With a low student-faculty ratio, our fellows benefit from one-on-one training at one of the largest heart transplant program in Texas
Baylor University Medical Center(BUMC), part of Baylor Scott & White Health, Advanced Heart Failure & Cardiac Transplantation Fellowship Program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). BUMC is a busy transplant and LVAD center and is amongst the top 10 high volume transplant centers in the country .
Upon program completion, graduates will qualify to serve as a medical director of a UNOS certified heart transplant program and be eligible for certification in the subspecialty of Advanced Heart Failure and Transplant Cardiology by the American Board of Internal Medicine (ABIM).
As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White serves 41 counties through 52 hospitals, more than 1,200 access points, more than 7,100 active physicians, more than 52,000 team members and the Baylor Scott & White Health Plan.
Curriculum
About the program
In accordance with the ACC COCATS 4 Task Force 8, the advanced heart failure fellows are trained on the management and evaluation of patients with heart failure, heart transplant, durable and temporary mechanical circulatory support, ECMO, pulmonary hypertension as well as end-of-life issues.
The program provides exposure to many multi center research trials and investigator initiated trials. Additionally, the fellows may obtain hands on experience in the cardiac catheterization lab with aggressive percutaneous mechanical circulatory support including Impella, Protek Duo, left heart catheterization, IVUS, and ECMO. This would be in addition to the standard requirements of right heart caths, endomyocardial biopsy and Cardiomems.
Procedures
The Heart Failure Fellows may participate and obtain hands on experience with insertion and the management of patients requiring temporary percutaneous mechanical support including IABP, Impella , Protek duo, and are able to perform the requisite numbers of Cardiomems implantation for certification . In addition the fellows have exposure to the management of cardiogenic shock via a coordinated Shock team and thus gain experience in the bedside management of patients supported on Centtrimag and ECMO
Volume
Baylor University Medical Center is a quaternary referral center and performs over high volume heart transplants and high volume durable LVAD implants yearly. The Fellow has substantial site support with specialists and advanced practice health care professionals who are experts in the management of advanced heart failure in the following areas:
- Multispecialty team rounds in ICU
- Outpatient advanced heart failure clinic
- Evaluation for heart transplant and LVAD implantation
- Post-heart transplant/LVAD management
- Pulmonary hypertension consultation and follow-up
Rotations
Our typical rotation schedule is illustrated below. The majority of clinics are held at Baylor university medical center. Once a week night call with in house attending. Fellows also work rounds one weekend a month without taking call.
The fellows rotation at the VA consists of an outpatient advanced heart failure clinic experience for 3.5 days and procedures for the remainder of the week. The fellows have the opportunity to perform right heart catheterizations, endomyocardial biopsies and implantation of cardiomems devices. In addition fellows will also perform and review cardio-pulmonary exercise stress testing for their patients. The HF fellows do not take call at the VA.
Inpatient
- Pre-transplant heart failure
- Post-transplant and device
- Inpatient consultations (VA Medical center)
Outpatient
- Transplant device
- Pulmonary Hypertension
- Clinical Coverage (VA Medical center)
Laboratory
- Cardiac catheterization laboratory
Education
Fellows receive didactic instruction through attendance at cardiology lectures, morbidity & mortality conferences and cardiology-related courses and meetings.
Institutional conferences
- Internal Medicine Grand Rounds
Departmental conferences
- Heart Failure/Transplant Conference
- Transplant/MCS M&M Conference
- Heart Failure Journal Club
- Transplant Selection Meeting
- Cardiology Grand Rounds
- Cardiology Echocardiography Conference
- Cardiology Catheterization Conference
- Cardiology Section or M&M Meeting
- Immunology Meeting
- Pulmonary Hypertension
Education of the fellows is enhanced with the presence of multiple subspecialists and consultants who participate in coordinated decision-making
BUMC residency and fellowship programs include:
- Internal medicine residency
- Clinical cardiology fellowship
- Interventional cardiology fellowship
- Electrophysiology fellowship
- General surgery
- Vascular surgery
- Cardiothoracic surgery training program
- Surgical Critical Care
How to apply
We use the Electronic Residency Application Service (ERAS) to electronically accept fellowship applications, letters of recommendations, dean’s letters, transcripts and other credentials directly from your medical school.
Application requirements
Applicants must have completed at least three years of internal medicine residency and three years of cardiology fellowship training.
In order to be considered for the program, applicants must submit the following materials:
- Personal statement
- CV
- Minimum of three letters of recommendation
- ECFMG certificate (if applicable)
- United States Medical Licensing Examination (USMLE) and/or COMLEX scores
Learn more about Baylor Scott & White's housestaff appointment eligibility, including guidelines for international medical graduates.
Faculty and fellows
Our dedicated faculty, with diverse expertise and a passion for teaching, offers invaluable mentorship and our talented fellows bring enthusiasm and fresh perspectives to patient care. Together, they create a supportive community committed to excellence in medical education and compassionate care.
Join us in shaping the future of healthcare!
Research
Baylor Scott & White Heart and Vascular Institute – Dallas in collaboration with Baylor Research Institute, coordinates more than 150 clinical trials involving cardiac surgery, cardiology, cardiac and vascular intervention, electrophysiology, vascular surgery and cardiovascular disease prevention.
The Fellow actively participates in research projects equipping the fellow to further their experience in critical thinking and innovative research. Fellows will work closely with Faculty on research that is aligned with their interests.
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Recent publications from fellows
- Chalkley, R. A., W. C. Roberts, S. Patlolla, J. M. Schussler, R. W. Snyder, 2nd, R. L. Smith, 2nd, C. S. Roberts and D. M. Meyer (2020). “Giant Right Coronary Artery Aneurysms.” Am J Cardiol 125(10): 1599-1601.
- Safety and efficacy of ProtekDuo right ventricular assist device: A systemic review
- Alam A, Baran DA, Doshi H, Van Zyl J, Patlolla S, Salem M, Afzal A, Al-Saffar F, Hall SA.Artif Organs. 2023 Jul;47(7):1094-1103. doi: 10.1111/aor.14525. Epub 2023 Apr 3.PMID: 37012224 Review.
- Managing Right Ventricular Failure After Left Ventricular Assist Device Implant at a Destination Therapy Center.
- George TJ, Sheasby J, Milligan G, Kabra N, Dimaio JM, Rawitscher DA, Afzal A.Am J Cardiol. 2023 Aug 15;201:1-7. doi: 10.1016/j.amjcard.2023.05.056. Epub 2023 Jun 20.PMID: 37348151
- Balancing the tug of war: intraoperative and postoperative management of multiorgan transplantation.
- Patlolla SS, Gong T, Hall S.Curr Opin Organ Transplant. 2022 Feb 1;27(1):57-63. doi: 10.1097/MOT.0000000000000939.PMID: 34939965 Review.
- The man in the mirror: Biventricular device implantation in a patient with dextrocardia with situs inversus totalis.
- Lemieux A, Patlolla SS, Habash F, Wencker D, Kale P, Schussler JM, Assar MD.HeartRhythm Case Rep. 2022 Sep 7;8(11):790-792. doi: 10.1016/j.hrcr.2022.08.014. eCollection 2022 Nov.PMID: 36618598 Free PMC article. No abstract available.
- Pathophysiological Basis and Rationale for Early Outpatient Treatment of SARS-CoV-2 (COVID-19) Infection.
- McCullough PA, Kelly RJ, Ruocco G, Lerma E, Tumlin J, Wheelan KR, Katz N, Lepor NE, Vijay K, Carter H, Singh B, McCullough SP, Bhambi BK, Palazzuoli A, De Ferrari GM, Milligan GP, Safder T, Tecson KM, Wang DD, McKinnon JE, O'Neill WW, Zervos M, Risch HA.Am J Med. 2021 Jan;134(1):16-22. doi: 10.1016/j.amjmed.2020.07.003. Epub 2020 Aug 7.PMID: 32771461
- Alam A, Milligan GP, Joseph SM. Reconsidering the Diagnostic Criteria of Right Ventricular Primary Graft Dysfunction. J Card Fail 2020; Epub ahead of print 2020/08/11.
- Hicks A, 3rd, Velazco JF, Gohar S, Seliem A, Hall SA, Michel JB. Advanced heart failure with reduced ejection fraction. Proc (Bayl Univ Med Cent) 2020;33(3):350-6.
- Milligan GP, Alam A, Guerrero-Miranda C. Recognizing Right Ventricular Dysfunction in Coronavirus Disease-2019-Related Respiratory Illness. J Card Fail 2020; Epub ahead of print 2020/05/15.
Working at Baylor Scott & White Health
Stipend and benefits
In addition to competitive stipends, we offer our residents a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself.
Well-being resources
This time in your professional career can be extremely challenging. As a Baylor Scott & White graduate medical trainee, there are a variety of resources available to you, ensuring you get the most out of your educational experience.
Life in Dallas
Dallas provides access to metropolitan entertainment and culture while maintaining the lowest cost of living among the top 10 largest U.S. cities.
Contact us
Priscilla Braisted
Phone: 214.818.6496
Fax: 214.820.7272
Priscilla.Braisted@BSWHealth.org
Advanced Heart Failure & Cardiac Transplantation Fellowship
Baylor University Medical Center
3500 Gaston Ave.
Roberts Hospital, 1st Floor
Dallas, TX 75246
Verification Requests: BUMCGMEVerifications@BSWHealth.org
Baylor University Medical Center
Roberts Hospital
3500 Gaston Ave.
Dallas, TX 75246