The Interventional Cardiology Fellowship Program at Tufts Medical Center in Boston is a one-year advanced fellowship for cardiovascular specialists seeking interventional expertise. It is an Accreditation Council for Graduate Medical Education (ACGME) accredited program.
The program trains fellows on the proper indications and techniques for a wide variety of interventional cardiovascular procedures. Fellows will also learn peripheral vascular and structural heart disease procedures in addition to coronary interventions.
Education and research are also major components of the Interventional Cardiology Fellowship. Lectures and other interactive educational opportunities complement the hands-on clinical training. Our three state-of-the-art laboratories dedicated to interventional cardiology provide the resources necessary to conduct cutting-edge research.
Upon completion of the Interventional Cardiology Fellowship, each of our fellows will have acquired the knowledge, skills and practical experience that are required to become an interventional cardiologist.
Throughout their time in our program, fellows are given increasing responsibility for patient care and procedures. The program provides supervised procedural experience to the fellow so that he/she can gain the expertise required of an interventional cardiologist. The fellow will also:
- Understand the indications and contraindications of percutaneous coronary intervention (PCI), including optimal management of the patient prior to and following PCI
- Understand the principles of radiological imaging of the heart and lungs, including radiation safety
- Acquire sufficient skill to perform PCI in both major coronary arteries and their branches
- Develop skills in the interpretation of images and hemodynamic tracings obtained in the course of PCI and participate in the multidisciplinary decision making process based on those images and patient assessment
- Recognize and manage the common and uncommon complications of PCI and understand the principles of peer review of adverse outcomes
- Understand the utility of the various interventional devices, including but not limited to: balloons, stents, atherectomy devices, intracoronary brachytherapy, distal protection devices, intravascular ultrasound, percutaneous thrombectomy, laser, etc.
- Understand the appropriate application of interventional techniques to valvular heart disease, especially percutaneous valvuloplasty for mitral and aortic stenosis
- Understand the appropriate application of interventional techniques to congenital heart disease, especially percutaneous closure of patent foramen ovale and atrial septal defect
- Understand the appropriate application of interventional techniques for the therapy of obstructive hypertrophic cardiomyopathy (i.e., when to perform percutaneous transeptal myocardial ablation)
- Develop an understanding and methodology in the evaluation and treatment of the patient with peripheral vascular disease
- Understand and gain expertise in endomyocardial biopsy, invasive management of decompensated heart failure, vasodilator and inotrope hemodynamic studies, IVUS interrogation for transplant arteriopathy, high risk PCI in advanced ischemic cardiomyopathy patients, use of percutaneous ventricular assist devices either for left or right ventricular support and in combination with surgical LVADs
Participation in cardiovascular research is an important part of the fellowship program at Tufts Medical Center. Fellows are encouraged to become involved in research early in their fellowship and are given numerous opportunities in cardiovascular research, including basic science, clinical projects and population/epidemiology research.
The Interventional Cardiology Fellowship program offers several unique research opportunities. Our fellows are provided with access to a highly enriched scientific environment for clinical and translational studies. All fellows in the Interventional Cardiology program actively participate in clinical research studies and are strongly encouraged and mentored in the process of submitting abstracts and manuscripts. Drs. Kimmelstiel, Weintraub and Kapur mentor fellows in participation in large, randomized clinical trials. Our laboratory has a long history of participation in multicenter device trials; having participated in virtually all the major drug-eluting stenting trials.
Our multicenter clinical trial work extends beyond coronary trials to the realm of peripheral and structural heart disease, where we are one of the leading centers nationally in enrollment in the RESPECT trial. The trial is investigating the effect of PFO device closure in secondary stroke prevention. Interventional fellows will actively participate in these important clinical trials.
Our program also actively pursues investigator-initiated, single-center studies. Examples of such investigations include the effect of pharmacologic adjuncts to PCI on platelet function, the effect of nesiritide on renal function in patients with severe renal insufficiency undergoing contrast angiographic procedure, and many other ongoing and planned projects which are fertile ground for collaboration with interventional cardiology fellows.
Our Hypertrophic Cardiomyopathy Center provides a high number of physiologic studies for HCM and alcohol septal ablation. Several research studies involving alcohol septal ablation are currently underway and involve interventional fellows directly by allowing them to collaborate with colleagues in the heart failure arena.
As an Investigator at the Molecular Cardiology Research Institute at Tufts Medical Center, Dr. Kapur’s basic science laboratory provides a unique opportunity for translational and molecular research within the catheterization laboratory.
A full range of inpatient, outpatient, clinical and research laboratory facilities are available to the cardiology fellows at the Medical Center. Fellows work with the highest quality, latest technology equipment. In addition, a complete medical library is available at Tufts University School of Medicine.
Fellows have a centrally-located, dedicated, quiet workspace (Shapur Naimi Fellowship Room) equipped with desks, computers and a lounge area. Fellows also have access to cardiology conference space, including the Modestino Criscitiello Library and the Herbert J. Levine Conference Room. These fellow spaces are named for three superb cardiologists who helped establish cardiology at Tufts MC.
Our outstanding faculty members are among the nation’s leaders in bringing the latest advances in heart failure into clinical practice. All are on the academic staff of Tufts University School of Medicine
Laurence C. Conway, MD
Jean-Pierre Geagea, MD
Navin K. Kapur, MD
Carey D. Kimmelstiel, MD
Anthony Marks, MD
Syed Tahir, MD
Andrew R. Weintraub, MD
Prospective fellows are encouraged to apply provided they have completed the necessary training to become ABIM board-eligible in internal medicine.
Applications for fellowship in interventional cardiology are accepted via the Electronic Residency Application Service (ERAS). A thorough review is undertaken of each fellow application.
A select number of applicants are invited for an interview to meet with staff and to tour the facilities. At the completion of the interview process, applications are thoroughly reviewed again.
Carey D. Kimmelstiel, MD
Director, Adult Cardiac Catheterization Laboratory and Interventional Cardiology
Director, Interventional Cardiology Fellowship Program
Division of Cardiology
Tufts Medical Center
800 Washington Street, Box 264
Boston, MA 02111
Tel: 617-636-5914; Fax: 617-636-5913