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Meryl S. Cohen, MD
Professor of Pediatrics
Director of Echocardiography
Chitra Ravishankar, MD
Associate Professor of Pediatrics
Core faculty representative and subspecialty liaison (Cardiology), General Pediatrics Residency Program
Meryl S. Cohen, MD — Echocardiography, Outpatient
Jodi Chen, MD — Cardiac Critical Care
Andrew Glatz, MD — Interventional Cardiology
David Goldberg, MD — Echocardiography, Single Ventricle Program, Outpatient
Matthew O'Connor — Heart Failure/Transplant
Chitra Ravishankar, MD — Cardiac Care Unit
Susan Schachtner, MD — Cardiac Care Unit, Outpatient
Paul Weinberg, MD — Cardiac Pathology, Outpatient
Chitra Ravishankar, MD, associate program director
Alexander Davidson, MD
Therese Giglia, MD
Laura Mercer-Rosa, MD
Shobha Natarajan, MD
Matthew O’Connor, MD
Stacie Peddy, MD
R. Lee Vogel, MD
Jonathan Edelson, MD (2nd year)
Danielle Burstein, MD (3rd year)
Dr. Alferiev's expertise is the synthesis of monomeric and polymeric compounds for biomedical investigations. One of the directions of his investigations is formulation and chemical modification of drugs and pro-drugs with the aim to improve their pharmaceutical efficacy. Another direction is development of chemical methods for modification of biomaterials to enhance their biocompatibility.
Dr. Avitabile’s research endeavors focus on improving functional capacity in patients with Fontan physiology and pulmonary hypertension. She is particularly interested in the contribution of the peripheral musculature to exercise capacity in these groups and the design of exercise interventions. Finally, she is interested in the use of mobile technologies to assess physical activity and to provide positive feedback to patients. Dr. Avitabile is currently launching a dual-centered exercise training program for adolescent Fontan patients. She is also the site PI for a national pulmonary hypertension registry and a multicenter study using actigraphs and fitbits to measure physical activity and identify new study endpoints for clinical trials in PH patients.
Dr. Banerjee is an echocardiographer. His research interest is in cardiac mechanics. Left and right ventricular mechanics are studied using strain and strain-displacement relationship. His new interest is in the field of torsion. He has studied torsion in various cardiomyopathies like HCM, DCM and LVNC and in heart transplant recipients. For studying diastolic function he utilizes untwist rate measured by speckle tracking imaging. Left atrial mechanics and LA stiffness are two of his latest areas of research.
Geoffrey L. Bird’s academic interests are focused in the realms of quality improvement, patient safety, leadership, teamwork, and decision-making in pediatric cardiac ICU medicine. In addition to serving as the Departmental Patient Safety Officer for the Cardiac Center, he is CHOP CICU Physician Lead for the center’s membership in the Pediatric Cardiac Critical Care Consortium. He has mentored prior fellows in successful projects, matriculation in the University of Pennsylvania Masters of Science in Health Policy Program and Center for Healthcare Improvement and Patient Safety, and ongoing careers as national leaders in Quality Improvement.
Dr. Blinder is interested in all aspects of cardiac critical care, with particular interest in cardio-renal syndromes in patients with critical congenital heart disease. He is also interested in blood product utilization in patients with cyanotic congenital heart disease.
Dr. Boris is an attending cardiologist at Children's Hospital of Philadelphia with special interest in postural orthostatic tachycardia syndrome (POTS).
Dr. Brothers’s research interests are mainly in coronary anomalies, specifically anomalous aortic origin of a coronary artery (AAOCA). She has also serve as site PI on pharmaceutical drug trials in children with dyslipidemia.
Dr. Brunetti is a Cardiac Intensivist with the Division of Cardiac Critical Care Medicine at Children’s Hospital of Philadelphia and an Assistant Professor of Pediatrics in the Department of Anesthesiology & Critical Care Medicine at the Perelman School of Medicine at the University of Pennsylvania.
Dr. Chorny's research is focused on developing targeted, nanoparticle-based therapies to treat cardiovascular disease and pediatric malignancies. Different families of therapeutic agents are currently being evaluated in nano-carrier delivery systems as potential new treatments for restenosis and high-risk neuroblastomas. Future studies will continue to focus on refinement of nanoparticle formulations that can be used to deliver drugs and bio-therapeutics more effectively and safely than existing delivery approaches.
Dr. Cohen’s research interests are primarily growth and obesity in children with congenital and acquired heart disease, using imaging to help predict postoperative outcomes in patients with small left ventricle and other congenital heart disease and Hepatic disease in Fontan patients.
Dr. Degenhardt is interested in the molecular mechanisms of cardiovascular development. His work involves the use of mouse models of congenital heart defects, with specific targeted gene defects. This includes semaphorins and n-acetyl transferases.
Channing A, Szwast A, Natarajan S, Degenhardt K, Tian Z, Rychik J. Maternal Hyperoxygenation improves left heart filling in the fetus with atrial septal aneurysm causing impediment to left ventricular inflow. Ultrasound Obstet Gynecol 45(6): 630, Jun 2014.
Dr. DeWitt has a general interest in all aspects of cardiac critical care. In particular, he has interest in chronic & prolonged critical illness in pediatric patients with heart disease, palliative care and end-of-life in pediatric patients with heart disease, quality improvement in the CICU, and lymphatic flow disorders.
Dr. Dori’s main research focuses on abnormal lymphatic flow and the diseases that result. This has led to the development of novel MRI based imaging techniques as well as minimally invasive intervention techniques. Dr. Dori’s research is now investigating the lymphatic system’s role in certain complications related to heart failure and a possible treatment for these patients.
Dr. Fishbein's research interests relate to the following: vascular pathology, imaging, atherosclerosis, restenosis, gene therapy, adenovirus, adeno-associated virus, NO, NO synthase, ROS, nanotechnology.
Dr. Fogel’s research focuses on the relationship between cerebral anatomy, hemodynamics and oxygen metabolism in single ventricle patients with neurodevelopment to ultimately positively affect patient care. Specifically this will be a renewal utilizing magnetic resonance imaging and neurodevelopmental testing, bringing back single ventricle patients studied by a recent NIH RO1 for which Dr. Fogel served as primary investigator.
Dr. Frank is an attending physician in the Division of Cardiology at the Children’s Hospital of Philadelphia who specializes in Pulmonary Hypertension, pulmonary vascular remodeling in embryonic development, transitional pulmonary circulation, and transplant.
Dr. Gaynor has a long interest in long-term outcomes assessment in children with congenital heart defects. His research has focused on understanding neurodevelopmental outcomes and risk factors associated with adverse outcomes in this area. He currently serves as Director of the Long-term Follow-up Program in the Cardiac Center at CHOP, and is a member of the Pediatric Cardiac Critical Care Consortium (PC4) Executive Committee.
Dr. Giglia is an attending cardiologist and medical director of the Infant Single Ventricle Monitoring Program (ISVMP).
Dr. Gillespie is an attending cardiologist In the Cardiac Center at Children's Hospital of Philadelphia with expertise in interventional cardiology and transcatheter treatment of heart disease.
Dr. Glatz is a pediatric interventional cardiologist with a strong interest and focus on conducting rigorously designed clinical research. He has formal Masters-level training in study design, epidemiology, and biostatistics. His primary research focus relates to outcomes and quality of care for children with congenital heart disease, using both single-center data and larger multi-center administrative and registry datasets.
Dr. Goldberg’s research interests are primarily focused on children and adolescents with single ventricle congenital heart disease who have undergone the Fontan operation. He is particularly interested in Fontan-associated complications and potential interventions to improve the efficacy of the total cavopulmonary connection. Currently, his primary focus is on a phase III clinical trial of udenafil as a potential medical intervention. In the future he hopes to focus on optimizing mechanical support for the failing single ventricle patient.
Dr. Goldmuntz’s research has focused on the genetic etiology of congenital heart disease as well as genetic modifiers of clinical outcomes. She has focused predominantly on the subgroup of patients with conotruncal defects. A translational program of research, it includes purely clinical to large-scale genomic endeavors. A new avenue of investigation will focus on health services research and health policy.
Dr. Harris’ current research includes using Cardiac MRI for assessment and quantification of ventricular function and pulmonary regurgitation in congenital heart disease animal models (swine and sheep). MRI studies are performed Pre and Post catheter intervention.
Dr. Iyer is an attending electrophysiologist in the Cardiac Center at Children’s Hospital of Philadelphia with a special interest in pacemakers and device therapy. His research expertise is in calcium signaling and electron microscopy in cardiac muscle ultrastructure in disease states such as hypertrophic cardiomyopathy and inherited ventricular tachycardias. He also has interest in calcium release unit ultrastructure and modeling for sinus node functioning.
Dr. Janson is an attending electrophysiologist in the Cardiac Center at Children's Hospital of Philadelphia.
Dr. Kim is a board-certified cardiologist at CHOP and medical director of the Philadelphia Adult Congenital Heart Center. Her research interest includes congenital heart disease, echocardiography, and adult congenital heart disease
Dr. Levy's research programs of interest concern the developmental basis for aortic valve disease, mechanistic studies of progression of calcific aortic stenosis, serotonin mechanisms in heart valve disease, and novel biomaterials for heart valve prostheses. Gene delivery stents are another area of major interest: plasmid or viral vectors configured in sustained release preparations onto vascular stents for site-specific vascular gene therapy. Magnetic delivery of nanoparticles for pharmaceutical and cell therapy to treat arterial disease and magnetic targeting for delivery of cells and pharmaceuticals using nanomedicine formulations are also areas of current research.
Dr. Lin’s research focus is on cardiac biomarkers in Friedreich Ataxia, a disease marked by neuromuscular manifestations as well as cardiomyopathy. Her clinical work is primarily in the care of children and young adults with cardiomyopathy, heart failure, and heart transplantation. Relevant publications include:
Dr. Mascio is an Assistant Professor of Pediatric Cardiothoracic Surgery and his primary research interest has been clinically oriented. He has the surgical and research expertise, leadership, training and motivation necessary to successfully carry out a proposed research project involving 3D printing and surgical planning. He has a broad background in basic cardiac surgical research, however, recently the focus has become more clinical as evidenced by his current activities. His research includes two recent studies utilizing the Society of Thoracic Surgeons Congenital Heart Surgery Database. One study examined morbidity and mortality after adult congenital heart operations and the second reported on the use of mechanical circulatory support after pediatric cardiac surgery. Both studies resulted in presentations at the American Association for Thoracic Surgery and publication in the Journal of Thoracic and Cardiovascular Surgery.
Dr. Mercer-Rosa is a clinician scientist with a research interest in outcomes in tetralogy of Fallot. In addition, she investigates the factors that influence right ventricular remodeling in tetralogy of Fallot, single right ventricles and pulmonary hypertension using non-invasive imaging techniques.
Dr. Naim is a Pediatric Cardiac Intensive Care Physician in the Division of Cardiac Critical Care Medicine at Children's Hospital of Philadelphia with an expertise in neuroprotection following traumatic brain injury and cardiopulmonary bypass as well as pediatric organ donation and transplantation.
Dr. Natarajan is an attending cardiologist and Co-director of the Hypertension and Vascular Evaluation (HAVE) Program and the Medical Director of the Cardiac Center Quality Improvement Program at Children's Hospital of Philadelphia. Her expertise is in conducting non-invasive evaluation of ventricular and vascular function in congenital heart disease.
Dr. O’Byrne is an interventional cardiologist. His research focuses on improving outcomes in patients with congenital and acquired heart disease. This combines use of large observational datasets to assess quality of care and practice variation between hospitals, comparative effectiveness research, and patient-centered outcomes (e.g. health related quality of life) of patients undergoing cardiac procedures and their families.
Dr. O’Connor is interested in immunology (PRAs) and healthcare utilization the heart failure and transplant patient population. Representative publications include the following:
Dr. Paridon is medical director of the exercise physiology laboratory at the Children’s hospital of Philadelphia. In this capacity, he has directed clinical research in the laboratory for the past 20 years. The laboratory is the busiest clinical pediatric exercise laboratory in the nation and as such offers unique research opportunities due to its large volume. The lab is currently hosting multiple clinical research studies funded on local, regional, and national levels. Dr. Paridon is one of the co-primary investigators for the Pediatric Heart Network. This is a multi-center consortium funded by NHLBI through a 5-year U-23 grant for the purpose of promoting multi-center clinical trials for novel therapies in the treatment of congenital heart disease.
Dr. Ravishankar’s research has focused on postoperative outcomes after pediatric cardiac surgery, especially for single ventricle heart defects. She has also maintained an interest in the role of mechanical circulatory support in children.
Dr. Rome’s research efforts have been on evaluating efficacy and applications of new devices and critical assessment of clinical impact and limitations of interventional techniques. He also focuses on integration of transcatheter therapy for patients with complex congenital defects and collaborates to develop methods and systems for allowing large scale assessment of outcomes after treatments with congenital heart disease.
Dr. Rossano is interested in evaluating the treatment and outcomes of pediatric cardiomyopathy, heart failure and transplantation.
As leader of the Single Ventricle Survivorship Program, Dr. Rychik is focused on studying the long-term effects of current management strategies for single ventricle conditions, in the interest of improving therapies.
Dr. Shah is an attending cardiologist in the Cardiac Center at Children's Hospital of Philadelphia with special interest in pacemakers, ICD implantation and cardiac therapy. Her research expertise includes catheter ablation, adult congenital heart disease, congenital heart disease, genotype-phenotype correlation, Cardiac Channelopathy, pacemakers, implantable cardioverter defibrillators, Wolff Parkinson White Syndrome, and Endovascular Lead Extraction.
Dr. Stachelek's research has been concerned with biocompatibility mechanisms and devising therapeutic solutions to polymeric biomaterials. In particular, his work examines the cellular and molecular response to CD47 modified surfaces such as those used as blood conduits for cardiovascular devices. He has published on the novel mechanistic roles that CD47 plays in mediating inflammatory cell interactions with polymeric biomaterials and cardiovascular devices which were the first to characterize the platelet response to CD47 modified surfaces. The overall goal is to characterize the anti-inflammatory properties of CD47 functionalized polyurethane and understanding the CD47 associated signaling mechanisms that mediate inflammatory cell activation.
Dr. Szwast is a board-certified attending cardiologist at CHOP with the Cardiac Center and Fetal Heart Program.
Dr. Vetter is a pediatric electrophysiologist whose research interests are related to the prevention of sudden cardiac death (SCD), both in the congenital heart population and in those with undiagnosed conditions leading to SCD. She is interested in studying both primary and secondary prevention to determine efficacy, best practices, and cost-effectiveness. She collaborates in SCD genetics research in a national consortium. She has access to local and national databases to evaluate outcomes of ECG screening, SCD genomic testing, child death reviews, and out of hospital cardiac arrest. With Masters-level training in public health and health policy, she is studying the impact of legislation on SCD and evaluating public health disparities and advocacy efforts at the state and national levels. She collaborates with the Department of Psychology at PCOM on quality of life studies in patients with long QT syndrome.
The pediatric cardiology fellowship at Children’s Hospital of Philadelphia is one of the nation’s oldest, largest and most well-established pediatric subspecialty training programs, with continuous ACGME accreditation since May 8, 1965.
The goals of the program are:
The mission of the program is to prepare trainees for careers in academic pediatric cardiology. We accomplish this through a three (3)-year program that balances extensive clinical exposure to a broad spectrum of congenital and acquired heart defects and cardiac arrhythmias with time spent in active clinical or basic research. Fellows accept progressively more responsibility in each year of the training program. Fellows are encouraged to complete a fourth year of training in order to extend their research experience or develop specialized clinical expertise in areas such as interventional catheterization, electrophysiology, non-invasive imaging, cardiac intensive care, heart failure/transplant and pulmonary hypertension.
Fellows’ clinical and academic progress is monitored via monthly rotation evaluations as well as a semi-annual review process supervised by our Clinical Competency Committee (CCC), which measures Fellows’ professional growth and achievement of pediatric subspecialty training milestones in accordance with the following six (6) ACGME-defined core competency areas:
While the outcomes-based core curriculum is intentionally highly structured and rigorous, Fellows take an active role in shaping their own education through formal program evaluation and class representative participation on the Program Evaluation Committee (PEC). Fellows are also given the opportunity to provide informal feedback to the program director during Fellows’ meetings and to other teaching faculty, including medical directors, when they are on service or available to meet. Changes to the program or its stated goals are amply discussed and reviewed prior to implementation.
To further enhance our trainees’ opportunities for success and assist them with both navigating the transition from general to subspecialty practice and meeting their professional goals and academic requirements, each trainee is paired with a personal faculty mentor and a research faculty mentor. Mentors are selected for each mentee based on “model” career paths, goals and fields of interest. Additionally, program leadership is always available on an ad hoc basis for resources and support.
The first year of the program is 90 percent clinical in focus, with an emphasis on training fellows in the care of cardiac patients in the inpatient setting as well as in the use of various imaging modalities and other laboratory studies in the pediatric cardiologist’s repertoire.
Fellows will spend two months on the inpatient (CCU) service gaining exposure to a variety of congenital and acquired heart defects including rheumatic fever, Kawasaki disease, collagen vascular disease, bacterial endocarditis, and pre- and post-operative cardiac transplantation cases. Fellows will spend two months in the noninvasive imaging laboratories and two months in the cardiac catheterization laboratories, developing an understanding of major diagnostic tools and approaches to treatment.
Two (2) months in the cardiac intensive care unit (CICU) provide first-year fellows experience with critically ill patients of all ages, particularly those undergoing various forms and stages of heart surgery and palliation. Fellows assigned to the CICU will obtain and provide consultations with a diverse team of front line caregivers — cardiothoracic surgeons, cardiac anesthesiologists, critical care physicians, neurologists, geneticists, nutritionists and a highly specialized nursing team — to optimize patient-and-family-centered care.
Finally, in the first year of training, the program features a unique one (1)-month experience in cardiac pathology based on the morphologic method and segmental approach to the diagnosis of congenital heart disease. The outcomes-based curriculum provides trainees with a detailed knowledge of three-dimensional cardiac anatomy so that they will be able to utilize imaging tools, interpret studies and communicate precise diagnostic information effectively with colleagues and patients/families in their care.
The second year of fellowship incorporates additional time on the non-invasive and catheterization services (approximately one (1) month of each) with at least two (2) weeks’ exposure to the following subspecialty areas:
These experiences help the fellow consider particular clinical interests and strengths and explore possibilities for advanced training.
In addition, as the second year fellow now has a foundation in the basics of clinical cardiology, five to six total months of research time will be set aside for research. Fellows working in a basic science laboratory may arrange their schedule for more contiguous blocks; fellows doing clinical research may opt to interrupt or alternate research blocks with some clinical rotations.
In the third year of fellowship, trainees will complete the formal research block (and the required scholarly work product for professional board exam eligibility) and resume clinical work in the CICU and various cardiology clinical laboratories. They will participate in the consult service, and in some cases, will participate on the CCU in a “pretending” role.
“Senior” fellows are expected to assume a greater degree of responsibility on these rotations, often taking on certain teaching responsibilities to junior fellows and residents that are commensurate with their experience, as determined and supervised by attending faculty.
Note: Many fellows opt to do additional “Consult” time in the second or third year, to continue skills-based learning in the inpatient setting that will enhance and further their progress toward the goal of becoming independent practitioners.
This rotation provides the opportunity to work closely in tandem with the cardiology attending to handle internal and external emergency department referrals, requests from other pediatric subspecialty inpatient units, and efficient management and use of hospital imaging and testing laboratory resources. The fellows’ skills in interpersonal communication, professionalism and systems-based practice are highlighted such that the service attendings can provide valuable, often real-time feedback regarding a fellow’s knowledge base and readiness for practice.
With a similar focus in mind, fellows are responsible for attending their weekly half-day continuity clinics throughout their three years of training with the exception of blocks of CCU, CICU, night float and vacation. In this manner, fellows learn effective time management from balancing patient care responsibilities with other aspects of their academic and clinical workload.
Medical Director — Yuli Kim, MD
Faculty — Sara Partington, MD, Emily Ruckdeschel, MD
The Philadelphia Adult Congenital Heart Center is a joint venture between CHOP and the Hospital of the University of Pennsylvania. During the ACHD rotation, the fellow will gain the knowledge, skills and attitudes necessary to provide appropriate, effective and compassionate care to adults with congenital heart disease. Fellows are required to learn and review methods for taking an adult cardiac history and physical examination, and to competently make informed diagnostic and therapeutic decisions based on patient information, current scientific evidence and clinical judgment.
Under the supervision of the ACHD attending faculty, the fellow will outline management and treatment plans that incorporate understanding of the problems commonly seen in adults with congenital heart disease.
Fellows are expected to demonstrate knowledge of the natural and unnatural history of congenital heart disease and the established and evolving biomedical, clinical, epidemiological and social-behavioral science related to this population. They should be able to provide effective counseling with regard to medical issues such as pregnancy and contraception. Fellows should be aware of the unique psychosocial needs that must be met for these patients in transitioning from pediatric to adult care, and participate in care coordination that reflects understanding of the capacity and limitations of the healthcare system relevant to their clinical specialty.
Medical Director — Susan Schachtner, MD
Faculty — Meryl Cohen, MD, Therese Giglia, MD, David Goldberg, MD, Katharine Levinson, MD, Shobha Natarajan, MD, Matthew O’Connor, MD, Chitra Ravishankar, MD, Anita Szwast, MD
The Cardiac Care Unit (CCU) rotation is designed for the fellow to develop expertise in the acute and chronic medical management of infants and children diagnosed with congenital and acquired heart disease. While on this rotation, fellows will learn how to interpret various imaging and other laboratory modalities for diagnosis and management, and when to refer patients for cardiac surgery.
Fellows participate in daily morning rounds with the pediatric residents and cardiology attending, reviewing physical findings, laboratory results and management plans for each patient. The fellow supervises the management of medical inpatients on the service (admissions and discharges), and teaches basic cardiology topics and focused histories to the residents.
Fellows spend two separate months in the CCU at different stages in the first year so they can build on the understanding acquired in their first rotation with additional skills and knowledge gleaned from other subspecialties later in the year. Service coverage rotates weekly; fellows may work with three to five different supervising faculty in a given four-week period, which provides ample opportunity for learning, mentoring, clinical skills development and feedback.
Medical Director — Andrew Costarino, MD
Faculty — Joshua Blinder, MD, Marissa Brunetti, MD, Jodi Chen, MD, Aaron DeWitt, MD, Maryam Naim, MD, Stacie Peddy, MD, Joseph Rossano, MD
Critically ill medical and surgical patients with cardiovascular disease are cared for in the Cardiac Intensive Care Unit (CICU) by a dedicated team of cardiologists and critical care specialists including cardiothoracic surgeons. During this rotation fellows become familiar with all aspects of care for critically ill cardiac patients including:
Cardiology fellows work closely with critical care, cardiac anesthesia and cardiac surgery fellows in the management of all patients in the CICU, including pre- and post-operative care and participation in invasive procedures. Responsibilities include:
Medical Director —Joshua Blinder, MD
Faculty — Jeffrey Boris, MD, Julie Brothers, MD, Aaron Dorfman, MD, Stanford Ewing, MD, Christine Falkensammer, MD, Paul Farrell, MD, Matthew Harris, MD, Alexa Hogarty, MD, Katharine Levinson, MD, Paul Stephens, MD, Kevin Whitehead, MD
The goal of the consult service rotation, undertaken in the fellow’s second and/or third year, is to ensure that the fellow fully develops the knowledge, skills and attitudes required to provide cardiology consultation service in the evaluation and treatment of infants, children, adolescents and adults with acquired and congenital cardiac disease.
The tasks of appropriately utilizing information technology to optimize patient care, providing sensitive counseling to families, and collaborating with other members of the allied health team to refer patients from other units and specialty disciplines for further cardiac screening create a focus on practice-based learning.
The fellow is challenged to perform honest self-assessment of strengths and limitations that will foster professional growth and further expand competency and understanding of systems-based practice. Viewed appropriately in its larger context, the consult service is a formative benchmark of the fellow’s maturity, fund of knowledge, and readiness to become an independent practitioner.
Medical Director — Maully Shah, MD
Faculty — Christopher Janson, MD, Victoria Vetter, MD, R. Lee Vogel, MD
Approximately 200 procedures are performed annually in the Cardiac Electrophysiology Laboratory. Fellows rotate through this lab twice during their second or third year, learning how to use electrophysiologic information and technology to diagnose and treat various types of cardiac arrhythmia. Fellows gain experience with:
Trainees participate in daily arrhythmia rounds, all outpatient arrhythmia visits, pacemaker clinic, EP consult service, intracardiac electrophysiology studies and operative and catheter ablation procedures.
Medical Director — Jonathan Rome, MD
Faculty — Yoav Dori, MD, Matthew Gillespie, MD, Andrew Glatz, MD
Approximately 1,200 diagnostic and therapeutic procedures are performed each year in the Cardiac Catheterization Laboratory. Beginning in the first year of fellowship, trainees are assigned to catheterization laboratory procedures under the guidance of a staff physician. With each successive rotation through the lab, fellows assume more responsibility for performing procedures. At any given time, one or more attendings are available if help is needed or a complication develops. A comprehensive team including cardiac anesthesiologists and CT surgeons may lend assistance in cases of emergency.
Fellows participate in daily pre-catheterization conferences, present and discuss data at weekly post-catheterization conferences, and attend weekly angiogram review sessions. Fellows participate in approximately 150 catheterization procedures during their training.
By completion of fellowship, trainees are able to plan, perform and interpret a complete diagnostic study. For those with special interest in invasive cardiology, there is opportunity to develop skills in therapeutic catheterization during the latter portion of fellowship training.
Medical Director — Michael Quartermain, MD
Faculty — Anirban Banerjee, MD, Meryl S. Cohen, MD, Karl Degenhardt, MD, PhD, Aaron Dorfman, MD, Stanford Ewing, MD, Christine Falkensammer, MD, Mark Fogel, MD,Marie Gleason, MD, David Goldberg, MD, Betsy Goldmuntz, MD, Alexa Hogarty, MD, Matthew Jolley, MD, Laura Mercer-Rosa, MD, Sumekala Nadaraj, MD, Shobha Natarajan, MD, Matthew O’Connor, MD, Jack Rychik, MD, Mohamed Seliem, MD, Paul Stephens, MD, Anita Szwast, MD
During the echocardiography laboratory rotation, fellows acquire the knowledge and skills necessary to correctly perform and interpret transthoracic (TTE), transesophageal (TEE) and fetal echocardiograms. Fellows will participate in a minimum of 300 TTE studies and approximately 100 to 125 (total) TEE and fetal studies on patients ranging in age from neonates to adults.
Fellows will learn to differentiate various technical modalities including M-mode, 2D, Doppler and color flow imaging, conduct proper probe selection, and to correctly identify and describe the function of the echo machine knobs. They will be able to identify the indications for various types of studies and work collaboratively with laboratory staff to build efficiency, improve communications, create quality improvement initiatives and enhance procedural and process workflow.
A weekly didactic echocardiography laboratory conference and daily teaching sessions conducted by faculty and the senior noninvasive imaging fellow(s) provide multiple opportunities for trainees to develop and enhance their technical skills and fund of knowledge. Advanced imaging modalities are also introduced including 3D imaging and deformation imaging.
If the fellows’ proficiency and interest indicate and available funding for additional training can be secured, a fourth year of training is strongly encouraged.
Medical Director — Stephen Paridon, MD
Faculty — Julie Brothers, MD, Alexa Hogarty, MD, Michael McBride, PhD, Paul Stephens, MD
Fellows will learn to competently monitor patients and collect, record and interpret data from exercise studies during their rotation in the Exercise Lab. At completion of the rotation, the fellow should be able to describe the conduct and protocols of a regular exercise and pharmacologic stress test, describe the equipment used, and develop a preliminary or independent interpretation of the study data depending upon the year of training (second and third year, respectively).
Fellows should know basic exercise physiology as it relates to the cardiovascular, pulmonary and musculoskeletal systems, and know the indications and contraindications for exercise testing.
Medical Director — Mark A. Fogel, MD
Faculty — Matthew A. Harris, MD, Marc Keller, MD, Sara Partington, MD, Kevin Whitehead, MD
Special Consultant – Paul M. Weinberg, MD
In the Cardiomagnetic Resonance Imaging Laboratory, fellows are required to observe at least 40 percent of the MRI studies conducted during the rotation. Fellows will:
Medical Director — Matthew O’Connor, MD
Faculty — Kimberly Lin, MD, Joseph Rossano, MD
The goal of the Cardiomyopathy/Heart Failure/Transplant rotation is that at the end of the fellowship, the fellow has the required knowledge, skills and attitudes to effectively evaluate and initiate management of infants, children and adolescents with cardiomyopathy and heart failure, and patients who have undergone cardiac transplantation. The fellow will:
Medical Director — Marie Gleason, MD
Faculty — Anirban Banerjee, MD, Jeffrey Boris, MD, Meryl Cohen, MD, David J. Goldberg, MD, Paul Farrell, MD, Shobha Natarajan, MD, Stephen Paridon, MD, Susan Schachtner, MD, Paul Stephens, MD, Anita Szwast, MD, R. Lee Vogel, MD
Each of our 18 categorical first- through third-year fellows is assigned to a half-day Fellows’ outpatient clinic held on a Tuesday, Wednesday or Thursday. These clinics are staffed by two (2) attendings. Each clinic has fellows from all years, and clinic assignments are distributed evenly by class year so that fellows may learn from and collaborate with peers as well as senior faculty and ancillary members of the healthcare team. The rationale is to create a “continuity of care” model wherein the fellow can see a wide range of patient referrals.
We encourage fellows to follow patients with acquired and congenital heart disease throughout their course of treatment — from inpatient unit, emergency department or primary caregiver referral to diagnosis and subsequent medical and/or surgical intervention and post-operative care.
Fellows will learn to perform a thorough cardiac-focused history and physical examination. They will learn to make informed diagnostic and therapeutic decisions, professionally counsel patients and families with cultural competence, awareness and sensitivity, and use information technology competently and efficiently to optimize patient care. Fellows must:
Medical Director — Paul Weinberg, MD
Faculty — Meryl Cohen, MD
The ability of the cardiologist to provide precise anatomic diagnosis is essential to effective treatment including surgical intervention for the most complex congenital defects. During the one-month cardiac pathology rotation unique to our training program, the fellow will:
Medical Director — Brian Hanna, MD, PhD
Faculty — Alexander Davidson, MD, David Frank, MD, PhD, Therese Giglia, MD, Rachel Hopper, MD
The Pulmonary Hypertension (PH) Program provides care to children with a wide variety of diagnoses that involve pulmonary vascular pathophysiology. The service averages approximately 20 inpatients on PH-specific therapies daily.
Fellows participating in the care of our patients have the opportunity to learn about the physiology of the failing cardiovascular and pulmonary vascular systems, hemodynamic evaluation, and medical management particular to the care of patients with end-stage heart and/or lung disease. This includes those children with idiopathic PH, congenital heart disease with associated pulmonary vascular disease, cardiomyopathy with severe restrictive physiology, “inoperable” pulmonary vein stenosis/occlusion and right heart failure from PH associated with chronic lung disease.
Fellows are involved in decisions around the evaluation and treatment of pulmonary hypertension with oral, intravenous and subcutaneous therapies and are welcomed in pulmonary hypertension clinic. This collaborative and comprehensive program involves the Divisions of Cardiology, Cardiothoracic Surgery, Cardiac Anesthesiology, Cardiac Critical Care Medicine and Pulmonary Medicine.
Fellows are encouraged to participate in and initiate research projects. The section is active in over two dozen hospital-based, multi-divisional and/or multi-centered research studies, and there is ample opportunity to present at national meetings and author manuscripts. A fourth year fellowship in pulmonary hypertension including advanced clinical and research objectives is offered.
In an increasingly competitive professional job market, the well-trained pediatric cardiologist should have solid bench research and academic investigative skills in addition to comprehensive clinical knowledge and expertise. The specialist should have detailed knowledge of industry standards for experimental design, data collection and analysis and laboratory techniques.
Our fellowship program’s research curriculum has a clearly outlined sequence of goals and objectives to ensure that each fellow meets the minimum requirements for scholarly activity and a scholarly work product per the American Board of Pediatrics criteria, but may also consider and incorporate graduate and post-graduate scholarship and funding opportunities for advanced specialization as part of training at CHOP (See research activity timeline).
Fellows are encouraged to begin thinking prospectively about their research work in cardiology as early as the fellowship interview/program selection. Fellows can follow up on this brainstorming process when they meet with a clinical faculty mentor early in the first year.
Fellows will receive a review of the research curriculum and expectations in the fall of their first year and work with their clinical faculty mentor to identify a research faculty mentor by the end of the first year.
In the second year, fellows work with the research director and coordinator (with input from their clinical mentor and research mentor) to form a Scholarship Oversight Committee (SOC) consisting of the following members:
The entire committee will meet with the fellow and research mentor two to three times in the second and third year of training to ensure project feasibility, timeliness and efforts toward completion. The SOC will review the fellow’s individual development plan, proposed project summary (aka “white paper”) and IRB submission protocols.
In addition to meeting with the SOC, fellows have an opportunity at least once per year in the second and third year to present research to division faculty and peers at Fellows’ Research Conference. Fellows are encouraged to submit posters and abstracts to major conferences such as the American College of Cardiology Scientific Sessions and CHOP’s own annual Cardiology Update.
The third and final year of training includes five to six months of largely uninterrupted research time, focused on project completion. Examples of scholarly activity work products per the American Board of Pediatrics may include:
In the fall of the second year, depending on personal academic and career goals, the fellow may wish to consider applying for the Master of Science in Clinical Epidemiology (MSCE) or Master of Science in Translational Research programs offered by the University of Pennsylvania and/or the Division-sponsored NIH T32 funding grant.
Applying for the T32 and other external funding sources is particularly encouraged for those trainees who wish to secure advanced clinical training (PGY-7 and PGY-8) positions. In the first year, fellows interested in these opportunities should arrange a meeting with the research director in the late fall and also collaborate with peers in the late spring to arrange their future block schedule so that clinical rotation requirements are completed as early as possible, in compliance with academic demands and grant protocols.
Fellows are required to attend an average of six (6) to eight (8) hours of didactic or lecture-based instruction per week that will enhance their clinical practice and fund of knowledge. Unless otherwise indicated, sessions are open to faculty and other members of the allied health professions from across disciplines and institutions.
9 a.m. — Echocardiography Teaching and Review Session
Echo Lab Conference Room, Third Floor, Main
8:15 a.m. — Echocardiography Conference
Echo Conference Room, Third Floor Main
4:00 p.m. — Rotating Conference: Pediatric Cardiology Research Lecture (PCRL)
Eighth Floor Conference Room, 8 NW 27
First and third Monday
7:30 a.m. — Clinical Case Conference
Large CICU Conference Room, 6S60
Second and fourth Monday
7:30 a.m. — Adult Congenital Heart Disease Conference
Second Monday — Radiology Conference Room, Level G, Perelman Center
Fourth Monday — Eighth Floor Conference Room, 8 NW 27, CHOP
Every other month (six times per year)
7:30 a.m. — Cardiac Center Morbidity and Mortality Conference
Stokes Auditorium, First Floor Main
7:30 a.m. — Pre-Surgical Conference
Hope Auditorium, Second Floor Main
3 p.m. — Cardiac Thrombosis Rounds
Large CICU Conference Room
First and third Tuesday
5 p.m. — MRI Conference
Radiology Conference Room, Third Floor Main
7:30 a.m. — Professor Rounds
CICU, Sixth Floor Main
Noon — ECG/Holter Reading Conference
Fellows Room, Eighth Floor, 8NW25 (confirm weekly with Cardiology Fellows)
4 p.m. — Fetal Heart Conference
Fetal Conference Room, Sixth Floor Main
1 p.m. — Pathology Dissection Conference
Autopsy Laboratory, Fifth Floor Main
4:30 p.m. — Pathology Conference
Eighth Floor Conference Room, 8NW27
Second and fourth Thursday
7:30 a.m. — Fellows’ Teaching Conference
Fellows’ Office, Eighth Floor Main, 8NW27
7:30 a.m. — Fellows’ Research Conference
Eighth Floor Conference Room, 8NW27
7:30 a.m. — Post-catheterization Conference
Cath/Angio Rm 6NE92, Sixth Floor Main
Noon — CICU Friday Conference
Week 1 – Case Conference
Week 2 – Respiratory Failure
Week 3 – Journal Club
Week 4 – Research
Large CICU Conference Room, 6S60
Fellows are encouraged to attend annual professional meetings in order to meet and learn from expert faculty in the field and to network with alumni and peers:
To be eligible to apply for the Fellowship in Pediatric Cardiology, physicians:
All applications for standard three (3)-year categorical fellowships must be electronically through the Electronic Residency Application Service (ERAS), the online application service of the American Association of Medical Colleges (AAMC). The annual official deadline for a completed application is December 1. Although applications are considered on a rolling basis as they are completed, applicants who meet the deadline ensure consideration in the first round review by our fellowship selection committee. If selected to interview, requests for specific interview dates are more easily accommodated for applicants who are invited earlier in the season.
The following documents must be received by ERAS prior to consideration of your application:
Our program participates in the National Residency Matching Program (NRMP) Pediatric Subspecialties Spring Match. Anticipated application and recruitment timeline (and notable deadlines) for the upcoming season are as follows (these dates are approximate and based on previous years):
Military (ROTC)-funded applicants and occasional non-traditional applicants may be program-eligible on a case-by-case basis. For consideration, please contact Meryl S. Cohen, MD, program director.
Fourth and fifth year fellowships (PGY-7 and PGY-8) are offered contingent on funding and availability.
In recent years, the noninvasive imaging (echo and MRI), interventional cardiology, electrophysiology and cardiac critical care practice groups have recruited trainees on a regular basis. There are also opportunities to pursue advanced training in adult congenital heart disease, heart failure/transplant, cardiac pathology, pulmonary hypertension, exercise physiology and research.
Training eligibility varies by subspecialty, though most applicants commonly will have completed a three-year fellowship in pediatric cardiology and/or pediatric critical care medicine. It is recommended that prospective advanced trainees contact the section director(s) with specific questions and concerns.
Application materials for advanced subspecialty fellowships are sent directly to the program, not through ERAS. Once completed, these files are sent to the director(s) for review. A completed fourth- and fifth-year training application will include:
Please send these materials directly via electronic or regular mail to:
Beth Garstkiewicz, MEd (email@example.com or firstname.lastname@example.org)
Fellowship Administrative Coordinator
Division of Cardiology
3401 Civic Center Boulevard
Philadelphia, PA 19104
Children’s Hospital of Philadelphia is an equal opportunity employer, committed to creating an environment where all people feel valued and respected and can contribute to their fullest potential. A non-discrimination and harassment policy is strictly enforced. No applicant for employment shall be subjected to discrimination because of race, color, sex, national origin, religion, disability, age, sexual orientation or family status.
To help preserve and improve the health of our patients, their families and our employees, Children’s Hospital of Philadelphia has a tobacco-free hiring policy. This policy applies to all candidates for employment (other than those with regularly scheduled hours in New Jersey) for all positions, including those covered by the Collective Bargaining Agreement. Job applicants who apply after July 1, 2014 will be expected to sign an attestation stating they’ve been free of nicotine or tobacco products in any form for the prior thirty (30) days. They will also undergo a cotinine test as a part of the Occupational Health pre-placement drug screen administered after the offer of employment has been accepted but before the first day of hire. Exemptions: Attending physicians (excluding CHOP physicians in the Care Network), psychologists, principal investigators and/or Penn-based faculty are exempt from this process to better align with our colleagues at the University of Pennsylvania Perelman School of Medicine.
If you are interested in fellowships at the Cardiac Center, please contact the individuals listed below.
Contact Meryl S. Cohen, MD, Program Director, at 215-590-3274 or email@example.com.
Contact Yuli Kim, MD, Program Director, at 215-615-3388 or KimY@email.chop.edu.
Contact Jodi Chen, MD, Program Director, at 215-590-2367 or firstname.lastname@example.org. (Learn more about the Pediatric Cardiac Critical Care Fellowship)
Contact Maully Shah, MBBS, Program Director, at 215-590-2230 or email@example.com.
Contact Matthew O'Connor, MD, Program Director, at 267-426-2882 or firstname.lastname@example.org.
Contact Jonathan Rome, MD, Program Director, at 215-590-1790 or email@example.com.
Contact Mark A. Fogel, MD, Program Director, at 215-590-3354 or firstname.lastname@example.org, or Matthew A. Harris, MD, Associate Program Director, at 215-590-3354 or email@example.com.
Contact Brian D. Hanna, MDCM, PhD, FAAP, FACC
Justin Berger, MD, PhD
Kasey Chaszczewski, MD
Emmanuelle Favilla, MD
Bethan Lemley, MD
Erika Mejia, MD
Catherine Tomasulo, MD
Suellen Moli Yin, MD
Matthew Campbell, MD
Thomas Dietzman, MD
Jonathan Edelson, MD
Jonathan Edwards, MD
Jarrett Linder, MD
Jie Tang, MD
Danielle Burstein, MD
Reena Ghosh, MD
Deborah Y. Ho, MD, MPH
Felina Mille, MD
Christopher L. Smith, MD, PhD
Brian R. White, MD, PhD
Dana Boucek, MD – Interventional Cardiology
Erin Bressler, MD – Cardiac Critical Care
Michelle Kaplinski, MD – Non-Invasive Imaging
Jill Savla, MD – Cardiac Morphology
Brian Snarr, MD, PhD – Non-Invasive Imaging
Reina Tan, MD - Electrophysiology
Celine Thibault, MD – Cardiac Critical Care
(Graduates from previous five years)