Interventional Cardiology Fellowship

The Emory Interventional Cardiology fellowship program is a one year fellowship program that was started by Andreas Gruentzig in 1980. Emory is renowned for its pioneering work in interventional cardiology and has maintained a reputation as one of the preeminent training centers in the world. Dr. Habib Samady is the director of Interventional Cardiology at Emory where he leads a team of 13 board certified interventionalists. Approximately 2,500 interventional coronary procedures per year are performed at four Emory Hospitals, encompassing 10 catheterization laboratories. All fellows gain an exposure to interventional cardiology during their training. Those that wish to pursue a board certification in Interventional Cardiology spend their fourth year of fellowship in dedicated interventional rotations.

Fellows actively participate in clinical trials. New interventional devices, restenosis and thrombolysis trials, studies evaluating methods to assess stenosis severity, as well as studies of coronary physiology, are some examples. Recent trials include radiation therapy to prevent restenosis, the Lovastatin Restenosis Trial, trials evaluating new stent designs, as well as studies in directional and rotational atherectomy, radiation, and laser revascularization. Additional studies include studies of glycoprotein IIb/IIIa antagonists in unstable angina and post myocardial infarction (RESTORE and EPILOG), the EAST (Emory Angioplasty vs. Surgery Trial), and GUSTO trials. Evaluations of imaging methods such as quantitative angiography and intravascular ultrasonography are also studied.

December 1, 2017 is the application deadline for Fellowship starting July 1, 2019. Download the 2019 application package. 

Note: Emory Interventional Cardiology does not participate in ERAS.

For further information, please contact Janci Demyun, djanci@emory.edu or 404-727-6149. 

Curriculum and Faculty

Interventional Cardiology Faculty

Supervision by interventional cardiology faculty members is expected throughout the academic year and during all aspects of the educational experiences. Each component of patient care must be carried out jointly by the interventional cardiology trainee and the supervising Emory interventional cardiology faculty. During weekdays each faculty member is responsible for his/her patients. Faculty members can be accessed through the paging system. In case of non-availability, a faculty member pre-arranges coverage and informs the Heart Center operator. There is a schedule for the interventional faculty "doctor-of-the-day" for back-up coverage during weekdays. There is a faculty call schedule for weeknights and weekends.

Interventional Training Program Structure

Training Program Structure

The Interventional Cardiology training program is integrally affiliated with and is a component of the ACGME-accredited Cardiovascular Disease Subspecialty Training Program of the Emory University School of Medicine.

  • Deadline for submitting applications is May 30.  
  • Selections are usually completed by July 1. 

Six trainees are accepted each year for one year of training. Trainees rotate between Emory University Hospital, Emory University Midtown Hospital, and at the Atlanta Veterans Administration Medical Center. Trainees work only with Emory full-time interventional cardiology faculty.

Prerequisites to interventional training:

  • All applicants entering the program must have completed an ACGME accredited cardiovascular disease training program, or its equivalent, to include complete training in diagnostic cardiac catheterization and coronary angiography
  • It is preferable that applicants have an interest in research with a dedicated research experience in basic or clinical research

ACGME Core Competencies

The ACGME Core Competencies

This Emory Interventional Cardiology fellowship training program is committed to comply with the following six core competencies, which are detailed by ACGME, as follows:

  • Patient Care
  • Medical Knowledge
  • Practice-Based Learning and Improvement
  • Interpersonal and Communication Skills
  • Professionalism
  • Systems-Based Practice

Patient Care

  • Fellows must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health

Medical Knowledge

  • Fellows must demonstrate knowledge about established and evolving biomedical, clinical, epidemiological and social behavioral sciences, as well as the application of this knowledge to patient care

Practice-Based Learning and Improvement (PBLI)

  • Fellows must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self evaluation and life-long learning. Fellows are expected to develop skills and habits to be able to meet the following goals:
    • identify strengths, deficiencies and limits in one's knowledge and expertise
    • establish learning and improvement goals
    • identify and perform appropriate learning activities
    • systematically analyze practice, using quality improvement methods, and implement changes with the goal of practice improvement
    • incorporate formative evaluation feedback into daily practice
    • locate, appraise, and assimilate evidence from scientific studies related to their patients' health problems
    • use information technology to optimize learning
    • participate in the education of patients, families, students, residents and other health professionals

Interpersonal and Communication Skills

  • Fellows must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and other health professionals.   Fellows are expected to:
    • Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds;
    • Communicate effectively with physicians, other health professionals, and health-related agencies;
    • Work effectively as a member or leader of a health care team or other professional group;
    • Act in a consultative role to other physicians and health professionals
    • Maintain comprehensive, timely, and legible medical records

Professionalism

  • Fellows must demonstrate a commitment to carrying out professional responsibilities, an adherence to ethical principles, and sensitivity to patients of diverse backgrounds. Fellows are expected to demonstrate:
    • Compassion, integrity, and respect for others;
    • Responsiveness to patient needs that supersedes self interest;
    • Respect for patient privacy and autonomy;
    • Accountability to patients, society and the profession; and
    • Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities and sexual orientation

Systems-Based Practice

  • Fellows must, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.  Fellows are expected to:
    • Work effectively in various health care delivery settings and systems
    • Coordinate patient care within the health care system
    • Incorporate considerations of cost awareness and risk benefit analysis in patient and/or  population-based care
    • Advocate for quality patient care and optimal patient care systems
    • Work in inter-professional teams to enhance patient safety and improve patient care quality
    • Participate in identifying system errors and in implementing potential systems solutions

Training Program Goals

  • Understand the pathophysiology of acute and chronic ischemic heart disease, valvular heart disease and peripheral vascular disease  (Medical Knowledge)
  • Understand the indications and contraindications of interventional procedures(Medical Knowledge)
  • Appreciate the effectiveness and limitations of interventional procedures (Medical Knowledge)
  • Learn predictors, recognize and manage interventional complications (PBLI & Medical Knowledge)
  • Recognize and value the different modalities of treatment including medical therapy and surgical revascularization (Systems-Based Practice & Medical Knowledge)
  • Understand and apply the latest methods of heart disease prevention (Patient Care &Medical Knowledge)
  • Learn and apply the clinical and technical aspects of interventional procedures in compliance with the highest standards of care that emphasize the importance of humanistic qualities (Patient Care, Interpersonal/Communication Skills & Professionalism)
  • Cultivate and maintain a quality approach to patient care based on critical thinking, compassion and dedication (Patient Care)
  • Promote scholarly research (PBLI)
  • Foster excellence in teaching (PBLI)

Training Program Objectives

Upon completion of the interventional cardiology training program, interventional cardiology fellows are expected to:

  • Be clinically experienced in the diagnosis and management of patients with acute and chronic ischemic heart disease and valvular disease (Medical Knowledge)
  • Have developed an understanding of the indications and contraindications of coronary and peripheral interventions, and have a comprehensive understanding of the different modalities of revascularization and medical alternatives (Medical Knowledge)
  • Have acquired knowledge to develop the decision-making process that leads to the selection of medical therapy versus coronary revascularization (Medical Knowledge)
  • Have developed a clear understanding of coronary physiology, plaque morphology and composition, plaque vulnerability, lesion characterization and plaque response to intervention (Medical Knowledge)
  • Have developed sufficient competency to practice interventional procedures without direct supervision (Medical Knowledge)
  • Be able to recognize and manage procedure-related complications (Medical Knowledge)
  • Have acquired knowledge in post-procedure management of bleeding; groin complications; acute vessel closure; etc., and in patient education, including risk factor modification and discharge planning (Medical Knowledge, PBLI and Systems-Based Practice)
  • Have acquired the skills needed for the completion and interpretation of angiograms, hemodynamics, intravascular ultrasound, doppler, coronary flow reserve and pressure measurement (Medical Knowledge)
  • Comprehend and have acquired experience in cardiovascular pharmacology(Medical Knowledge)
  • Have learned femoral, brachial/radial cannulation for coronary and peripheral interventions (Medical Knowledge)
  • Be able to recognize and manage all aspects of mechanical and ischemic complications (Medical Knowledge)
  • Have acquired the necessary skills that are needed to manage acute hemodynamic resuscitation including use of vasoactive agents, use of antiarrhythmic drugs, use of thrombolytic agents, CPR, advanced life support, pericardiocentesis, intra-aortic balloon pump (Medical Knowledge)