Advanced Heart Failure & Transplant Cardiology Fellowship

Fellowship Director:
Ryan Tedford, MD, FACC, FAHA, FHFSA – Associate Professor of Medicine; Heart Failure Section Chief; Medical Director, Cardiac Transplantation

Length of Program:
One-year program following successful completion of a three-year ACGME approved General Cardiology Fellowship.

Application Requirements:

The Program participates in the Electronic Residency Application System (ERAS) and NMRP for the screening and selection of qualified candidates. 

All candidates must pass USMLE Step 3 Exam (or COMLEX step 3) before entering program and provide documentation.

Candidates are screened based upon variety of criteria including:

  • Clinical experience
  • Academic record and productivity
  • Personal Statement
  • Letters of Recommendation (3)
  • Interview

All specialty and subspecialty residents must have passed the USMLE Step 3 Exam (or the equivalent COMLEX Step 3 exam) before entering any MUSC GME program. We accept candidates who are United States citizens, permanent residents (Green card holders), or with J1 visas.

About the Program:

The Advanced Heart Failure & Cardiology Transplantation Fellowship Training Program of the Medical University of South Carolina (MUSC) in Charleston invites applicants to apply for one of two annual fellowship positions. 

Our advanced heart failure team includes 8 board certified advanced heart failure and transplant cardiologists and 3 cardiac surgeons. As the only heart transplant center in the state, we have performed 23 transplants and 44 LVAD implantations in FY20, and we continue to grow rapidly. We are a Blue Cross Center of Distinction for Heart Transplantation, Optum Center of Excellence (COE) and LifeTrac 'Select' Adult Heart Transplant Center. Our MCS program is certified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and received the Vanguard Award from STS INTERMACS.    

In addition to cardiac transplant and MCS, our faculty listed below have special clinical and research interests in genetics and inherited cardiomyopathies, hemodynamics, pulmonary hypertension and right heart function, HFpEF, ECMO, cardio-oncology, heart failure telemedicine, and inflammatory cardiomyopathies.  Our educational mission is of critical importance to our group.

The Medical University of South Carolina Advanced Heart Failure and Transplant Cardiology Fellowship seeks the following for its trainees:

  1. To provide them with knowledge and experience necessary for the provision of outstanding clinical care for patients with advanced heart failure, including medical management of advanced heart failure therapies such as cardiac transplantation and mechanical circulatory support, as part of a multi-disciplinary team.
  2. To develop their skills for providing appropriate care including obtaining the history, performing a physical exam, and using appropriate diagnostic tests for patients with advanced heart failure.
  3. To provide them with expertise in the evaluation of all stages of heart failure, including ACC/AHA stages A through D.
  4. To ensure that they demonstrate competency in the ACGME core requirements, including patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.
  5. To develop the skills necessary for the assessment and management of immunosuppression after cardiac transplantation, including early post-operative induction, chronic maintenance, assessment and treatment of acute allograft rejection, and treatment of chronic allograft rejection, including assessment for toxicity and complications of these therapies.
  6. To produce evidence of scholarly productivity in the fields of cardiomyopathy, heart failure, cardiac transplantation, or mechanical cardiac support

At the completion of training, fellows will meet requirements for UNOS certification and will be eligible for the ABIM Advanced Heart Failure and Transplant Cardiology sub-specialty board examination.

  1. HF Didactic Conference - First and Third Friday of each month (alternates between journal club, presentations of educational/difficult ward cases, and didactic lectures).  Didactic lectures topics include hemodynamic assessment, immunosuppression, MCS management, transplant clinical care concepts, rejection, acute and chronic heart failure management, and others.
  2. Transplant QAPI – Wednesday afternoon (monthly)
  3. VAD QAPI – Friday afternoon (monthly)
  4. M&M Conference – Thursday morning (monthly)
  5. Cardiology Grand Rounds – Thursday morning (weekly)
  6. Combined Cardiology/CT Surgery conference – Tuesday morning (monthly)
  7. Heart Biopsy/Pathology Review – every Friday morning (weekly)
  8. MCS/Transplant Patient Review – every Wednesday afternoon (weekly)
  9. MCS/Transplant Selection Conference – every Wednesday afternoon (weekly)

 

Diagram for the 1-year training plan

Months

Fellow #1

Fellow #2

July & August

Inpatient responsibilities

· 7 weeks inpatient training
· 2 weeks research

Outpatient responsibilities

· 7 weeks outpatient training
· 2 weeks research

September & October

Outpatient responsibilities

· 7 weeks outpatient training
· 2 weeks research

Inpatient responsibilities

· 7 weeks inpatient training
· 2 weeks research

November & December

Inpatient responsibilities

· 7 weeks inpatient training
· 2 weeks research

Outpatient responsibilities

· 7 weeks outpatient training
· 2 weeks research

January & February

Outpatient responsibilities

· 7 weeks outpatient training
· 2 weeks research

Inpatient responsibilities

· 7 weeks inpatient training
· 2 weeks research

March & April

Inpatient responsibilities

· 7 weeks inpatient training
· 2 weeks research

Outpatient responsibilities

· 7 weeks outpatient training
· 2 weeks research

May & June

Outpatient responsibilities

· 7 weeks outpatient training
· 2 weeks research

Inpatient responsibilities

· 7 weeks inpatient training
· 2 weeks research

 

Living in Charleston

Charleston, South Carolina is a wonderful coastal city that is rich in history, culture, delicious cuisine, art, and exploring. Located in the Lowcountry region, Charleston has plenty to offer to everyone. For the beach lover, the art enthusiast, the foodie, or the city wanderer, Charleston can capture anyone’s attention. Please visitthe Charleston Visitors Bureau website to discover more about the incredible city of Charleston.

 

Advanced Heart Failure & Transplant Cardiology Fellows

Dr. Eric Bonno

Eric Bonno, M.D.

Cardiology Fellowship: Medical University of South Carolina
Internal Medicine Residency: Beth Israel Deaconess Medical Center
Internship: Beth Israel Deaconess Medical Center
Medical School: Medical University of South Carolina

Dr. Michael Viray

Michael Viray, M.D.

Cardiology Fellowship: Einstein Medical Center, Philadelphia, PA
Internal Medicine Residency: St. Vincent's Medical Center, Bridgeport, CT
Internship: St. Vincent's Medical Center, Bridgeport, CT
Medical School: University of Santo Tomas, Manila Phillipines