The principal method for teaching advanced heart failure/transplant cardiology utilizes a “one-on-one” interaction between the trainee and the individual faculty attending. The attending faculty serves as a role model for the trainee demonstrating the procedural and analytic skills (Medical Knowledge) required during patient evaluation and management, the Interpersonal Skills needed to interact with the patient, families and referring physicians, along with the Professionalism expected of a clinical CHF/Tx fellow providing excellent Patient Care.
The procedural and analytic skills (Medical Knowledge) required to evaluate and to treat advanced heart failure, transplant, and pulmonary hypertension patients will be developed with direct interaction and discussion between the clinical fellow and the attending faculty during patient assessment in the inpatient and outpatient setting. As the trainee’s skill and knowledge increases, they will assume an ever increasing role in performing the analysis and procedures (under the direct supervision of the attending physician) ultimately becoming the primary operator. This constant faculty interaction will allow the trainee to critically evaluate their own procedural techniques, analytic skills (Medical Knowledge), Interpersonal Skills and overall Patient Care in a Practice-Based Learning approach by comparison to an experienced attending advanced heart failure/transplant and pulmonary hypertension cardiologist.
The trainee’s Medical Knowledge is further supplemented by the Multidisciplinary Cardiac Transplant Selection, Post-transplant Management, Pulmonary Hypertension Clinical Case, and Heart Failure/Pulmonary Hypertension Research conferences. The multidisciplinary transplant selection and post-transplant management conferences takes place weekly Monday and the Pulmonary Hypertension conference takes place on alternating Tuesdays. The Heart failure/Pulmonary Hypertension research meeting occurs once a month (with the exception of holidays and the times of the major cardiology, heart failure, heart-lung transplant, or pulmonary hypertension meetings) and is attended by the CHF/Tx fellows, the rotating cardiology fellows, and CHF/Tx faculty. Additionally, at the Post-transplant patient management conference, the meeting is attended by the transplant nurse coordinators and the transplant pharmacist. The multidisciplinary transplant selection committee conference is also attended by the transplant cardiac surgeons, pre-transplant nurse coordinators, social worker, and case management. The pulmonary hypertension conference is a multi-specialty clinic attended by cardiologist and pulmonologist specializing in pulmonary hypertension treatment.
The core curriculum of the Advanced Heart Failure/Transplant fellowship will cover core topics from the ACGME Program Requirements for GME in Advanced Heart Failure and Transplant cardiology (Section IV), ACCF COCATS 3 Task force 8: Training in Heart Failure level 3 training in heart failure, and ACCF/AHA/ACP/HFSA/ISHLT 2010 clinical competence statement on management of patients with advanced heart failure and cardiac transplant. Clinical fellows will use the Hosenpud and Mann textbooks as recommended reference material.