Advanced Heart Failure and Transplant Cardiology fellow working with a cardiologist in the OR at Mayo Clinic in Jacksonville, Florida.
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The Advanced Heart Failure and Transplant Cardiology Fellowship at Mayo Clinic in Jacksonville, Florida, is designed to provide intensive experience and training in the evaluation and treatment of patients with advanced heart failure.

As a fellow, you play an integral role in the management of a wide pathological spectrum of clinical heart failure, to include initial diagnostic evaluation, chronic management strategies, high-risk cardiac surgical and percutaneous interventions, cardiac transplantation, mechanical circulatory device therapy, and end-of-life care and management.

This one-year program includes:

  • Exposure to the management of immediate post heart transplant and ventricular assist device in the intensive care unit
  • The opportunity to perform bedside procedures including point-of-care echocardiography, central line placements, endomyocardial biopsies, and right and left heart catheterizations
  • Participation in a multidisciplinary team approach with cardiothoracic surgery, Transplant Critical Care, Neurocritical care and other teams in the management of your patients, including different types of temporary mechanical circulatory support
  • Opportunities for research in the field of heart failure and cardiac transplantation

Compared to other Advanced Heart Failure Fellowship Programs who are under the directives of a Cardiovascular Department, we are directly under the Department of Transplant, making it an intensive and true in-depth transplant experience with close interaction with other solid organ programs, including lung, liver, kidney, and pancreas.

Mayo Clinic has a long-standing tradition of practicing both the art and science of medicine. Physicians, scientists, residents, students, nurses, and allied health staff members work as a team at Mayo Clinic. Our staff clinicians and scientists are called consultants in recognition of their teaching and mentoring roles on the team.

Mayo Clinic's academic environment, favorable faculty ratio, large patient population, and state-of-the-art diagnostic, therapeutic, and research facilities combine to create a truly integrated and comprehensive educational experience. The "Mayo Clinic way" of graduate medical education ensures the finest teaching and the broadest patient care experience possible during a busy, hands-on fellowship.

Two doctors from the Cardiology, Advanced Heart Failure and Transplant Cardiology Fellowship program at Mayo Clinic in Jacksonville, Florida, stand in a hospital hallway and have a discussion.

Your training experience

As a fellow at Mayo Clinic, you'll have access to robust clinical, educational, and research resources. You'll find support both inside and outside of the campus to promote physical and mental wellness and ensure your work/life balance.

Juan Carlos Leoni Moreno, M.D.

Director's welcome

This fellowship is designed to provide you with unique exposure to our subspecialty. You'll have the opportunity to interact with and learn from leaders in the field of advanced heart failure, temporary and durable mechanical circulatory support, transplant medicine, and especially heart transplantation.

Learn more about Mayo Clinic in Jacksonville, FL


Learn more about Mayo Clinic in Jacksonville, FL


The Advanced Heart Failure and Transplant Cardiology Fellowship at Mayo Clinic fulfills the training requirements as defined by the American Board of Internal Medicine. This fellowship is accredited by the Accreditation Council for Graduate Medical Education (ACGME).


The fellowship meets the training requirements for Advanced Heart Failure and Transplant Cardiology certification by the American Board of Internal Medicine. Trainees who complete this fellowship are eligible to take the Advanced Heart Failure and Transplant Cardiology Certification Examination and are able to serve as the transplant cardiologist in UNOS cardiac transplant programs.

Program history

The Advanced Heart Failure and Transplant Cardiology Fellowship had its first fellow begin in July 2013. It is anticipated that one fellow will complete training in this program annually. All of our fellows have continued on to have successful clinical and academic career across the country. Our recent graduating fellows have accepted positions at the following institutions:

  • Texas Transplant Institute. San Antonio, Texas
  • Kansas University. Kansas City, Kansas
  • Orlando Health Heart Institute. Orlando, Florida
  • Memorial Healthcare System. Hollywood, Florida
  • Mayo Clinic Florida. Jacksonville, Florida

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