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University of Chicago (NorthShore) Interventional Fellowship Program

Program Goals
To provide comprehensive training in the care and catheter-based treatment of patients with coronary and structural heart disease over the course of one academic year. Fellows graduating from the Program will be poised to assume positions of leadership in the field of Interventional Cardiology.

Program objective
The objectives of the Program are to provide an academically and clinically rigorous training program, to provide the trainee with the procedural and cognitive skills necessary to excel in the field and to provide the foundation for the trainee to become a local leader in their future hospital practice.  During the one-year interventional training, fellows are expected to master the techniques involved in coronary and structural valve intervention, while developing perspective on procedural risk and benefit, patient selection and clinical decision-making in cardiovascular patient care. In addition, our fellow is expected to meaningfully participate in the teaching and research mission of the cardiovascular institute.

Curriculum
Our one-year, ACGME-approved interventional program has one position.

The program adheres to the doctrines outlined in the ACC COCATS guidelines document and the AHA statement on clinical competency in interventional cardiology. Here fellows obtain the detailed, extensive exposure to the essential components of adult invasive diagnostic and therapeutic cardiovascular procedures. By the end of the training, the interventional cardiology fellows will have acquired the knowledge base, judgment, and technical skills to become an independent operator in interventional cardiology.

This program also has a core curriculum, which includes a series of lectures covering pertinent topics in interventional cardiology. Fellows are required to participate by presenting several of the topics throughout the year and are expected to complete a compendium of suggested readings provided to them.
By the end of the fellow’s training, the fellow will demonstrate mastery of competence in the following:

  • Advanced trans-femoral and trans-radial arterial access
  • Percutaneous transluminal coronary angioplasty
  • Coronary stent implantation
  • Coronary atherectomy (rotational, orbital, laser)
  • Mechanical thrombectomy
  • Intracoronary imaging (ultrasound, optical coherence tomography)
  • Intracoronary physiologic testing (fractional flow reserve)
  • Complex, high risk coronary intervention
  • Chronic total occlusion (CTO) coronary intervention
  • Percutaneous ventricular support device insertion and management (intra-aortic balloon bump, axial flow pump e.g. Impella)
  • Percutaneous balloon valvuloplasty
  • Transcatheter aortic valve replacement
  • Transcatheter mitral valve repair (MitraClip)
  • Transcatheter closure of intracardiac communications (ASD, PFO)
  • Alcohol septal ablation for hypertrophic obstructive cardiomyopathy
  • Large bore arterial and venous sheath insertion and management