Heart Failure & Transplant Cardiology

The Advanced Heart Failure and Transplant Cardiology (AHFTC) program at the University of North Carolina Hospitals provides a broad exposure to acute and chronic heart failure, emphasizing appropriate utilization of diagnostic studies and therapeutic interventions including mechanical circulatory support and cardiac transplantation.  The training experience in AHFTC is fundamental to the development of the specialist in advanced heart failure and transplantation.  Opportunities for active participation in research projects provide further experience in critical thinking and evaluation of the heart failure and transplant literature.

The AHFTC training program will provide physicians the base knowledge, skills, and experience necessary to become an advanced HF specialist.  It is the goal of this program to train subspecialists who are highly skilled in modern diagnostic and therapeutic techniques while retaining the fundamental requirement for broad clinical insight necessary to practice responsibly and thoughtfully in AHFTC.

The 12-month training period will include clinical experiences and protected time for research.  The fellow will have clinical experience in:

  • Caring for patients in the context of a multidisciplinary disease management program, through all stages of disease
  • Evaluating patients for advanced heart failure therapies (cardiac transplant or mechanical assist devices)
  • Managing diagnostic and therapeutic devices used for the evaluation and management of heart failure in the acute and chronic setting.

The training will include the following components:

Outpatient Care in the Ambulatory Setting

This care will involve a wide variety of patients with heart failure, transplants, and mechanical circulatory support.

Inpatient Care

The hospitalized patients with heart failure, transplants, and mechanical circulatory support.

Specialized Features

The fellow will either participate as an operator (e.g., invasive hemodynamics, endomyocardial biopsies) or as an observer (e.g., heart transplant surgery, organ procurement, and donor management, mechanical circulatory support implantation).  Faculty will have direct supervision of procedures performed by the fellow.  The fellow will document all procedures in a record, which includes indications, outcomes, diagnoses, and supervisor.

Clinical Education

Includes clinical case conferences, journal clubs, research conferences, and morbidity and mortality or quality improvement conferences and a didactic program based upon the core knowledge content in the specialty area.

Scholarly Activities

The fellow will have an opportunity or participate in scholarly activities, which may include a research project (with faculty mentorship), participation with faculty in the initiation and conduct of clinical trials with the department, and participation in quality assurance/quality improvement or process improvement projects.