Fellowships

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Cardiovascular, Interventional Cardiology and Vascular Fellowship Program Instructions

The following items are needed to complete your application:

  1. Complete application along with a photo for identification purposes.
  2. Three letters of recommendation (one letter sent from your Program Director).
  3. Curriculum Vitae and Personal Statement.

Candidates who have submitted their completed applications and letters of recommendation are often scheduled for interviews. Letters of recommendation can be address to:

Cardiovascular Fellowship
Denise Zingrone, DO, FACC, FACOI
Director, Cardiovascular Fellowship Program

Any questions may be directed to the program administrator or Fellowship Program Director at 609-893-1200 ext. 5066 or fellowship@deborah.org.

PDF Cardiovascular Fellowship Application

Cardiology Fellowship Program

Deborah Heart and Lung Center is a tertiary care referral center specializing in the management of cardiovascular and pulmonary disease. Located in Browns Mills in southern NJ, this 89 bed hospital is midway between Philadelphia and the Jersey shore. The Center offers, with the exception of cardiac transplant, the full spectrum of diagnostic and therapeutic services to patients with cardiac and vascular disease. We annually perform diagnostic, interventional cardiac and peripheral vascular procedures, nuclear cardiac diagnostic tests, echocardiographic procedures and electrophysiology device implantations. Patient access to Deborah by way of referral from regional community hospitals and a large out-patient clinic service has resulted in a patient population with diverse and complex cardiovascular disease.

Three Year Fellowship Program

The fellowship for general training in Cardiovascular Diseases is offered to graduates of AOA approved Internal Medicine residency programs. The cardiology fellowship program is sponsored through the Philadelphia College of Osteopathic Medicine OPTI network (PCOM Med-Net) and is an AOA approved fellowship program. Two fellowship tracks are available and the trainees choice is made toward the end of their first year of training: 1) The Invasive Track includes focused lab based training in diagnostic cardiac catheterization and echocardiography, 2) The Non-invasive Track includes focused lab based training in echocardiography and nuclear cardiology (including didactic training to qualify for a license from the Nuclear Regulatory Commission). All fellows, regardless of their chosen career track, receive training in all facets of clinical cardiology.

In addition to the three year program, Deborah offers advanced training programs in Interventional Cardiology and Electrophysiology for fellows who have completed an AOA approved three year fellowship. There is a one year Echocardiography-Nuclear training program for qualified fellows who wish to pursue advanced echo training that would meet ACC guidelines for Echo Laboratory Directors and provide training in Nuclear Cardiology to qualify for a license from the Nuclear Regulatory Commission.

One month elective rotations in the MICU or on a clinical cardiology in-patient service are offered to internal medicine residents at their request. This is not only a worthwhile learning experience, but affords prospective applicants a chance to experience the cardiology training program at Deborah. This is not, however, a requirement for application or admission to the fellowship program. Housing is available on the hospital campus. Fellowship applications may be obtained by contacting our program administrator (see below). Completed applications and interviews are processed and final decisions made one year prior to your expected July 1st start date. Thus, interested applicants should begin their application process during their second year of residency.

Any questions may be directed to the program administrator or Fellowship Program Director at 609-893-1200 ext 5066 or fellowship@deborah.org.

Interventional Cardiology Fellowship Program

Overview

The Interventional Cardiology Fellowship Program offers 4 ACGME accredited positions per year. The fellowship is a comprehensive one year program that includes advanced coronary and peripheral interventions, as well as structural heart therapies. The fellows training will include patient evaluation and appropriateness for invasive procedure, technical skills training, post procedure follow up, and complication management. A robust clinical research program supplements training with over 30 multicenter clinical research trials actively enrolling and several investigator initiated studies. Graduates of the program perform at an exceptional level of competency, fully equipped to function independently within the interventional field.

Program Director: Vincent Varghese, DO, FACC, FSCAI

Requirements

The requirements for applying are as follows:

  1. Completion or anticipated completion of a 3 year General Cardiology Fellowship Program.
  2. ABIM/AOBIM board certified or eligible.
  3. Successful passing of all 3 USMLE/COMLEX steps.
  4. A valid ECFMG certificate for all foreign medical graduates.

Curriculum

The Interventional Cardiology Fellowship Program accepts 4 fellows per year. Throughout the year a fellow in training can expect to participate in hands on teaching in the cardiac catheterization lab and hybrid operation room. Didactic conferences are held three times per week on Tuesday, Wednesday, and Friday mornings at 7:30 AM which include cardiac catheterization conference, endovascular conference, and interventional cardiology conference. Journal club and morbidity and mortality meetings are scheduled once per month. All fellows will participate in a half-day of clinic once per week.

Program Knowledge and Skill Set Requirements:

The duration of the training program in interventional cardiology is 12 months. 15 days will be provided for vacation time and 8 days of conference time to be used by the trainee at their discretion. The formal interventional cardiology training program will consist of:

  1. Diagnosis of cardiovascular disease states amenable to catheter based interventions. Catheter based interventional procedures should be discussed in the context of therapeutic options for the patient including medical therapy or surgery.
  2. Indications for urgent catheterization in the management of patients with acute coronary syndromes. Issues regarding the choice of therapy including catheter based intervention, medical or surgical therapy should be established.
  3. Indications for and the proper technical placement of intra-aortic balloon counter pulsation devices and other ventricular support devices including Impella®.
  4. Indications for and the proper technique for placement of emergency temporary pacemakers.
  5. Preparation and performance of interventional cardiology procedures including, but not limited to:
    1. Balloon angioplasty
    2. Percutaneous coronary intervention (PCI)
    3. Complex Chronic Total occlusion PCI
    4. High risk PCI
    5. Intra-aortic balloon pump/Impella insertion and management
    6. Cutting/Scored balloon angioplasty
    7. Laser atherectomy
    8. Orbital/Rotational atherectomy
    9. Thrombectomy (mechanical+aspiration)
    10. Intravascular ultrasound
    11. Optical coherence tomography
    12. Fractional flow reserve/Instantaneous wave free ratio
    13. Guidewire advancement
    14. Guide catheter placement
    15. Femoral, brachial, and radial access
    16. Selection and use of vascular access devices
    17. Selection and use of vascular closure devices
    18. Coil embolization
    19. Pericardiocentesis
    20. Management and treatment of cardiogenic shock
  6. Preparation and performance of peripheral endovascular interventional procedures, including but not limited to:
    1. Femoral, brachial, radial and pedal access
    2. Selection and use of vascular access devices
    3. Selection and use of vascular closure devices
    4. Angiography of all peripheral vascular beds, including carotid angiography
    5. Guide catheter or sheath advancement
    6. Guide wire techniques and choices for patent vessels and total occlusions
    7. Total occlusion devices
    8. Re-entry devices
    9. Atherectomy, including Laser, Rotational atherectomy, Orbital atherectomy, Directional atherectomy (Hawkone®), mechanical atherectomy with aspiration (Jetstream®), OCT guided atherectomy (Pantheris), Phoenix atherectomy
    10. Balloon angioplasty
    11. Cutting/Scored balloon angioplasty
    12. Stents, balloon expandable and self expanding
    13. Covered stents and other bail out devices
    14. Coil embolization
    15. Interpretation of non invasive peripheral vascular studies
    16. Drug eluting balloons and other local drug delivery devices
    17. Intravascular ultrasound
    18. EVAR/TEVAR
    19. Acute/Critical limb therapies
    20. IVC filter deployment and retrieval
    21. Venous stenting
    22. Invasive DVT/PE management
    23. Superficial venous therapies
  7. Preparation and performance of structural interventional procedures, including but not limited to:
    1. Aortic and mitral balloon valvuloplasty
    2. Transcatheter aortic valve replacement
    3. Left atrial appendage occlusion
    4. Trans-septal catheterization
    5. PFO/ASD closure
    6. VSD closure
    7. PDA closure
    8. Paravalvular leak closure
    9. Alcohol septal ablation
  8. Research
    1. Research is a required and integral part of the training curriculum. Interventional Fellow will be paired with a research mentor and be responsible for the generation of at least 1 research project which will include patient enrollment, data analysis, presentation or publication of results in abstract form and complete manuscript.
    2. Active participation in and recruitment for all ongoing clinical research protocols
  9. Knowledge of the biological effects and indications for the use of pharmacologic agents common to the practice of interventional cardiology. These agents should include, thrombolytics, antiplatelet agents, anti-thrombin agents, anticoagulants, vaso-active drugs and anti-arrhythmics, contrast agents, sedatives, and analgesics. Additionally, the importance and recognition of radiation safety should be established.
  10. Recognition and Management of all potential coronary and peripheral interventional complications, including but not limited to:
    1. Coronary and peripheral vascular dissection/perforation
    2. Acute vessel closure
    3. Slow and no reflow phenomenon
    4. Distal embolization
    5. Side branch loss
    6. Vascular access site complications
    7. Infection: recognition, treatment and follow up
    8. Acute blood loss and retroperitoneal bleeding
    9. Cardiac tamponade
    10. Compartment syndrome
    11. Acute MI/unstable angina
    12. Significant cardiac arrhythmias
    13. Acute stroke
    14. Acute hypotension and hypertension
    15. Over sedation/airway management
    16. Covered stents for perforation
    17. Snaring of foreign bodies
  11. Knowledge of vascular biology including the processes involved in plaque formation, vascular injury and vasoreactivity. A thorough understanding of the process of restenosis and the therapeutic options available for the treatment of this phenomenon. Knowledge of the coagulation cascade and the effect of pharmacologic agents as noted above.Sufficient patient volume to provide the cardiovascular fellow training with a total case volume of 400 interventional procedures. The cardiovascular trainee should serve as the primary operator. The primary operator shall perform under supervision the majority of the technical aspects of the procedure. The primary operator shall be actively involved in decision making regarding equipment selection, problem solving, post procedural assessment and complication management.
  12. Understanding of radiation safety and overview of x-ray equipment function.
  13. Adequate communication skills to enable the trainee to convey the risks, benefits and general technique of interventional procedure to the patient and family. The trainee should be able to obtain informed consent in this context.
  14. Participate in 100% of interventional cases (divided evenly among all fellows) and as many diagnostic cases as possible. Act as primary operator in at least 50% of interventional cases in which fellow participates.
  15. Optional training will be available in carotid stenting with both distal and proximal protection devices. To receive certificate, applicant must attend didactic sessions for each device, and must participate in 20 cases, half as primary operator.

Application Process

Interventional Fellowship Application

Applicants interested in a position starting in July 2021 should submit completed application materials by January 1, 2020. Interviews will be conducted in January and February 2020.

The following documents are required:

  1. Completed application
  2. Curriculum Vitae
  3. Personal statement
  4. 3 Letters of recommendation (including current program director)
  5. USMLE/COMLEX reports
  6. Personal photo

Please mail completed applications to:

Deborah Heart and Lung Center
Interventional Cardiology Fellowship Program c/o Nichole Cornelius
200 Trenton Road
Browns Mills, NJ 08003

Contact

Vincent Varghese, DO, FACC, FSCAI
Program Director
VargheseV@Deborah.org

Nichole Cornelius
Fellowship Coordinator
CorneliusN@Deborah.org
(609) 893-1200 x5066

Vascular Surgery Fellowship Program

Deborah Heart and Lung Center extends a warm welcome to you at the beginning of this new academic year in our General Vascular Fellowship program! We are proud of the fact that we are able to provide the best in medical care while maintaining the warm and friendly atmosphere of a small hospital environment. You will find our institution to be a comfortable learning environment while also being academically challenging.

Vascular Surgery Fellowship Program Goals and Objectives

Vascular surgery fellows at Deborah are expected to achieve the six core competences to the level expected of a new practitioner. The vascular surgery fellow will have progressive responsibility for patient management that will demonstrate competence in technical skills and clinical decision-making. Competency-based objectives are expected to be a cumulative experience throughout the fellowship.

The first year of the General Vascular Surgery Fellowship Program focuses on the anatomy, pathophysiology, differential diagnosis and diagnostic studies, and management of common vascular problems. The fellow is expected to fluently discuss open and endovascular surgical approaches and perform surgical dissections tailored to the individual patient. The fellow should competently perform various vascular accesses and basic diagnostic and interventional procedures.

The second year of the General Vascular Surgery Fellowship Program focuses on clinical research skills, comprehensive experience in noninvasive vascular diagnostic laboratory, and preoperative and postoperative assessment in the outpatient setting. The Vascular fellow will continue to gain experience in surgical decision-making and is expected to perform complex surgical revascularization through a combination of open and endovascular techniques.

The General Vascular Surgery Fellowship Program at Deborah Heart and Lung Center builds upon the core education of general surgery to provide the knowledge, skills, and abilities to develop proficiency and mature surgical judgment in the diagnosis and management of diseases of the arterial, venous, and lymphatic circulatory systems, exclusive of the vessels of the heart and intra-cranial vessels. Fellows are trained in both open and endovascular approaches to vascular disease.

Vascular Surgery Fellowship Program Faculty

Kane L. Chang, MD
Director, Vascular and Endovascular Surgery
Department of General Surgery
Division of Vascular Surgery

The General Vascular Surgery Fellowship Program must provide a meaningful education that prepares residents upon graduation to meet certification requirements of the AOA through the American Board of Osteopathic Surgeons and to demonstrate these competencies:

  • Cognitive skills.
  • Integrate the sciences applicable to general vascular surgery with clinical experiences in a progressive manner.
  • Develop critical thinking skills which result in making decisions for patient management.
  • Understand the relevance of research to the practice of general vascular surgery.
  • Read, interpret, and participate in clinical research.
  • Psychomotor and technical skills.
  • Demonstrate osteopathic diagnoses and manipulative therapy in the care of patients.
  • Demonstrate proficiency with the necessary technical skills required for the practice of general vascular surgery.
  • Demonstrate the ability to provide progressive patient management. responsibilities based upon knowledge of the basic and clinical sciences.o Communication skills.
  • Demonstrate the ability to collaborate with colleagues and allied healthcare professionals.
  • Educate patients and their families concerning healthcare needs.
  • Demonstrate the ability to teach medical students, interns, other residents, and allied healthcare staff within the context of fellowship education.
  • Practice management.
  • Demonstrate leadership and management skills.
  • Provide cost-effective care to patients.
  • Professional attitudes and abilities.
  • Demonstrate a broad understanding of the role of general surgery as it relates to other medical disciplines.
  • Appreciate the value of lifelong learning in medical education and as related to a professional career in the field.
  • Demonstrate the ability to provide sound ethical and legal judgments.
  • Participate in continuing education to promote personal and professional growth.
  • Participate in community and professional organizations.
  • Apply the principles of evidence-based medicine to their professional practice.

Each fellow must document by program completion a minimum of 200 major vascular surgery procedures performed as surgeon or first assistant and under supervision.