The Advanced Heart Failure (AHF) specialist role involves managing a diverse and complex patient population primarily composed of adults aged 18 and older with systolic heart failure. This position is integral to the institution’s heart failure service line, encompassing a broad spectrum of care responsibilities, including outpatient clinic consultations, inpatient care, and heart failure management in the cardiovascular intensive care unit (CVICU).
The clinic structure supports a manageable and high-quality workflow, with six new patient consultations on busy clinic days complemented by return visits. Time allocation for patient appointments reflects the complexity of cases, with 30-minute slots provided for both new and follow-up visits, ensuring thorough and attentive care. The division uses Epic as its electronic medical record (EMR) system, providing a modern platform for managing patient data, though the recent transition highlights an evolving integration process.
The institution’s heart failure program includes a well-established left ventricular assist device (LVAD) service, which has earned three consecutive years of certification from DNV (Det Norske Veritas). The program is supported by dedicated LVAD coordinators and a program manager who provide comprehensive patient and staff training and 24/7 support. A nascent cardiogenic shock program complements the advanced mechanical circulatory support services, further enhancing the division’s capabilities in managing critically ill patients.
Additionally, the institution is actively involved in cutting-edge clinical trials and research initiatives. The division has established a strong reputation for its research in gene therapy for non-ischemic cardiomyopathy and cardio-oncology, supported by prestigious funding from the American Heart Association. These programs provide unique opportunities for candidates interested in contributing to advancements in heart failure and related fields. The institution’s focus on research offers a chance to collaborate with immunology experts and leverage advanced infrastructure to explore innovative therapies.
While the position focuses on heart failure, there are opportunities for subspecialization, including echocardiography, nuclear imaging, and cardiovascular MRI, depending on the candidate's expertise and interest. These optional responsibilities ensure a personalized practice structure while keeping the primary focus on heart failure patient care. The division values flexibility, allowing physicians to tailor their roles to align with their professional aspirations.
Call responsibilities are equitably distributed among team members to maintain work-life balance. Fellows provide first-call support, with attending physicians handling escalations and critical cases. A week per month is typically dedicated to CVICU coverage, ensuring a balanced rotation between clinical, academic, and consultative duties.
The clinical environment is enriched by a robust academic component, where faculty engage with fellows, residents, and medical students in a highly collaborative and supportive setting. This dynamic facilitates not only excellent patient care but also a fulfilling professional experience for those passionate about teaching and mentorship.
The division fosters a collegial and family-like culture among team members. The team includes key leaders in cardiology, such as the Division Chief, Associate Chief, and Heart Failure Program Director. Support staff includes LVAD coordinators, nurses, and a dedicated team for clinical and administrative assistance.
The environment promotes collaboration and shared growth, emphasizing high standards in education, patient care, and innovation.