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Pediatric Cardiology Fellowship


Denver Skyline 

 

The Pediatric Cardiology Fellowship Training Program began at the University of Colorado School of Medicine (CU SOM) Department of Pediatrics and Children's Hospital Colorado in 1971. Children's Colorado is a freestanding children's hospital with full affiliation with the University of Colorado School of Medicine for training pediatric residents and fellows. In addition to Children's Colorado, our fellows spend time at the University of Colorado Hospital and Denver Health Medical Center, the county hospital for Denver. The clinical service draws patients not only from the state of Colorado, but from Wyoming, Montana, North and South Dakota, Nebraska, Kansas, Utah, and New Mexico. We service a population base of approximately five million. The fellowship is fully accredited by the American Medical Association, the American Board of Pediatrics, and the Accreditation Council of Graduate Medical Education. The mission of our program is to prepare trainees for careers in academic pediatric cardiology. We accomplish this through a three-year program with substantial exposure to a broad spectrum of congenital and acquired heart defects and extensive time spent in active basic, clinical, translational research. Over 98% of the fellows who have completed the program are board certified and are practicing pediatric cardiology. The current philosophy of the fellowship program is to have three new fellows each year.

We also offer a fourth year of advanced training in:

 

Program Leadership 

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  • Chris Rausch, MD
  • Program Director

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  • Sonali Patel, MD, PhD
  • Associate Program Director

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  • Jeanette Starkey 
  • Fellowship Program Coordinator

Clinical Training

 

Overview

Clinical goals of our training program are to provide comprehensive training in all areas of pediatric cardiology practice. Fellows rotate primarily at Children’s Hospital Colorado, but will also spend time at University of Colorado Hospital and Denver Health Medical Center. Under the supervision of a large and diverse faculty, trainees gain exposure to patients with a broad spectrum of clinical problems. Learning from direct patient care is augmented by a comprehensive series of lectures focused on congenital and acquired cardiology. Additional seminars provide training in communication, ethics, and practice administration. Fellows receive ample opportunities to learn the common procedures employed in cardiology.

 

Scope of Clinical Training

Fellows in our program develop the clinical skills necessary to prepare them to competently and confidently manage the broad spectrum of conditions that fall within the practice of pediatric and adult congenital cardiology. The combination of three clinical sites, each with distinct patient populations, enhances the opportunities to become familiar with a broad range of ages and clinical problems.

 

Clinical Schedule

1st-year
2nd-year
3rd-year
Cardiac Progressive Care Unit
Consult/City
Cardiac Progressive Care Unit
Consult
Cardiac Intensive Care Unit
Consult/City
Cardiac Intensive Care Unit
Echocardiography
Echocardiography
Cardiac Intensive Care Unit
Cardiac Catheterization
Cardiac Catheterization
Cardiac Catheterization
Electrophysiology
Elective
Cardiac Catheterization
Heart Failure/Transplant
Adult Congenital Heart Disease
Echocardiography
Research
Outpatient
Echocardiography
Research
Research
Echocardiography
Research
Research
Heart Failure/Transplant
Research
Research
Electrophysiology
Research
Research
Research
Research
Research
Vacation
Research
Research

 

All clinical activity during fellowship occurs at Children’s Colorado, University of Colorado Hospital, or Denver Health Medical Center. The clinical schedule is broken into discrete 4-week blocks and over the course of the fellowship, each trainee will spend 25 blocks on a clinical service. The clinical schedule is intentionally front loaded, with fellows spending 12 blocks on service during their first year of training. During each of the last 2 years, a fellow spends 13 blocks on service. There is some flexibility in the apportionment of clinical blocks, so that if an individual fellow would prefer more clinical time at one site over another, modifications to the basic structure may be possible.

All trainees are assigned to a continuity clinic, scheduled for one afternoon per week. Those fellows interested in a longitudinal follow-up experience with individual patients have the flexibility to schedule those patients on their assigned clinic afternoons. Additionally, trainees can participate in outreach community based cardiology clinics.

 

Patient Volume

Cardiology outpatient clinics are held daily at Children's Hospital Colorado, with half-day metropolitan Denver clinics held weekly in Broomfield, Littleton, Wheat Ridge, and Parker. In addition, there are approximately 62 out-of-town pediatric cardiology clinics per year, which the fellows will attend on a selected but consistent basis. There are approximately 21,000 outpatient clinic visits per year at Children's Hospital Colorado.  This includes visits at our main campus in Aurora, our network of care locations in the Denver Metro area and Colorado Springs, as well as our outreach locations in Southern Colorado, Western Colorado and Wyoming

There are approximately 830 pediatric cardiac catheterizations performed per calendar year at Children's Hospital Colorado Heart Institute. The fellows can participate in all cardiac catheterizations.

The cardiac thoracic surgery service performs approximately 550 open and closed heart procedures each year at Children's Colorado. More than 20,000 outpatient and inpatient echocardiograms are performed at annually at Children's Hospital Colorado.  In addition, Children's is a regional cardiac transplantation center for children, including newborns.


 

Call Responsibilities

As with all aspects of clinical training, the program encourages progressive responsibility and increasing autonomy when on-call. All calls during fellowship are in-house and include continuity care of all cardiac inpatients and cardiac consultations. The number of calls for first year a fellow is approximately 55, second year averages 45 calls, and third year fellows approximately 35. The fellows are expected to arrange the call schedule for themselves and to submit it for publication prior to July and December of every year.


 

Vacation

Three weeks' vacation in blocks of one to two weeks is allowed per year per ACGME policy. Vacation time off must be approved by the Program Director.​​

Overview

Research training is a major focus of the fellowship training program and fellows are provided substantial protected time throughout their fellowship to engage in rich research experiences. The research program is designed to provide comprehensive scholarly training that prepares all trainees with the background and skills to successfully compete for academic faculty positions and extramural funding at the completion of their fellowship. Although many cardiology fellows are mentored by a faculty member within the Division of Pediatric Cardiology, the program encourages fellows to consider a broad range of potential mentors. The program will assist in identifying potential mentors, both within the Department of Pediatrics and, when appropriate, from across the School of Medicine campus.

Research facilities are available throughout Children’s Hospital Colorado and the University of Colorado School of Medicine. In the section of Cardiology, research facilities include a state-of-the-art echocardiography, cardiac catheterization, and electrophysiology laboratories, as well as a state-of-the-art flow lab. At the University of Colorado, multiple basic science laboratories are available including molecular biology laboratories, immunology laboratories, and perinatal research facilities among others.

 

Opportunities and Resources

Research opportunities available to cardiology trainees are broad and varied. The Exercise Physiology Laboratory, Echocardiographic Laboratory, Catheterization Laboratory, and Cardiac Intensive Care Unit within the Children's Hospital Colorado are all very well suited for clinical research. In addition, Children's Hospital Colorado Research Institute or Colorado Clinical Translational Sciences Institute (CCTSI) may provide "seed money" for new clinical and laboratory research.

Financial support and Human Research Committee assistance requires three to six months for preparation and approval. Approved and funded projects could begin early in the second year of fellowship. Participation in on-going projects may begin during the first year. Full-time research coordinators are available to assist in coordinating patient recruitment and data collection at the two sites.

 

Timeline

During the first month of assigned research time, a trainee will typically meet with several potential mentors to discuss possible research projects and become familiar with different research programs. In the case of a basic science program, the fellow may “shadow” in individual labs in which they are interested. With the help of the Program Director, the goal is for the fellow to choose a mentor and research project in the first year. Once a research program is chosen, a timeline for research activity is developed by the mentor and the trainee. Broadly, the goal for research projects is for the fellow to have made sufficient progress that they can consider submission of an abstract to a national meeting by the middle of their second year. In general, research time during the third year of fellowship should be spent analyzing data, undertaking additional experimentation as necessary based in initial data analysis and feedback, preparing presentations and manuscripts, and planning follow-up projects.

 

Colorado Clinical Translational Sciences Institute (CCTSI)

The Colorado Clinical and Translational Sciences Institute is a collaborative enterprise between University of Colorado Denver, University of Colorado at Boulder, six affiliated hospitals and health care organizations, and multiple community organizations with resources to promote research and training that will advance health care and improve the public health. The CCTSI was established in 2008 with funding from the Clinical and Translational Science Award (CTSA) initiative of the National Institutes of Health (NIH). Through the CCTSI, Clinical Translational Research Centers (CTRCs) have been established at several affiliated hospitals, including The Children’s Hospital, University of Colorado Hospital, and Denver Health Medical Center. The CTRCs support research with clinical inpatient and outpatient space, inpatient research beds, nursing and research staff support, and core laboratory and nutrition services. To access CTRC resources, investigators submit a clinical protocol for review by the Scientific Advisory and Review Committee (SARC). The SARC review process gives investigators experience that may improve future COMIRB (Colorado Multiple Institutional Review Board) and grant applications. The CTRC also offers biostatistical collaboration/consultation for study design, including sample size and power calculations, data analysis, and manuscript preparation. To fulfill its mission to train future researchers, the CCTSI offers ongoing comprehensive educational programs in several areas, including Informatics, Biomedical Ethics, Biostatistics, and Study Design. Biostatisticians are also available for consultation on individual research projects through the Colorado Biostatistics Consortium (CBC). For more information, please see http://cbc.ucdenver.edu.

 

Scholarship Oversight Committees

Each fellow is assigned a Scholarly Oversight Committee (SOC), composed of at least 3 faculty members. The SOC meets every six months to evaluate the fellow’s scholarly progress and to help provide support and direction. At the end of training, the SOC is responsible for determining whether the fellow’s work has met the American Board of Pediatrics requirement for sub-board eligibility.

 

Fellowship Conference

View the Children’s Hospital Colorado Conference Schedule for Pediatric Cardiology Fellows​  
(Fellows should attend those conference that match their rotation schedule)

Fellows in pediatric cardiology meet several times weekly to discuss selected topics.  In addition to the full-time faculty members in pediatric cardiology, outside speakers will be invited to these conferences. Each conference is prepared by a fellow or faculty member on a rotating or conference specific basis.

 

Surgical/Case Conference

A weekly pediatric cardiology/cardiothoracic problem case conference is held at Children's Hospital Colorado. Interesting pediatric cardiology cases will be presented and discussed. Scheduled surgery cases for the week are presented and surgical inpatients are reviewed. The cases are presented by the cardiology fellows with active input from both cardiac surgery and pediatric cardiology faculty. Presentation of cases as well as pertinent electrocardiograms, chest x-rays, echocardiograms, and catheterization data is the responsibility of the fellow.

 

Journal Club

Weekly Book and Journal Club is held. Journal articles or book chapters will be assigned prior to the meeting and the pertinent science and analysis will be discussed.  This is an excellent opportunity for the fellows to meet with the staff on an informal basis to discuss timely issues.

 

Board Review

A quarterly board review session is held. This session utilizes an audience response system to collect answers to board style questions.

 

Department of Pediatrics Education

This educational series was recently developed to address areas of scholarly interest common to all pediatric core fellowships. Fellows attend 5-6 half-day seminars spread across their 3 years of fellowship. Attendance is mandatory and the trainee is excused from clinical responsibilities. In addition to providing core educational material, these sessions allow trainees in different disciplines throughout the department to meet and interact with one another in an informal and collegial environment.

Topics for this curriculum: Pediatric Fellowship Educational Series

Biostatistics

Formal introductory instruction in biostatistics is give during the second year of fellowship through a 6-session, 12-hour biostatistics course that is taught by a PhD biostatistician. In addition, fellows have access (in-person or online) to regular biostatistics seminars which are provided by the CCTSI. Trainees who undertake advanced graduate coursework with a biostatistics component (Masters in Public Health or Masters in Clinical Science) may be exempt from the introductory course.

 

Additional Opportunities

Although not required for completion of the fellowship, some trainees pursue additional graduate coursework during their fellowship. The University of Colorado School of Public Health, which is on the Anschutz Medical Campus, offers a Masters of Public Health. The University of Colorado Denver Graduate School offers a graduate program in clinical science, which awards a Masters of Science in Clinical Science (MSCS). This program provides training in clinical sciences through theoretical and methodological coursework and its application to an individual research project. Funding for additional graduate coursework is not guaranteed, but may be available on an individual basis.

 

National Meetings

Cardiology fellows are encouraged to attend regional and national scientific meetings throughout their fellowship. Among the meetings commonly attended by cardiology fellows are the annual American Heart Association, American College of Cardiology, American Society of Echocardiography, International Society for Heart and Lung Transplantation, Pediatric Cardiac Intensive Care Society, and the Western Society of Pediatric Cardiology (WSOPC) meetings. To support academic development, including travel to meetings, the section provides $1000 for national meetings for 2nd, 3rd and 4th year fellows. Fellows are encouraged to submit at least one abstract per year. In addition, the section supports travel to any national meeting for which the trainee has an abstract accepted.

The Application Process

We particularly hope to attract applicants who are motivated and self-directed learners who want to develop academic careers based on excellence in research, scholarship, and clinical pediatric and adult congenital cardiology. To be considered for admission to our program, applicants must have successfully completed training in a 3-year ACGME-accredited residency program in Pediatrics. The Pediatric Cardiology Fellowship utilizes ERAS - Electronic Residency Application Service (ERAS). We participate in the National Residency Matching Program (NRMP) and do not offer any positions outside of the match. The application should include a copy of your curriculum vitae, at least 3 letters of reference, a personal statement highlighting why you wish to become a pediatric cardiologist, and your USMLE or COMLEX score reports. If you are not a US citizen, include a copy of your ECFMG report with ERAS. Please bear in mind that you would need to acquire a J1 visa if selected as a candidate for our program. Incomplete or late applications will not be considered. It is your responsibility to ensure all required information has been received.

 

Fall Match Schedule

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Salary and Benefits

The University of Colorado offers salary and benefits packages that are competitive with other fellowship programs across the country. Current salary levels can be found at the School of Medicine - Graduate Medical Education Stipends.

 

Denver

The Mile High City is nestled at the eastern base of the Rocky Mountains and is the largest city in the region with a population of over 2.7 million. Denver enjoys one of the best climates in the country, with 300 days/year of sunny skies. Although it snows in the winter, the snow melts quickly and temperatures are usually moderate. Hot summer days give way to cool summer evenings. The city is the home to dozens of highly rated restaurants and a vibrant nightlife. The city attracts many outdoor enthusiasts with its extensive system of hiking and bike trails and the largest city park system in the country. The Denver Center for the Performing Arts is the largest performing arts complex under one roof in the country and attracts many of the top national theater tours each year. Red Rocks Amphitheater, a natural amphitheater in the foothills west of town, attracts the nation’s top touring musical talent throughout the summer.

Denver is home to the Denver Broncos (NFL), the Denver Nuggets (NBA), the Colorado Rockies (MLB), the Colorado Avalanche (NHL), the Colorado Rapids (MLS) and the Colorado Outlaws (MLL). The University of Colorado, the state flagship school and a world-class educational institution, is based in nearby Boulder. In addition, Denver is the gateway to the Rocky Mountains, which offer abundant recreational and sightseeing opportunities year round. The state of Colorado is home to over 20 major ski areas, many of which are within 2 hours of the city.

 

Additional Questions

Please contact Jeanette Starkey, Fellowship Coordinator for any questions you may have. 720-777-2940 or Jeanette.starkey@childrenscolorado.org

 Pediatric Cardiology Fellows

 

​1st Year Fellows

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Daniel Ehrmann, MD
Residency: University of Colorado SOM
Medical School: University of Michigan Medical School
Research Interest: Automated data extraction of physiologic parameters in the cardiac intensive care unit

Daniel.Ehrmann

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Dana Irrer, MD
Residency:  University of Minnesota
Medical School: Michigan State University College of Human Medicine
Research Interest:  TBD

Dana.Irrer

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Amanda McIntosh, MD
Residency: University of Colorado SOM
Medical School: University of Kansas SOM
Research Interest: TBD


 

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Melissa Wehrmann, MD
Residency: Saint Louis University
Medical School: Creighton University SOM
Research Interest:  TBD

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​2nd Year Fellows

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Erin Taylor Lueth, MD
Residency: University of Colorado School of Medicine 
Medical School: University of Iowa Carver College of Medicine
Research Interest: TBD

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Jessica Catherine McPhaul, MD
Residency: Cincinnati Children's Hospital 
Medical School: University Of Miami School Of Medicine
Research Interest: TBD
​​

​3rd Year Fellows

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Benjamin Frank, MD
Residency: University of Colorado Pediatric Residency Program
Medical School: Weill Cornell Medical College
Research Interest: Cardiac remodeling after surgical repair

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Marco Pinder, MD
Residency: University of Mississippi
Medical Center
Medical School: Medical University
of the Americas
Research Interest: Precedex use in the pediatric cardiac ICU

 

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Kae Watanabe, MD
Residency: University of Florida
Medical School: Keio University (Japan)
Research Interest: To be determined

 

​Advanced Pediatric Cardiology Fellows

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Jake Kleinmahon, MD
Heart Failure / Transplant 
Fellowship:  University of Colorado
Residency: Tulane University Hospital
Medical School: Tulane University School of Medicine
Research Interests: Indetification and ultimately treatment of cardiac allograft vasculopathy in the pediatric heart transplant population

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Madukar Kollegode, MD
Adult Congenital Heart Disease
Fellowship: University of Colorado Denver, Aurora, CO
Residency: IM / Peds residency at The Ohio State University Wexner Medical Center / Nationwide Children’s Hospital, Columbus, OH
Medical School: The Ohio State University School of Medicine, Columbus, OH

 

 

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Eleanor Schuchardt, MD Cardiac Imaging
Fellowship: University of Colorado Pediatric Cardiology 
Residency: University of Colorado Pediatric Residency Program
Medical School: Michigan State University College of Human Medicine

 

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Anar Shah, DO
Advanced Cardiac Imaging
Fellowship: Yale University School of Medicine
Residency: University of Connecticut Pediatric Residency Program
Medical School: Touro University College of Osteopathic Medicine





 

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Daniel McLennan, MBBS
Advanced Interventional Cardiology
Fellowship: Royal Australasian College of Physicians/The Heart Centre for Children, Westmead Children’s Hospital, Sydney NSW Australia.
Residency: Princess Margaret Hospital for Children and the Women’s and Children’s Hospital Adelaide SA Australia
Medical School: University of Sydney (Australia)

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Jenny Zablah, MD
Interventional Cardiology Research
Fellowship: Cohen Children’s Medical Center of New York, Northwell Health
Residency: Miami Children’s Hospital
Medical School: Dr. Jose Matias Delgado University, El Salvador