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During the 12 months of clinical training in the Advanced Heart Failure and Transplant Cardiology Fellowship, half of your clinical time is spent in the ambulatory practice to include experience in outpatient and inpatient heart failure, cardiac transplantation, mechanical circulatory device therapy, and end-of-life care. 

Your remaining clinical time is spent in the inpatient setting. In this setting you will care for patients with decompensated heart failure and cardiogenic shock, patients admitted with mechanical circulatory support devices, both pre- and post-heart transplant patients, and patients admitted with pulmonary hypertension. 

Experience is garnered in invasive hemodynamics, evaluation and treatment of pulmonary hypertension, performance and interpretation of endomyocardial biopsy, and placement of some temporary mechanical circulatory devices. 

Including the additional focused cardiac transplantation training allows this fellowship to meet requirements for United Network for Organ Sharing (UNOS) certification as a transplant cardiologist. 

Rotation schedule

A typical schedule for this fellowship includes:

Inpatient heart failure and transplant 5 months
Outpatient clinics 5 months
Ventricular assist device (VAD) service 4 weeks
Cardiac Catheterization Laboratory 3 days per week while on outpatient blocks
Pulmonary Hypertension Clinic 1 day per week while on outpatient block
Laboratory medicine and pathology 4 weeks
Electives 8 weeks
Research 5 weeks (one half-day per week for 12 months)
Vacation 15 days per academic year

Call frequency

As an advanced heart failure fellow, you will have no overnight call duties. Mayo Clinic College of Medicine and Science follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME) regarding work-hour expectations.

Research training

Although this fellowship is primarily a clinical fellowship, you are expected to perform clinical research in the area of heart failure, transplant, or LVAD under the direction of supervising heart failure and cardiac transplant faculty. Dedicated blocked time is allocated through the year to allow for appropriate research training. 

Didactic training

Clinical conferences, seminars, small discussion groups, journal clubs, and one-on-one instruction are integral parts of this fellowship. A full core curriculum is provided, which designates the expectation for you in terms of didactic learning. 


You will attend Cardiology Grand Rounds, Cardiovascular diseases fellow conferences, and Internal Medicine Grand Rounds. While on inpatient service, you will also attend our weekly multidisciplinary ICU conference.

We will integrate you into the transplant care huddle, which involves discussing medically complex or socially complex pre- and post-transplant patients to develop a multidisciplinary plan of care. Additional conferences include, but are not limited to, CHF Journal Club, Transplant Quality, and Transplant Departmental Reviews (M&M).

Teaching opportunities

Opportunities are available for you to teach rotating residents and medical students, as well as PA fellows.


To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Advanced Heart Failure and Transplant Cardiology Fellowship. You are formally evaluated by your supervising faculty members on a quarterly basis and meet with the program director to review these evaluations.

Completed faculty evaluations are reviewed by the program director and are immediately available electronically to you in the MedHub system. In addition, you have the opportunity to complete an evaluation of faculty following each rotation, as well as an evaluation of the program on an annual basis.