Pediatric Cardiology Fellowship
The pediatric cardiology fellowship at Spectrum Health, in partnership with Michigan State University College of Human Medicine, is a three year program accepting two fellows per year. Fellows train at Spectrum Health Helen DeVos Children’s Hospital, one of 250 freestanding children’s hospitals in the nation.
Enrique Oliver Aregullin, MD, FAAP
Program Director, Pediatric Cardiology Fellowship
Spectrum Health/Michigan State University/Helen DeVos Children’s Hospital
Clinical Assistant Professor, Pediatrics and Human Development
Michigan State University College of Human Medicine
Inpatient Service and Consultation
Under the supervision of faculty and staff, the fellow is responsible for the clinical management of hospitalized patients. This includes service on the general cardiology floor, as well as consultation services in the NICU, PICU, and throughout the hospital. The services include patients with newly diagnosed congenital heart disease, acquired heart disease, pre- and post-operative patients as well as those with arrhythmias and other heart conditions. The fellow is expected to play a role in the supervision of pediatric residents.
Fellows acquire knowledge of general cardiology through a continuity outpatient clinic. Weekly half-day clinics afford the fellow an opportunity to get to know the patient and family and to serve as their primary caretaker. These clinic encounters are staffed and supervised by faculty members. Interested trainees may choose to complete a one month elective in outpatient cardiology.
During the first month in the program, fellows complete a comprehensive echo review including hands-on encounters. After this immersion experience, new fellows are prepared to perform and interpret echocardiograms early in training. During the first year, three months are spent in the Echo Lab with an additional two months over the next two years. Second-year fellows spend time performing transesophageal echocardiograms. Fellows are guided in the acquisition and interpretation of images as well as write a comprehensive report of the findings. Supervision is provided by faculty and experienced pediatric sonographers. Additional expertise can be obtained in fetal echocardiography, transesophageal echocardiography, ventricular function assessment, computed tomography and cardiac magnetic resonance in the third year of training.
Cardiac Catheterization and Interventional Cardiology
In the early stages, fellows assist and observe procedures to become familiar with equipment and gain basic knowledge of the cardiac catheterization laboratory. Gradually, and under faculty supervision, fellows are able to actively participate in performing cardiac catheterizations, angiograms and procedures, and present the hemodynamic data and features of the case at the weekly Congenital Heart Center conference. Fellows spend two months during the first year and one month during the second and third year in this rotation.
Cardiac Intensive Care Unit
The CICU experience includes acute and sub-acute management of patients in the pre- and post-operative settings. Fellows are expected to perform procedures such as line placement and intubation under the supervision of the intensivist and advanced practitioners, staff the unit during the day and nighttime. Fellows complete four months in the CICU, two of which are during the first year of training.
During the electrophysiology rotation, fellows interpret electrocardiograms, ambulatory Holter and patch monitors with subsequent review with one of the faculty electrophysiologists. While in this rotation, fellows also participate in management of inpatients with arrhythmic disorders, perform and interpret intracardiac electrophysiologic studies and pacemaker implantations and ablations. Additional time is spent in the electrophysiology clinic to learn the management of common arrhythmias in the outpatient setting. Trainees spend one month during the first and second year on this rotation.
A total of 12 months in research is assigned to each fellow who is then expected to publish a manuscript in a peer reviewed medical journal by the end of training. Fellows are mentored by faculty members involved in research in all branches of pediatric cardiology. Additionally, they are expected to participate in a dedicated clinical research curriculum. Fellows will present their research study findings at national and international scientific meetings, for which CME funds are provided.
Heart Failure and Transplant
Through collaboration with the University of Michigan Congenital Heart Center at C.S. Mott Children’s Hospital, the fellow will work with supervising attendings to treat patients on the cardiology floor, and the CICU. Additional time is spent in the heart failure clinic to gain a better understanding of the management of complex patients. Interested fellows spend one month during their fellowship assigned to the Heart Failure and Transplant service.
Adult Congenital Heart Disease
The Adult Congenital Heart Disease Program is accredited by the Adult Congenital Heart Association as a Comprehensive Care Center. Interested fellows have the option to complete an elective rotation on the ACHD service working alongside faculty and to manage this patient population. Research opportunities in ACHD are plentiful as are opportunities to collaborate between hospitals within Spectrum Health.
Darcy Marckini MS, Clinical Research Specialist
The Spectrum Health/Michigan State University College of Human Medicine Pediatric Cardiology Fellowship at Helen DeVos Children’s Hospital participates in the Electronic Residency Application Service.
The interview day will include an introduction to the Spectrum Health Medical Center, Cardiology faculty and fellows. Applicants are asked to arrive one day prior to their scheduled interview to a attend dinner reception with faculty and fellows.
Application information and resources are provided for fellowship applicants interested in applying for training positions at U.S. fellowship training programs at the ERAS for Fellowship Applicants website.
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