Fellow in the combined disciplines of Heart and Lung Transplant, and Mechanical Circulatory Support (Including ECMO)

Brigham and Women's Hospital
Date Posted: June 21, 2018

The Division of Thoracic Surgery at Brigham and Women’s Hospital is seeking motivated applicants for a one to two-year advanced non-ACGME fellowship in Cardiothoracic Transplantation and Mechanical Circulatory Support starting August 1, 2019. Eligible candidates must have completed training in cardiothoracic surgery, and should be eligible for full medical licensure in the Commonwealth of Massachusetts. The ideal candidate will function in an interdisciplinaryenvironment with associated teams including Heart Failure Cardiology, Pulmonary and Critical Care Medicine, ICU teams, Advanced Care Practitioners, and all levels of medical and surgical trainees. The fellowship will provide comprehensive exposure to the management of end-stage heart and lung disease, cardiothoracic transplantation and mechanical circulatory assist devices. This includes: temporary and durable, open and percutaneous, ventricular assist devices; heart transplantation, lung transplantation; and ECMO. In addition, the candidate will participate in research projects and any trials including innovative therapies and devices for patients with end-stage heart and lung disease, including ex-vivo perfusion systems. BWH is a regional and national leader in thoracic transplantation and the successful use of Mechanical Circulatory Support for the treatment of end-organ cardiothoracic disease. The program performs a significant number of heart transplants, ECMO support, ventricular assist devices, and lung transplants each year. There is currently additional growth in our program in each of these areas to meet our growing clinical needs. The program is looking for candidates who are looking to gain the knowledge and skills to prepare them for a career in this field. At the end of the training period, the fellow will be competent in heart and lung procurement and implantations of hearts, lungs, and ventricular assist devices, as well as the initiation and care of ECMO. Under the direction and supervision of the Program Director and Attending Staff the candidate will: • Participate in the care of end-stage heart and lung failure patients in the pre-surgical phase of care • Collaborate with the cardiology and pulmonary services in optimizing the care of end-stage heart and lung failure patients • Prepare and medically optimize end-stage heart and lung failure patients for surgery Receive donor offers, matching to suitable recipients and discuss with attending surgeon • Travel to donor hospitals and carry out full assessment and resuscitation of donors • Procure donor heart, lung, and heart-lung grafts • Participate in the preservation, maintenance, resuscitation and ex-vivo assessment of donor organs • Actively participate in the operative planning, the intraoperative decision making, and the performance of cardiothoracic and MCS surgical procedures • Actively manage newly implanted / transplanted recipients in the intensive care unit and on the ward • Initiate immunosuppression and prophylaxis against opportunistic infection in the newly transplanted thoracic transplant recipient • Manage the complications of immunosuppressive drugs • Collaborate with the cardiology heart failure service to manage complications in patients readmitted to hospital with ventricular assist devices or total artificial heart devices • Participate in daily morning and evening rounds on all patient on the CT Transplant and MCS service • Participate in weekly multidisciplinary rounds on the CT transplant and MCS service • Participate in teaching of junior medical staff, undergraduate students and other nonmedical staff as required by the Hospital Opportunities to participate in the adult cardiac surgical service and/or the adult thoracic surgical service at Brigham and Women’s Hospital • Will be available at least one day per week to undertake other duties as appropriate to the level of responsibility for the smooth running of the service. Requirements Qualifications include as a minimum, completion of all 3 USMLE Steps, board eligibility in cardiothoracic surgery and candidates must be eligible for and maintain a Massachusetts Medical License. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Harvard Medical School and Brigham and Women's Hospital are equal opportunity/affirmative action employers with strong institutional commitments to diversity in their faculty. Women and minority candidates are particularly encouraged to apply.

How To Apply

Please send a cover letter, current CV, copy of all USMLE scores, ECFMG certificate as applicable, and three letters of recommendation via email to Caitlin Lefton at clefton@bwh.harvard.edu

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