The Arizona Heart Institute offers a clinical fellowship in vascular and endovascular surgery to aspiring surgeons. Residents are under the supervision of the program director Julio Rodriguez-Lopez, MD and teaching staff. The program provides intensive clinical experience in all forms of peripheral vascular and endovascular surgery, and is intended for the board eligible (or certified) general surgeon who has a desire to specialize in vascular medicine.
The fellowship period is one year with equally shared responsibilities. The maximum number of fellows per year is three (3). Fellows are responsible for the care of vascular patients from pre-operative work-up through post-operative and follow-up periods. Fellows are permitted to assume the operating surgeon position upon demonstration of adequate technical skills.
Each fellow is assigned to a staff surgeon/s on a monthly basis. The rotation consists of pre-operative evaluation on patients in the AHI clinic, operative care, post-operative care and follow-up. In addition, teaching staff and fellows meet each afternoon to discuss cases scheduled for the following day. Staff provides didactic as well as clinical and surgical instructions on a continual basis throughout the fellowship period. Regularly scheduled academic meetings are mixed with teaching rounds and conferences to provide a thorough, well-rounded educational experience outside the operating theater. A non-invasive vascular laboratory rotation and digital subtraction angiography and arteriographic techniques necessary for diagnosis of vascular lesions are also included in the fellowship year.
The fellows assume complete responsibility for patient care under the direction of the surgical staff, so their experience is comprehensive, and their responsibilities both in and out of the operating theater are sufficient to train them for independent practice as vascular surgeons.
Interventional Cardiology Fellowship Program
The Arizona Heart Institute offers a one-year clinical fellowship in interventional cardiology. Residents are under the supervision of Robert Strumpf, MD and the teaching staff. The program offers a well balanced, diverse mix of invasive cardiology and intravascular intervention derived from our high-volume clinical practice.
The overall goal of the Interventional Cardiology Fellowship Program is to prepare trainees to function at a high level of clinical performance in interventional cardiology, including the development of appropriate clinical judgment in selecting patients for cardiac interventional procedures and a high level of technical skill in performing them. The fellowship program has five components:
- Recognize the effectiveness and limitations of coronary interventional procedures in order to select patients and procedure types appropriately.
- Achieve the appropriate cognitive knowledge and technical skills needed to perform interventional cardiac procedures at the level of quality attainable through the present state of the art.
- Foster an attitude of life-long learning and critical thinking skills needed to gain from experience and incorporate new developments
- Recognize and commit to quality assessment and improvement in procedure performance.
- Participate in research and submit abstract and write 1-2 manuscripts
The overall objectives of the Interventional Cardiology Fellowship program are:
- To develop cognitive knowledge relative to indications for cardiac catheterization, angiography, interventions and planning management decisions after acquisition of clinical and laboratory data in adults with ischemic and valvular heart disease.
- To develop the technical skills required to perform diagnostic cardiac catheterization, selective angiography, and coronary interventions.
- To learn derivations and interpretations of hemodynamic data obtained in the cardiac catheterization laboratory.
- To provide exposure in innovative interventional techniques in treating coronary artery disease, heart failure, and valvular heart disease
- To provide exposure in percutaneous interventions for the prevention and treatment of stroke
- To provide exposure in the percutaneous treatment of peripheral vascular disease
At the conclusion of this one-year training program, the resident will be able to demonstrate:
- Pre-procedural evaluation and management of the patient
- Progressive practical experience:
o Principles of patient preparation and risk assessment
o IV conscious sedation
o Coronary imaging - principles and views
o Angiographic and physiologic lesion analysis
o Technical Intervention:
- Guiding catheter selection and manipulation
- Balloon angioplasty
- Coronary stenting
- Atherectomy: directional, rotational and laser therapy, rheolytic thrombectomy, radiation therapy, protection devices, ASD Repair, valvuloplasty, gene therapy, and cell therapy. Interventional imaging: intravascular ultrasound, pressure wire, and Doppler FloWire and NOGA mapping
- Results and prognosis in context
- Evaluation and management of complications
- Post-procedure management of the patient
Demonstrating competency in patient care, medical knowledge, practice-based learning and improvement, communication and interpersonal skills, professionalism, and systems-based practice as follows:
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- Providing compassionate care that is effective for the promotion of health prevention, treatment, and at the end of life.
- Knowledge of biomedical, clinical, and social sciences, and applies that knowledge effectively to patient care
- Using evidence and methods to investigate, evaluate, and improve his/her patient care practices
- Communication and interpersonal skills and maintaining professional and therapeutic relationships with patients and the healthcare team
- Behaviors that reflect an ongoing commitment to continuous professional development, ethical practice, sensitivity to diversity, and responsible attitudes.
VS Fellowship Administrator
Arizona Heart Hospital
1930 E. Thomas Road
Phoenix, Arizona 85016 USA