Advanced Heart Failure and Transplant Cardiology Fellowship Program
The Advanced Heart Failure and Transplant Cardiology ACGME Fellowship program accepts one fellow per year who has completed an Internal Medicine residency and Cardiology fellowship. The Fellow will be training at the only site in South Jersey to perform durable Left Ventricular Assist Devices. Currently the Center implants approximately 15-20 per year. The Hospital has a robust cardiogenic shock program with excellent survival. In order to treat these complicated shock patients, Deborah has comprehensive treatment options such as Impella (CP and 5.0) as well as the only regional center to have VA ECMO for long term support. Given our high volume cardiogenic shock program, Fellows will get extensive experience in bedside Swan-Ganz catheter placement and management of these devices. In 2019 over 250 bedside swans were placed in our critical care unit.
Deborah maintains busy inpatient and outpatient heart failure services, with annually over 660 inpatient heart failure consults for Class I to Class 4 disease and more than 3,000 outpatient heart failure encounters in the ambulatory clinic. Deborah also has state-of-the-art cardiopulmonary stress testing in the outpatient clinic to diagnose advance heart failure patients, as well as a robust amyloid and pulmonary hypertension clinic with capability for genetic testing. Given our high volume Deborah also has a very busy patient population on inotropic support. For patients who cannot routinely come to the Center we provide remote monitoring services with CardioMEMS™. The Center also maintains high volume for defibrillator and pacemaker device placements, as well as advanced ablations.
Fellows in the program For the Advanced Heart Failure Fellowship will have the opportunity through Deborah’s collaboration with Robert Wood Johnson University Hospital (RWJUH) for a consecutive four month cardiac transplant related experience. According to the Organ Procurement and Transplantation Network statistics for the period 1/1988 – 10/31/2019, RWJUH performed 199 cardiac transplants.
The Advanced Heart Failure and Transplant Cardiology program will provide fellows with extensive training in both inpatient and clinical settings, including:
- Hospital management of advanced heart failure
- LVAD patient selection and management. Hands on experience at every phase of the process from pre-op, peri-op and post-op management, as well as on-going outpatient LVAD follow-up
- Pre- and post-heart transplant evaluation, therapy and management, with an integrated role in the entire team transplant process
- Hemodynamic management of advanced heart failure patients, with experience in performing endomyocardial biopsies and right heart catheterizations, as well as extensive experience in performing bedside Swan-Ganz catherizations
- Patient selection, implantation and interpretation of CardioMEMS device
- Inpatient and outpatient diagnosis/treatment of pulmonary hypertension
- Extensive experience in diagnosis/treatment of amyloidosis as well as interpretation of PYP Scan for TTR Amyloid
- Congenital heart disease evaluation
- Cardiopulmonary exercise testing
- CRT/ICD device management
- Outpatient disease management
- End of life care and investigational/research principles
- Ensure Fellows evolve into the ultimate leaders, giving back not only the hospital but to the community.
- Educate Fellows on how to provide patient and family-centered care that results in excellent clinical outcomes
Deborah Heart and Lung Center has an active clinical research department, where the medical staff participate in over 30 studies, multicenter trials, and registries such as GUIDE HF and National cardiogenic shock initiative. Ongoing heart failure-related research activities include heart failure assessment devices, cardiac resynchronization and device diagnostics, disease management, and clinical outcomes research. Additionally, there is an active adult congenital heart disease program. Fellows will be expected to participate in clinical research and will have the opportunity as appropriate to present at professional symposia and conferences.
Kulpreet Barn, MD
Medical Director Advanced Heart Failure Program
Dr. Barn did his residency in Internal Medicine at the University of Buffalo, School of Medicine in Buffalo, NY. He did his specialty training in Cardiology at Geisinger Medical Center in Pennsylvania and Advanced Heart Failure-Circulatory Support-Cardiac Transplant Fellowship at Baylor College of Medicine in Texas. He is board certified in Advanced Heart Failure and Transplant Cardiology, Cardiology, Echocardiography, Cardiac CT Imaging, and Nuclear Cardiology.
Fellowship Medical Secretary
609-893-1200 ext. 5020
Salary and Benefits
Deborah Heart and Lung Center offers a comprehensive salary and benefits package including health, dental, disability, life insurance and paid vacation. On campus apartments are also available.
Applicants interested in a position should submit a completed application via Electronic Residency Application Services (ERAS). Contact the Fellowship Medical Secretary for additional deadline and interview schedule information. ERAS accreditation ID number is #1593314002 under the Sidney Kimmel Medical College at Thomas Jefferson University. Deborah participates in the NMRP for programs.
Deborah is currently not sponsoring visa applications for Fellows or hosting J1 support.