University of Wisconsin
School of Medicine and Public Health

Curriculum – Advanced Heart Failure and Transplant Fellowship

Learning Objectives

The UW AHFTx fellowship program is designed to meet the clinical requirements for the Advanced Heart Failure and Transplant certification by the American Board of Internal Medicine (ABIM), as well as the guidelines established by the United Network for Organ Sharing (UNOS). The program also follows guidelines as set forth in the most current specialty Advanced Training Statement; however, successful completion of the program does not alone guarantee board-eligibility. It is ultimately the fellow’s responsibility to review all ABIM requirements to evaluate their overall eligibility status. The program will provide as many resources and opportunities as it can to aid the fellow in the pursuit of board-eligibility.

General Objectives

Fellows will receive advanced training in the evaluation of, and multiple management strategies for, patients with advanced heart failure. You will participate in the inpatient and outpatient management of a wide spectrum of patients with advanced heart failure under the guidance of multiple dedicated faculty experienced in care of these complex patients. Training will encompass the entire spectrum of care from initial diagnosis and medical therapy, to consideration of advanced device therapies, high-risk cardiac surgery, cardiac transplantation, mechanical circulatory support and end-of-life care.

Schedule

The AHFTx fellowship rotation calendar is based on 26 two-week rotation blocks rotating between inpatient and outpatient services. Ultimately, six months of the training year will be spent managing patients in the UW inpatient unit. Outpatient rotations will occur in both the University Hospital and Clinics setting as well as the William S. Middleton Veteran’s Administration Hospital. During outpatient rotations, fellows will spend two days each week in the catheterization laboratory performing right heart caths and endomyocardial biopsies. Fellows will also have a rich experience in a variety of outpatient clinical settings, including opportunities to attend niche clinics in cardio-oncology, hypertension and palliative care. The outpatient rotations also offer built-in non-clinical time for the pursuit of scholarly activity and study.

Call: call is not expected of the AHFTx fellow, however when on the inpatient service, fellows do work one weekend day to ensure continuity of care.

Clinics

Fellow clinic responsibilities vary depending on rotation assignment in order to make the most of the educational experience.

  • Inpatient Service: no mandated clinics
  • When on the UW Outpatient service, fellows attend the following clinics or assignments: UW Cath Lab, VA Device Clinic, AHFTx Clinic, UW Transplant/LVAD Clinic, UW Invasive Exercise Testing Clinic, and UW Pulmonary HTN Clinic
  • When on the VA Consults outpatient service, fellows attend the following clinics or assignments: VA Device Clinic, VA Consults Clinic, UW Cath Lab, VA Transplant/LVAD Clinic, UW Invasive Exercise Testing Clinic, AHFTx Clinic

Conferences

Fellows will attend, and sometimes present at, the following conferences:

  • Cardiovascular Medicine Grand Rounds
  • CVM Quality Assurance Meetings
  • AHFTx Core Curriculum
  • Journal Club (integrated into the AHFTx Core Curriculum)
  • Heart Transplant List Meetings
  • Post-Transplant Medical Management Meetings
  • HF Operations Meetings

Scholarly Activity

Scholarly activity in the form of case presentations and identification of, and participation in, a quality improvement project is required. Opportunities for research or other activities abound for the interested fellow—there is sure to be a faculty member who shares your interest and has a related research project underway.