Education & Training

Nationally Accredited Heart Failure Fellowship

The Advanced Heart Failure Fellowship is a structured program, tailored to comply with all Accreditation Council for Graduate Medical Education (ACGME) specifications, but one that offers many more enriching and strategic career opportunities. As a fellow in our program, you will rotate in our state-of-the-art heart failure intensive care unit, which consists of a dedicated 10-bed unit where you will manage a variety of heart failure patients, from acute decompensated heart failure receiving swan-tailored therapy to cardiogenic shock requiring mechanical circulatory support. You will work as the leader of a multidisciplinary team consisting of mid-level providers and rotating residents.

You will become an expert in the selection, peri-operative management and long-term follow-up of patients supported on various devices such as intra-aortic balloon pumps, percutaneous ventricular assist devices, extracorporeal membrane oxygenation devices, and durable left ventricular assist devices.

Expert Heart Transplant Training

Similarly, you will be thoroughly trained in the selection of cardiac transplant candidates, pre-and-post operative management and long-term follow-up. You will be taught transplant-related immunology, immunotherapy, prevention and management of opportunistic infections, management of acute cellular and antibody-mediated rejection and long-term complications of transplant, such as cardiac allograft vasculopathy and malignancies.

Curriculum Includes Advanced Heart Failure Training

We have a comprehensive curriculum of advanced heart failure lectures that are given by institutional and invited expert faculty.

As a heart failure fellow, you will be expected to participate actively in our weekly Advanced Heart Failure and Transplant Committee, where all candidates for advanced therapies are presented and discussed. You will manage your own longitudinal heart failure clinic, under one-to-one supervision by one or more faculty members. You will also perform inpatient rounds, as the leader of a multidisciplinary team that includes interns, residents, mid-level practitioners, pharmacists and nurses. The heart failure fellow in the accredited track will perform right heart catheterizations, endomyocardial biopsies and left heart catheterizations.

Clinical and Research Opportunities

We are also pleased to offer numerous electives and research opportunities as part of our fellowship program. Highlights include clinical and research opportunities in the following programs:

  • Congenital Heart Disease
  • Dyspnea Center
  • Onco-Cardiology Program
  • Pulmonary Hypertension
  • Structural Heart Disease Programs

Case Western Reserve University and University Hospitals are counted among the premier research institutions in the Midwest. Research opportunities are available in basic, translational sciences and clinical sciences. We are members of INTERMACS, UNOS and the Heart Failure Network, which provides our fellows and faculty access to large databases that can be easily mined and provide answers to very important clinical questions in our field. As part of the Heart Failure Network, we participate in National Institutes of Health (NIH)-funded trials in heart failure and are also able to submit ideas for new trials and sub-studies. In addition, our faculty have a number of investigator-initiated studies, either NIH- or industry-sponsored.