary stress testing; echocardiography; heart catheterizations; hemodynamics; nuclear stress-testing and risk stratify patients with HF
  • Obtain complete medical histories, including review of patient medical records, and perform accurate examinations with an emphasis on cardiac findings

Management of HF

  • Awareness of treatment options for the management of specific cardiomyopathies, including cardiac amyloidosis, Fabry disease, sarcoidosis, etc.
  • Institute an effective plan for the diagnostic evaluation of patients with new onset HF
  • Understand the concepts of disease management and healthcare delivery
  • Understand the indications for device therapy including implantable cardiac defibrillators and biventricular pacing devices
  • Understand the indications for heart transplant consideration
  • Understand the multiple pharmacologic treatment options now available, and recognize the appropriate indications for each therapy
  • Understand the role of non-pharmacologic interventions including diet and education
  • Understand the treatment options for the management of arrhythmias in HF

Heart Failure Inpatient Management Objectives

Diagnosis, Assessment and Prognosis

  • Interpret the results of laboratory testing; cardiac CT/MR and endomyocardial biopsies; cardiopulmonary stress testing; heart catheterizations; hemodynamics; echocardiography and nuclear stress-testing
  • Obtain complete medical histories, including review of patient medical records, and perform accurate examinations with an emphasis on cardiac findings
  • Risk stratify patients with HF and identify patients with advanced disease

Management of Decompensated Patients

  • Contribute to discharge planning, longitudinal care and prevention of readmission
  • Manage volume overload using standard therapies including diuretics, and the role of ultrafiltration and hemodialysis in appropriate patients
  • Recognize the need for mechanical circulatory support in patients with advanced or refractory disease
  • Recognize the role of hemodynamic monitoring including pulmonary arterial catheters
  • Understand the role of inotropes, vasopressors and vasodilators
  • Understand the various options now available, including percutaneous support devices, temporary and permanent implantable assist devices

End-Stage Heart Failure/Palliative Care

  • Understand the role of palliative care in end-stage HF, and participate in discussions on end-of-life issues with patients, family members and other providers

Heart Transplantation

The Heart Transplantation Curriculum makes sure that fellows are aware of the scope, trends and outcomes of heart transplantation in the U.S. and understand the role of the United Network for Organ Sharing and local organ procurement organizations.

Immunosuppression

  • Understand strategies for induction therapy; drugs used for chronic immunosuppression and their side effects and therapies used for treatment of acute rejection

Indications for Intropes, Hemodynamic Monitoring and Mechanical Support

  • Understand the indications for using inotropes and vasodilators, the place of hemodynamic monitoring using pulmonary arterial catheters and the indications for short and long-term mechanical circulatory support

Indications for Transplantation

  • Understand transplant listing criteria and the prioritization of recipients for donor offers

Long-Term Post-Transplant Care

  • Chronic kidney disease – Role of calcineurin inhibitors, induction therapy in preserving renal function
  • Complications – Familiarity with early and late complications of transplantation
  • Infections – Early vs. late infection, opportunistic infections and activation of latent infections, prophylaxis
  • Malignancy – Leading cause of late death equaling vasculopathy, post-transplant lymphoproliferative disorders and skin cancers, role of viral factors (EBV, etc.)
  • Transplant vasculopathy – Late graft failure, immune and non-immune causes/factors, histopathological and clinical difference compared to atherosclerosis, treatment

Rejection

  • Awareness of typical clinical and pathological findings, the classification system for grading rejection and appropriate treatment strategies for each grade of rejection
  • Understand and differentiate the pathophysiology of acute antibody mediated and cellular rejection as well as chronic rejection
  • Familiarity with surveillance strategies, including endomyocardial biopsies; drug level monitoring; gene expression profiling and genomic markers of rejection, echocardiography and cardiac MR; immune function assays and antibody monitoring

Selection of Patients

  • Evaluation of the transplant recipient and selection criteria
  • Understand the pre-transplant work-up process; psychological and social considerations; exclusion criteria; listing procedure and status; individual issues; HLA sensitization and techniques for desensitization; the place of retransplantation; use of inotropes and assisted circulation as a bridge to transplant

Surgical Aspect of Heart Transplantation and Early Post-Operative Care

  • Awareness of early and medium-term complications of heart transplantation
  • Familiarity with donor and recipient surgical procedures including organ preservation and biatrial technique vs. bicaval
  • Understand the management of donor candidates; evaluation of donor offers and the procurement of organs (‘donor runs’)

Your Faculty

Professors

Simon C. Chakko, MD
Chief of Cardiology, Bruce W. Carter Department of Veterans Affairs Medical Center

Mauricio G. Cohen, MD
Director, UHealth Tower Cardiac Catheterization Laboratory

Eduardo J. De Marchena, MD
Director, Interventional Cardiology Fellowship Program

Chunming Dong, MD

Jeffrey Goldberger, MD
Chief, Cardiovascular Division

Joshua M. Hare, MD
Director, Interdisciplinary Stem Cell Institute
Louis Lemberg Professor of Medicine

Maureen H. Lowery, MD
Clerkship Director, Internal Medicine, University of Miami Leonard M. Miller School of Medicine
Course Director, Cardiovascular Module, University of Miami Leonard M. Miller School of Medicine
Medical Director, Non-invasive Diagnostic Laboratory, Sylvester Comprehensive Cancer Center

Raul Mitrani, MD
Director, Clinical Cardiac Electrophysiology Fellowship Program

Robert J. Myerburg, MD
Assistant Director, Cardiovascular Disease Fellowship Program

Rafael F. Sequeira, MD
Director, Coronary Care Unit

Associate Professors

Carlos E. Alfonso, MD
Director, Cardiovascular Disease Fellowship Program

Joseph E. Bauerlein, MD
Director, Advanced Heart Failure and Transplant Cardiology Fellowship Program
Medical Director, Cardiac Transplant Program
Site Supervisor, Advanced Heart Failure and Transplant Cardiology Fellowship Program

Martin S. Bilsker, MD
Director, Jackson Memorial Hospital Echo/Doppler Laboratory

Claudia A. Martinez Bermudez, MD  

Carl E. Orringer, MD
Director, Preventive Cardiology and Advanced Lipid Management

Alan H. Schob, MD
Site Supervisor, Interventional Program, Bruce W. Carter Department of Veterans Affairs Medical Center

David M. Seo, MD
Director, Genomic Medicine Registry
Medical Director, Clinical Informatics

Lina Shehadeh, PhD

Assistant Professors

Sharon N. Andrade-Bucknor, MD
Director, UHealth Tower Cardiac Prevention and Rehabilitation Program
Medical Director, Exercise Lab

Antonio Barquet-Leon, MD

Michael D. Dyal, MD
Voluntary Faculty

Litsa K. Lambrakos, MD

George R. Marzouka, MD
Director, Echocardiography

Nina Thakkar Rivera, DO

Alex H. Velasquez, MD
Kian Qin, PhD

Robert B. Stang, MD
Chief, Coronary Care Unit, Bruce W. Carter Department of Veterans Affairs

Affiliated Jackson Medical Group Faculty Members:

Joao F. Braghiroli, MD
Interventional Cardiologist/Structural Heart Disease

Ivan A. Buitrago, MD
Associate Medical Director

Rosario Colombo, MD
Associate Medical Director, Cardiovascular Disease, Non-invasive Cardiology

Hany Elmahdy, MD
Associate Medical Director, Jackson Medical Group

Alexandre Ferreira,
Program Director, Interventional Cardiology Fellowship Program
Voluntary Faculty, Associate Professor, Medicine, University of Miami

Cesar Mendoza, MD
Medical Director, Interventional Cardiology, Jackson Medical Group

Ivan Mendoza, MD
Associate Medical Director, Cardiac Electrophysiology, Jackson Medical Group

Khalid Minhas, MD
Associate Medical Director, Jackson Medical Group

Bashar Obeidou
Associate Medical Director, Jackson Medical Group

Rhea Sancassani, MD
Medical Director, Cardiology Ambulatory Clinic, Jackson Health System

Assaf Tzur, MD
Medical Director, Cardiac Electrophysiology, Jackson Health System

Anila Veerani, MD
Medical Director, Cardiac Rehab, Jackson Health System
Medical Director, Heart Station, Jackson Health System

Juan Zambrano, MD
Medical Director, Interventional Cardiology, Jackson Health System

Alumni Placements Include:

ChenMed
Georgetown University School of Medicine
Houston Methodist Hospital
MedStar Washington Hospital Center
Sentara Norfolk General Hospital
Sri Jayadeva Institute of Cardiovascular Sciences and Research

Alumni Placements Include:

ChenMed
Georgetown University School of Medicine
Houston Methodist Hospital
MedStar Washington Hospital Center
Sentara Norfolk General Hospital
Sri Jayadeva Institute of Cardiovascular Sciences and Research