Acute Care Cardiology
Director: Nicolas Madsen, MD, MPH | Application Deadline: October 25
Advanced training in Acute Care Cardiology (also known as inpatient or step-down care) is designed for the individual who plans to become a leader in the field of acute care cardiology. Clinical care includes all hospitalized, non-ICU, children with acquired or congenital heart disease.The successful candidate will have completed an accredited three-year training program in pediatric cardiology and should demonstrate an interest for a career in academic medicine. The clinical goal of the advanced fellowship is to provide the trainee with the cardiology training to evaluate and manage acutely ill cardiac patients, as well as to develop the leadership skills necessary to direct a multidisciplinary team. The understanding and integration of complex cardiovascular and respiratory physiology is fundamental to the achievement of this goal. The basic principles of acute care education include respiratory management, chronic hemodynamic support (both pharmacologic and mechanical), surgical issues, analgesia, fluid management, escalation of care, and nutrition. The trainee will gain experience in the evaluation and management of routine arrhythmias, cardiac catheterization data, and management of ventricular assist devices. The trainee will also have the opportunity to receive formal training in Quality Improvement methodologies, expanded opportunities in Medical Education, and exposure to operational leadership of a hospital unit including partnership with Patient Services leadership. Furthermore, the trainee will have exposure to international collaborative networks such as the Pediatric Acute Care Cardiology Collaborative (PAC3) and Cardiac Networks United. While the focus of the advanced Acute Care Cardiology fellowship is predominantly clinical, fourth year fellows will be expected to perform scholarly work with the goal of submission and acceptance of at least one first author original publication, as well as participation in international conferences.