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Fellowship Program

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Dear Prospective Fellows:

On behalf of the Division of Cardiology, I welcome you to the "Fellowship Programs" page of our web site. Our Division has three distinct cardiology fellowship programs—General Cardiology, Interventional Cardiology and Advanced Heart Failure and Transplant Cardiology Fellowship Programs, directed by Drs. Tony Tran, Ken Fujise, and Alex Barbagelata, respectively. The General Cardiology and Interventional Cardiology Fellowship Programs are fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). The Advanced Heart Failure and Transplant Cardiology Fellowship Program will be ACGME-accredited in the near future. Importantly, these three programs are joint programs between the Methodist Hospital in Houston and UTMB. Methodist Hospital, a major tertiary referral center at the Texas Medical Center, provides our fellows with outstanding educational experience.

We have been passionate for fellow education–for the last 120 years. Our first medical school building–"Old Red" was opened for medical education in 1891 immediately after the opening of John Sealy Hospital in 1890. We believe that one of our most important duties is to educate, train, and mentor future cardiologists.

Our faculty, consisting of 16 academic cardiologists with outstanding track record in education, clinical care, and research, daily interacts with over 20 fellows on UTMB's enviable 84-acre campus that houses more than 70 buildings.

Our outpatient cardiology training occurs in one of our several outpatient clinics on main campus and in our outreach clinics. Our inpatient training is conducted in John Sealy Hospital, the University Hospital of UTMB Health and in affiliated hospitals in the community. The John Sealy Hospital houses the state-of-the-art cardiac catheterization and electrophysiology laboratories, as well as echo lab, heart station, and cardiac rehabilitation facility. Training in Nuclear Cardiology, Cardiac CT Angiography, and Cardiac MRI is also available at John Sealy Hospital. Research training is offered. Robust basic science research is conducted at the Cardiology Research Laboratory at the Medical Research Building (MRB) while clinical research is conducted at John Sealy Hospital and outpatient clinics, supported by full-time clinical research coordinators. As is shown in our Daily Activities, we have a highly systematic and interactive educational system to develop fellows as competent cardiologists. The appropriate balance between didactic learning and direct patient care is maintained as Sir William Osler said "He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all."

We invite you to learn more about us through the web site. We hope that you will eventually decide to join us to learn, be mentored, professionally grow, and prepare yourself for the exciting future as competent cardiologists. For more information regarding Graduate Medical Education (GME), all programs offered at UTMB, application information, resident salary, and other helpful resources, please visit our GME website, www.utmb.edu/gme

Welcome from Director of Cardiovascular Fellowship Program

Tony Tran, M.D.
Director, General Cardiology Fellowship Program
Tony Tran, M.D.
Director, General Cardiology
Fellowship Program

The Division of Cardiology at the University of Texas Medical Branch is dedicated to excellence in training cardiologists of the 21st century. The three-year program is designed to offer highly qualified applicants with a strong clinical and investigative background the opportunity to experience a comprehensive training in clinical and academic cardiology. In accordance with all ACGME and COCATS (Core Cardiology Training Symposium) guidelines and requirements, the cardiology program actively strives to train fellows to establish the highest standards of aptitude and proficiency in the diagnosis and management of all aspects of cardiac care. Currently, five to six fellows are accepted each year to the general Cardiology Fellowship Program at UTMB.

Training Overview

All cardiology fellows will develop their competence in basic and clinical knowledge through core clinical rotations in all arenas of cardiology including cardiac consultation, coronary care unit, invasive cardiac procedures, imaging procedures, electrophysiology, heart failure/transplant, and ambulatory cardiology. A remarkable array of patient populations with diverse pathologies will allow the fellows to attain an expertise in the care of acute and chronic cardiovascular diseases with arrhythmias, coronary artery disease, cardiomyopathy, infectious and inflammatory heart disease, pulmonary vascular disease, valvular heart disease, and peripheral vascular disease. Electives to further refine extensive skills in subspecialty disciplines such as interventional cardiology and electrophysiology are available, but certification in these fields will require further training beyond the general fellowship. In addition, fellows are encouraged to engage in clinical or basic investigative research during their general training, for which ample opportunities are available. A variety of didactic education is also integrated into the clinical program in order for the fellows to enhance and develop essential skills for the practice of cardiology and academic careers in the future.

Cardiology Fellows

These didactic seminars include weekly Cath conferences, weekly Core Lecture Series, weekly State of the Art Research conferences, weekly Journal Clun, monthly Echo and Multimodality conferences, monthly EKG conferences, monthly Fellows Board Review conferences, and monthly Cardiology Morbidity and Mortality conferences. At the completion of the training program, fellows will achieve the level of clinical knowledge and proficiency to meet the requirements for board certification in Cardiovascular Diseases, as determined by the American Board of Internal Medicine.

Eligibility and Requirements for the Program

  1. Successful completion of ACGME-accredited Internal Medicine Residency Program
  2. A completed application through the Electronic Residency Application Service (ERAS)
  3. A minimum of three letters of recommendation from faculty members
  4. An appropriate visa status

Application Timeline—NEW!

For training commencing June 2014

July 1, 2013 ERAS opens for fellows to submit applications
July 15, 2013 ERAS opens for programs to download applications
November 13, 2013 Rank order list closes
December 4, 2013 Match Day

There are Five (5) positions available.

Cardiology Fellowship Handbook
Available upon request. Please call our Cardiology Fellowship Office.

For Prospective Interventional Cardiology Fellows

Ken Fujise, M.D., Director, Cardiology Interventional Fellowship Program
Ken Fujise, M.D., Director
Interventional Cardiology
Fellowship Program

Welcome to the site of Interventional Cardiology Fellowship Program at the University of Texas Medical Branch Hospitals and The Methodist Hospital. The program is a one-year program which continues to accept applications from highly qualified physicians who are board-eligible in Internal Medicine and Cardiology. Basic requirements are the completion of a three-year Cardiology fellowship program and full training in cardiac catheterization and coronary angiography. Currently, three (3) to four (4) fellows are accepted each year.

The purpose of this ACGME-accredited training program is to produce outstanding interventional cardiologists who excel in all six (6) areas of core competencies in interventional cardiology–(a) patient care,
(b) medical knowledge, (c) practice-based learning and improvement, (d) interpersonal and communication skills, (e) professionalism, and (f) systems-based practice. At the end of the training program, the fellows are expected to be fully capable of independently performing coronary and peripheral interventional procedures. The training program views professionalism to be one of the most important attributes of interventional cardiologists and encourages the fellows to strive for and attain the highest level of professionalism that lasts a lifetime. Training takes places everywhere on the campus–in the cardiac catheterization laboratory, coronary care unit, step-down unit, outpatient clinic, conference rooms, offices and homes of interventional faculty, off-campus restaurants, and others. Program Director and interventional faculty are determined to be highly accessible to all interventional fellows and to mentor and coach interventional fellows to be outstanding interventional cardiologists.

Interventional Cardiology Faculty and Fellows

Responsibilities of clinical interventional cardiology fellows include the evaluation and care of all patients referred for interventional procedures and the direct participation in all of those procedures under the supervision of the senior interventional cardiologist. Fellows can anticipate participation in 400 or more procedures including complex coronary and peripheral interventions, and interventions on structural heart diseases. Stringent training takes place both in and outside of the cardiac catheterization laboratory touching on every aspect of interventional cardiology. Fellows will be expected to actively participate in clinical trials related to interventional cardiology. Fellows will be expected to review incoming referrals for interventional procedures and to communicate with referring physicians in a timely fashion. Fellows are also encouraged to complete a research project suitable for publication in a peer review journal. Fellows are required to make themselves available to the hospital within 20 min of the activation of the cardiac catheterization laboratory when they are on call. Fellows are also required to complete assigned didactic courses on the web-sites.

The experience in the fellowship program is acquired in the Interventional Cardiology section of the Division of Cardiology at The University of Texas Medical Branch's John Sealy Hospital, and at The Methodist DeBakey Heart & Vascular Center in Houston, Texas. At the conclusion of the training fellows are expected to become board-eligible for the American Board of Internal Medicine, Interventional Cardiology certifying examination.

Eligibility and Requirements for the Program

  1. Successful completion of ACGME-accredited Internal Medicine Residency and General Cardiology Fellowship Programs and Board-eligible for ABIM Internal Medicine and Cardiovascular Medicine.
  2. A completed application through the ERAS.
  3. Three (3) recommendation letters supporting the character, professionalism, and fitness of the candidate for the future interventional cardiology career.
  4. An appropriate visa status.
  5. Willingness to adhere to rules and policies of the interventional fellowship training program as delineated in the UTMB Interventional Fellowship Hand Book.

Application Timeline—NEW!

Class of 2016 (training commencing in July 2015)

November 15th, 2013 ERAS opens for fellows to submit applications
December 1st, 2013 ERAS opens for programs to download applications
March 31st, 2014 Our program will make final ERAS download of applications
April 1-30, 2014 Our program will host interviews
May 1, 2014 Fellowship offers to candidates
May 31st, 2014 ERAS closes

- We will not be participating in Match
- There are Two (2) positions available.
- The positions for 2014 have been filled.

Interventional Cardiology Fellowship Handbook
Available upon request. Please call our Cardiology Fellowships Office.

For Prospective Advance Heart Failure and Transplant Fellows

Wissam Khalife, M.D.
Director (Interim), Heart Failure, Transplant, and Circulatory Assist Device Service
Wissam Khalife, M.D.
Director
Heart Failure, Transplant,
and Circulatory
Assist Device Service

Welcome to the site of Advance Heart Failure and Transplant Fellowship Program at the University of Texas Medical Branch Hospitals and The Methodist Hospital. The primary objectives of the Advance Heart Failure Fellowship is to provide advanced knowledge and expertise in the area of Advance Heart Failure management, Assist Devices (both percutaneous and surgical), and all phases of cardiac transplantation. Exposure to newer areas such as the increasing role of the AICDs and Cardiac resynchronization therapy and remote monitoring are also priorities of the fellowship.

The program is a one-year program which continues to accept applications from highly qualified physicians who have completed their board eligibility in Internal Medicine. The trainee must have successfully completed a three-year residency in an ACGME accredited Internal Medicine program and should be certified or eligible for certification in Internal Medicine by the American Board of Internal Medicine. Currently, two (2) fellows are accepted each year for this one-year fellowship, chosen by the UTMB and Houston Methodist Hospital leadership.

This program is non-ACGME with the goal to be an ACGME approved program in the near future with the new certification in Advance Heart Failure and Transplantation speciality. The goal of our training program is to produce outstanding Advance Heart Failure cardiologists who excel in all areas of core competencies in Advance Heart Failure and these other six (6) areas: (a) patient care, (b) medical knowledge, (c) practice-based learning and improvement, (d) interpersonal and communication skills, (e) professionalism, and (f) systems-based practice. The training program views professionalism to be one of the most important attributes of Advance Heart Failure cardiologists and encourages the fellows to strive for and attain the highest level of professionalism that lasts a lifetime.

Heart Failure Faculty and Fellows

Training takes places everywhere on the campus–in the cardiac catheterization laboratory, coronary care unit, step-down unit, outpatient clinic, conference rooms, offices, off-campus restaurants, and others. Program Director and Advance Heart Failure faculty are determined to be highly accessible to all Advance Heart Failure fellows and are committed to mentor and coach all Advance Heart Failure fellows to be outstanding professionals.

Responsibilities of Advance Heart Failure fellows include the evaluation and care of all patients referred for Heart Failure evaluation. The program will provide sufficient experience for the fellows to acquire skill and proficiency in the performance and interpretation of: history and physical examinations, basic and advanced cardiac life support, right heart catheterization, endomyocardial biopsies, ultrafiltration/aquapheresis, percutaneous assit devices such as IABP (intraaortic balloon pump, impella assist device or others such us tandem heart, or percutaneous ECMO) (Methodist Hospital), surgical assist devices (Heart Mate II or others), heart transplant, total artificial heart (Methodist Hospital), noninvasive hemodynamic monitoring (Methodist Hospital), cardiopulmonary exercise testing, evaluation and exposure to AICDs or CRT and interrogation and interpretation in ICDs or CRTs patients. Other areas also included are: remote monitoring management, nuclear imaging (myocardial viability studies and perfusion images) Echocardiography (especially cardiomiopathies, assit devices imaging, disyncrhony, viability studies).

Fellows will be expected to actively participate in clinical trials and are highly encouraged to complete a research project suitable for publication in a peer review journal.

The experience in the fellowship program is acquired in the Advance Heart Failure section of the Division of Cardiology and Department of cardiovascular surgery at The University of Texas Medical Branch's John Sealy Hospital and at The Methodist DeBakey Heart & Vascular Center in Houston, Texas.

Eligibility and Requirements for the Program

  1. Successful completion of ACGME-accredited Internal Medicine Residency. The completion of cardiology fellowship is preferred but not required.
  2. Recommendation letters supporting the character, professionalism, and fitness of the candidate for the future Advance Heart Failure and Transplant cardiologist
  3. An appropriate visa status

Application Timeline

  1. Class of 2015 (training commencing in July 2014)
    • The number of positions open – two (2)
    • Application open – September 1, 2013
    • Application deadline – January 1, 2014
    • Interview – February 1, 2014 - February 28, 2014

How to Apply

Please use the UTMB standard application form. To obtain the application blank, click here.

  • Download the form.
  • Complete all three pages of the application, and send with your photograph, and all required attachments, either:
    • In PDF format to Fellowship Coordinator, via e-mail at jbhofman@utmb.edu
    • Or via USPS, attention Fellowship Coordinator to jbhofman@utmb.edu
    • 301 University Blvd., JSA 5.106, Galveston, TX 77555-0553

Advance Heart Failure and Transplantation Handbook
Available upon request. Please call our Cardiology Fellowships Office.

Our cardiology division offers three distinct cardiology fellowship programs: General Cardiology, Interventional Cardiology, and Advanced Heart Failure and Transplant Cardiology. We plan to add a Cardiac Electrophysiology Fellowship Program within the next 2 years.



The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU

All protocols can be found in the EPIC order set section.

» For more information

Meaning Use logo

The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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