The International Interventional Structural Heart Disease Fellowship Program at the University of Miami/Jackson Memorial Hospital (UM/JMH) is directed by Eduardo de Marchena, MD with the support of Drs. Mauricio Cohen, Carlos Alfonso, Michael Dyal, Alan Schob, Cesar Mendoza, and Alexander Ferreira. The fellowship is comprised of a one-year program, which functions as an integral component of the subspecialty programs in cardiology, interventional cardiology and the categorical residency program in internal medicine. The program is designed to provide training in structural heart disease procedures for fellows with prior cardiac catheterization and interventional cardiology experience. Candidates for the International Interventional International Interventional Structural Heart Disease Fellowship Program should be highly qualified physicians with a minimum of 12 months’ experience in cardiac catheterization and coronary angiography. Training focuses on the comprehensive acute, chronic and preventive care of adults, with adults with heart disease being defined as anyone over the age of sixteen. The goal of training in structural heart disease Interventions is to provide physicians with a broad perspective in the care of the adult patient with complex structural heart disease.

During the year of interventional structural heart disease training, fellows are expected to master the risks, techniques and indications of structural heart disease practice. They will be expected to develop the judgment and experience necessary to select patients and function as independent operators during interventional procedures in patients with a wide variety of structural heart disease including adults with congenital heart disease.

It is our anticipation that the number of structural heart disease interventions performed by each fellow will be sufficient to achieve expertise and procedural independence while in the program. Fellows’ will be primary operators in the majority of these cases.

A major component of the fellowship will involve the performance of procedures in the adult cardiac catheterization laboratories. The UM/JMH comprise two centers with state-of-the-art high-resolution digital fluoroscopy units, which are networked throughout the hospital. A wide variety of diagnostic and interventional procedures are performed in these laboratories.

The fellow will be expected to master the risks, techniques and indications of the following procedures:

  • Transseptal left heart catheterization
  • ASD/PFO closure
  • Alcohol septal ablation
  • LAA exclusion
  • Interventions in congenital heart diseases
  • Percutaneous aortic balloon valvuloplasty
  • Percutaneous aortic valve replacement
  • Percutaneous mitral balloon Valvuloplasty
  • Percutaneous mitral valve repair
  • Percutaneous paravalvular leak closure
  • Miscellaneous (pericardial window, LV punctures, snares)

ACGME Accredited: No
Residents or Fellows per year: 1
Duration: 1 Year
Postgraduate Training Required:

1. Graduate of an ACGME-accredited Interventional Cardiology Fellowship Program
2. Graduate of an ACGME-accredited Cardiovascular Disease Fellowship Program
3. Graduate of an ACGME-accredited Internal Medicine Residency Program

U.S. Citizenship Required? US citizen, US Permanent Resident/Green Card Holder, and J-1 visa

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

1. Tallahassee Memorial Healthcare, Tallahassee, FL
2. SIU School of Medicine-Memorial Medical Center – Springfield, IL
3. Holy Cross Hospital – Ft. Lauderdale, FL

Applicants must satisfy the following requirements by the beginning of the program:

  • Graduate of an ACGME-accredited Cardiovascular Disease Fellowship Program
  • Graduate of an ACGME-accredited Internal Medicine Residency Program
  • US citizen, US permanent resident, or in possession of a J-1 visa
  • ECFMG-certification if a foreign medical graduate
  • Passing scores on Steps 1, 2, and 3 of USMLE or COMLEX-USA.

 

Applications must consist of the documents listed below.

  • Completed application (see attached)
  • Updated CV, including publications
  • Medical School transcripts
  • One page personal statement detailing your interest in International Interventional Structural Heart Disease training program, as well as career goals
  • Medical School Performance Evaluation (formerly the Dean’s letter)
  • ECFMG Certificate (International Medical Graduates only)
  • USMLE test scores
  • Minimum of three recommendation letters, including one from your Interventional Cardiology training program director.
  • Proficiency in Spanish preferred
  • Photo

 

All applications are reviewed and an interview is required to be considered for the program. The applications are reviewed after all the requested documents are received.

  • November 1st: The above You may submit the required EFDO (ERAS fellowship documents office) for processing and selecting fellowship programs.
  • December 31st: Application Deadline. Incomplete or late applications are not reviewed.
  • January: Interviews are conducted.
  • February: Final fellow selection is made and the recruited candidates are personally contacted.

Board Exam Requirements:
Internal Medicine and Cardiovascular Disease Boards
 

Educational & Other Experience:
Every rotation has its own competency based curriculum, approved by the Program Director. Individual curricula document the skills in each of the six competencies that are expected to be acquired at each level of training. A Core Curriculum forms the backbone of the educational experience at all levels of the training program, with focus on 3 general disciplines in cardiology, each of which are taught via a competency-based curriculum.

1. Interventional cardiac and peripheral procedure
2. Continuity clinic
3. Research

 

Research:
There will be provision of the environment and resources to pursue basic and/or clinical research. Cardiac catheterization staff members and other members of the cardiac unit staff are available to help the fellows in the experimental design, interpretation and analysis of data and preparation of manuscripts.

The fellows are given ample opportunity to become meaningful participants in research on new devices and techniques in both the pre-clinical and clinical phases. Current areas of investigation include novel device designs, application of new interventional techniques to specific high risk populations, e.g., patients with diabetes mellitus, quantitative imaging analysis, adjunctive pharmacology, long-term follow-up of percutaneous mitral commisurotomy, etc. Fellows interested in in-depth investigation will work closely with senior mentors who act as principal investigators on projects.
 

Call:
Per ACGME guidelines, fellows are limited to no more than 80 hours of duty per week, must have at least one day in 7 free from duty, including beeper call. Further, the fellows must spend less than 30 continuous hours in house when on-call, and have at least 8 hours rest period in between shifts. Moonlighting is counted toward the 80-work-week limit. Fellows must log their duty hours daily. The program will monitor fellow duty hours, according to sponsoring institutional policies with a frequency sufficient to ensure compliance with ACGME requirements are met. It will adjust schedules as necessary to mitigate excessive service demands and/or fatigue, and monitor the demands of at-home call and adjust schedules as necessary to mitigate excessive service demands and/or fatigue.
 

Teaching Hospitals:

  • Jackson Memorial Hospital
  • University of Miami UHeath Hospital
  • Veterans Administration (VA)
  • Various International Hospitals
    • Erasmus University Medical Center in Rotterdam, Netherlands
    • Angiografia Clinica de Occidente in Cali, Colombia

 

Teaching Faculty

Headshot of Eduardo de Marchena, MD
Eduardo de Marchena, MD

Director, International Interventional Structural Heart Disease Fellowship Program
Professor of Medicine and Surgery, University of Miami
Associate Dean for International Medicine
Professor of Medicine and Surgery
University of Miami Miller School of medicine

Michael Dyal, MD.
VA Site Supervisor, International Interventional Structural Heart Disease Fellowship Program
Assistant Professor of Medicine, VA Interventional Cardiology
UM Voluntary Faculty, Assistant Professor of Medicine

Satinder Sandhu, MD.
JMH Site Supervisor, International Interventional Structural Heart Disease Fellowship
Medical Director, JMH Pedi-Cardiology Catheterization Laboratory
Professor of Medicine, University of Miami Miller School of Medicine

Carlos Alfonso, MD.
Director, Cardiovascular Fellowship Program
Assistant Professor of Clinical Medicine, University of Miami Miller School of Medicine

Mauricio Cohen, M.D.
Director, UM UHealth Cardiac Catheterization Laboratory
Associate Professor of Medicine, University of Miami Miller School of Medicine

Alan Schob, MD.
Director, VA Cardiac Catheterization Laboratory
Professor of Medicine, University of Miami Miller School of Medicine

Alexandre C. Ferreira, MD.
Director, Interventional Cardiology Fellowship Program
Clinical Chief of Cardiology, Jackson Memorial Hospital

Cesar Mendoza, MD.
Director, JMH Cardiac Catheterization Laboratory
Jackson Memorial Hospital

Noemi Melendres
Phone: 305-585-5540
Fax: 305-585-5533
Email: noemi.melendres@jhsmiami.org