Pediatric Cardiology


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Pediatric Cardiology

  1. 1. Pediatric Cardiology Fellowship Program The Children’s Healthcare of Atlanta Sibley The Team Heart Center, in conjunction with the Department The cardiology team consists of 34 pediatric of Pediatrics at Emory University School of cardiologists who provide services in 18 Medicine and the Todd Franklin Cardiac Research outpatient locations and 40 hospitals Laboratory, is committed to training future throughout Georgia. The continuum of care pediatric cardiologists through our Fellowship and learning begins prenatally with our program at Children’s at Egleston. Fetal Cardiology program and continues to adulthood with the Adult Congenital Heart The program, which has a fellowship society Disease Clinic in conjunction with Emory that offers financial support, provides a University School of Medicine. continuum of learning that occurs within a highly developed matrix of subspecialty The Children’s Sibley Heart Center team offers expertise and clinical exposure. Fellows comprehensive services for complex congenital develop decision-making skills by integrating and acquired heart disease, including experience, by participating in the performance cardiothoracic surgery, transplantation, and interpretation of invasive and noninvasive interventional and diagnostic catheterization, diagnostic testing, and by being the primary electrophysiology and extensive noninvasive caretaker while rotating through the cardiology diagnostic testing. Treating more than 35,000 clinical services. patients each year, the Children’s Sibley Heart Center team has garnered widespread national Primary cardiac teaching occurs at Children’s recognition for our innovative treatments, at Egleston (255 beds) and includes the leading-edge research and compassionate following areas: care. The Children’s Sibley Heart Center was – Cardiac Step-down Unit (CSU), 27 beds named one of the country’s top three pediatric – Cardiac Intensive Care Unit (CICU), 27 beds cardiac programs by Child magazine in 2007. – Pediatric Intensive Care Unit (PICU), 30 beds – Neonatal Intensive Care Unit (NICU), 37 beds Curriculum Our cardiology fellows rotate through Fellows at the Children’s Sibley Heart Center all disciplines of pediatric cardiology, are exposed to a large and diverse patient including catheterization, echocardiography, population with congenital and acquired electrophysiology, clinical ward and intensive pediatric heart defects. The Cardiology care cardiology, and weekly outpatient Fellowship program was accredited, without continuity clinic. The fellowship program citations, by the Accreditation Council for training is 36 months and is divided into 39, Graduate Medical Education (ACGME) in four-week rotations, 13 of these are devoted 2003. The program is maintained by a medical to research. director and by committees of pediatric and cardiac faculty. Children need Children’s®
  2. 2. Curriculum Schedule defects. Fellows also gain an understanding of the medical Four-week rotations PGY-4 PGY-5 PGY-6 management of complex dysrhythmia; heart failure, including Orientation 1 — — cardiac transplant management; ventricular assist devices Wards 3 1 — and extracorporeal membrane oxygenation (ECMO). In Echo 3 1 — addition, fellows become proficient in obtaining vascular Cath 2 1 — access and performing intubations, ventilator management and EP 2 1 — management of inotropic support agents. Research 1 5 7 Consult 1 1 — Cardiac MRI: Fellows will gain knowledge of cardiac MRI Intensive Care — 3 1 (cMRI) principles, imaging planes and protocols. In addition, Adult Congenital Clinic/cMRI — — 2 they will be able to conduct a basic interpretation including Electives — — 3 quantifying function, vessel flow and developing 3-D models. Inpatient Rotation: During the clinical rotation, in year one, By the end of their fellowship, fellows will learn to make fellows become familiar with clinical features of congenital heart recommendations based on the findings of the cMRI. defects. In the second and third years, they become conversant with these, as well as their surgical and medical treatment. By Adult Congenital Heart Disease: In collaboration with the third year, they have experienced the majority of clinical Emory University School of Medicine, we participate in one of cardiac problems and should be able to evaluate and treat these the largest adult congenital heart disease programs in the United independent of faculty. States. Fellows rotate through this clinic, which is supervised by adult cardiologists at Emory Healthcare and pediatric Echocardiography (echo): In year one, training in basic echo cardiologists at Sibley Heart Center Cardiology. is completed, and manipulative and cognitive skills in 2-D and Doppler assessment are mastered. By the end of the second Electives: Electives can be designed to suit an individual year, fellows should be able to confidently complete complex fellow’s interest. Some possibilities are transplant, anesthesia, segmental analysis. During the third year, basic skills in fetal genetics or pain management. Other resources in the Emory echo and transesophageal echo are learned. University community, such as the Centers for Disease Control and Prevention (CDC), are available for electives. Catheterization: During the first year, fellows learn basic catheter manipulation skills and fundamentals of hemodynamic Continuity Clinic: Fellows participate in weekly, continuity clinics. interpretation. By the end of the second year, these skills are Here, they develop a comprehensive understanding of the refined so that basic diagnostic procedures, although supervised, outpatient diagnosis and management of congenital heart disease can be performed mostly unassisted. In addition, specialized skills and the need for continuous follow-up during these patients’ of intervention, such as balloon valve dilatation, angioplasty and lifetimes and into adulthood. device placement, are refined. Teaching: Throughout the training program, fellows prepare Electrophysiology (EP): During the first year, fellows become and present lectures and conferences to audiences of medical proficient in the diagnosis and management of common students, residents, faculty and guests of the Children’s Sibley pediatric arrhythmia. In the second and third years, fellows Heart Center. Each year fellows present at our annual echo learn the indications and basic principles for invasive EP testing, meeting, which is a national event. Each fellow maintains a catheter ablation, tilt table testing, transesophageal pacing teaching portfolio. and indications for cardiac pacing; in addition to interrogation Family-centered Care and Support: Fellows learn to talk and programming of pacemakers and implantable cardiac to families about the new diagnosis of a congenital heart defect devices (ICD). Fellows also learn about atrial electrograms and its ramifications, as well as communicating with them about with temporary pacing wires and pace termination of atrial evolving changes in their pediatric patients’ treatment. As team arrhythmia in an Intensive Care Unit. members, fellows participate in daily medical rounds and all Research: In year one, fundamentals of research principles, cardiology conferences. ethics of human investigation and experimental design are examined. In the second year, research continues with research Conferences projects and presentations, and with manuscript submission to Angiography Review Journal Club a peer-reviewed journal, as well as a presentation at a national Cardiac Catheterization Conference Morbidity and Mortality meeting. Researchers supported by the National Institutes of Chief of Service Rounds MRI Conference Health (NIH) collaborate and actively participate in the program. Cardiac Intensive Care Unit/Cardiac Pathology Conference Step-down Unit Service Rounds Research Conference Intensive Care: Fellows gain an understanding of the Core Curriculum Lecture Weekend Echo Review preoperative, surgical and postoperative management Echo Lunch and Learn of newborns and children with complex congenital heart
  3. 3. 2006 Program Statistics Prerequisites for Fellowship Fellows 12 In order to be considered, the applicant must have completed an ACGME-accredited, three-year pediatric residency or a Full-time cardiology attendings 34 combined internal medicine and pediatrics four-year training Outpatient clinics 18 program by the beginning of the Fellowship program. Patient visits 60,309 Application Requirements Checklist Cardiothoracic surgeries 887 – Completed online application at Heart transplants 13 Interventional catheterizations 343 – Curriculum vitae Diagnostic catheterizations 328 – Three letters of recommendation Electrophysiology studies 216 • Division head of pediatric cardiology Ablations (radiofrequency and cryoablation) 169 • Faculty resident adviser Myocardial biopsies 337 • A professional of your choosing Transthoracic echos 28,570 – Copy of Dean’s letter and evaluation Transesophageal echos 540 – Medical school transcript Fetal echos 593 – Personal statement Stress tests 401 – Copies of United States Medical Licensing Examination™ Cardiac MRIs 657 (USMLE) scores – Immigration visa copy (if applicable) Children’s Healthcare of Atlanta – Educational Commission for Foreign Medical Graduates® Children’s, a not-for-profit organization, is one of the country’s (ECFMG) certificate (if applicable) leading pediatric healthcare systems. – Named among the best pediatric hospitals in the country by Application Timeline and Selection Procedure U.S.News & World Report We participate in the National Resident Matching Program – Ranked as one of the top three pediatric hospitals in the nation (NRMP) for the selection of first-year fellows. Applicants apply by Child magazine program code directly to the department and register with the – Operates three hospitals NRMP Our program code is 11130550. . – More than half a million annual patient visits Sept. 1: Applications acceptance begins. – Access to more than 1,400 physicians in more than Jan. 31: Deadline for application completion. 30 pediatric specialties Applicants notified by e-mail when application requirements are As part of the Children’s at Egleston renovation and expansion complete. No applications are considered after this date. plan, the Children’s Sibley Heart Center added beds and new February to April: Selected applicants are invited to interview. equipment, moved to a more centralized and larger location within Applicants who are not invited to interview are not ranked. the hospital, and enhanced services and amenities for families in 2007. May: Fellowship Selection Committee ranks applicants on basis of prior performance, letters of recommendation, personal Emory University School of Medicine interviews and academic promise. The committee meets at the The Emory University School of Medicine’s three-part mission end of the interview process to review the interviewed applicants encompasses teaching, scholarship and service. and prepare the rank order list for the NRMP . – One of the nation’s largest graduate medical training programs – More than 1,000 residents and fellows in more than 74 accredited primary care and specialty medicine programs – Seven owned or affiliated teaching hospitals – Faculty members are responsible for 2,975 hospital beds and more than 2.2 million patient encounters annually – Emphasizes problem solving within the context of excellent patient care, advanced biomedical research, preventive medicine and ethical concerns
  4. 4. Contact Information William T. Mahle, M.D. For questions or more information, please visit Director, Clinical Research Co-medical Director, Heart Transplant Program or contact: Shelley M. Ash Michael E. McConnell, M.D. Co-director, Adult Congenital Heart Disease Clinic Coordinator, Pediatric Cardiology Fellowship Children’s Healthcare of Atlanta W. James Parks, M.D. 1405 Clifton Road, NE Dara A. Rastegar, M.D. Atlanta, GA 30322-1062 Anthony A. Raviele, M.D. 404-785-6210 Henaro C. Sabino Jr., M.D. 404-785-9188 (fax) Denver Sallee III, M.D. Cyrus Samai, M.D. The Children’s Sibley Heart Center Physicians Associate Director, Fellowship Program Cardiology Janet M. Simsic, M.D. Robert M. Campbell, M.D. Co-director, Cardiac Intensive Care Unit Chief Medical Officer Deepti Singh, M.D. The Children’s Sibley Heart Center Nanci R. Stauffer, M.D. Director, Sibley Heart Center Cardiology Director, Fetal Cardiology Program Division Director of Pediatric Cardiology Emory University School of Medicine John K. Stevens Jr., M.D. Director, Preventive Cardiology Edward J. Bayne, M.D. (Columbus, Ga.) Margaret J. Strieper, D.O. Director, Pacing and Electrophysiology Gordon Borkat, M.D. (Columbus, Ga.) James Sutherland, M.D. Brian M. Cardis, M.D. Jane L. Todd, M.D. (Macon, Ga.) Albert J. Tuboku-Metzger, M.D. Gillian Carpenter, M.D. Robert N. Vincent, M.D. (Gainesville, Ga.) Director, Cardiac Catheterization Lab Martha L. Clabby, M.D. Co-medical Director, Heart Transplant Director, Cardiac Step-down Unit Angel R. Cuadrado, M.D. Cardiothoracic Surgery Co-director, Cardiac Intensive Care Unit Kirk R. Kanter, M.D. Chief, Cardiothoracic Surgery Rose M. Cummings, D.O. Director, Heart Transplant Program Kenneth J. Dooley, M.D. Children’s Healthcare of Atlanta Peter S. Fischbach, M.D., M.A. Professor, Surgery Chief Academic Officer Emory University School of Medicine Patrick A. Frias, M.D. Paul M. Kirshbom, M.D. ©2007 Children’s Healthcare of Atlanta Inc. All rights reserved./CAR Derek A. Fyfe, M.D., Ph.D. Brian E. Kogon, M.D. Director, Imaging Services Anesthesiology William L. Ham, M.D. Bruce E. Miller, M.D. (Macon, Ga.) Director, Pediatric Cardiac Anesthesia Brooke A. Hanaway, M.D. Nina A. Guzzetta, M.D. Gregory L. Johnson, M.D. Anna M. Kaiser, M.D. (Athens, Ga.) Steve R. Tosone, M.D. Dennis W. Kim, M.D., Ph.D. Elizabeth C. Wilson, M.D. Kevin O. Maher, M.D. Physicians at the Children’s Sibley Heart Center are faculty members at Emory University School of Medicine. Some physicians and affiliated healthcare professionals who perform services at Children’s Healthcare of Atlanta are independent providers and are not our employees.