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C.S. Mott Children's Hospital

Cardiology Fellowship

Clinical Training | Research Opportunities | Eligibility and Selection | Application | Supervision Policy

Fellowship Director:
Carlen Fifer, M.D.

Current Fellows

Mission and Overview

The Division of Pediatric Cardiology, Department of Pediatrics, at the University of Michigan is a nationally recognized accredited training center for physicians who care for children with cardiovascular disease. During the three-year fellowship program, the fellow develops skills in patient care, teaching and research while working at C.S. Mott Children's Hospital. A network of peer and faculty support fosters an environment that encourages the fellow to fully explore all aspects of pediatric cardiovascular medicine and biology.

The fellowship program is flexible and can be tailored to the individual interestes and needs to each fellow. As a general rule, the first year is devoted to developing the skills required for clinical care (80 percent) and to introducing the fellow to teaching and clinical investigation (20 percent). The second year emphasizes improvement in clinical non-invasive and invasive laboratory skills (60 percent) and clinical or basic investigation (40 percent). The third year focuses on clinical investigaion or basic research (60-80 percent) while maintaining clinical activity (20-40 percent). The program is under the direction of Carlen Fifer, M.D.

Clinical Training

The Pediatric Cardiology Fellowship at the University of Michigan is flexible and can be tailored to the individual needs and interests of each fellow, commensurate with the requirements of the accrediting residency review committees and the needs of the division.

The first 18-24 months are usually devoted to developing skills required for clinical care (80%) and to developing skills in teaching and clinical investigation (20%). The third year is divided between 60-80% in research and 20-40% in clinical education and duties. Inpatient service includes 3-4 months on the medical floor service in the first year and 3-4 months in the intensive care unit the second year.

The fellow participates in outpatient clinic for a half day a week throughout the three-year fellowship. Clinical rotations include outpatient and inpatient management of heart disease in children, cardiac catheterization including interventional procedures, electrophysiology studies and ablation, and transthoracic, transesophageal, and fetal echocardiography. Unique opportunities exist for development of expertise in interventional catheterization, clinical electrophysiology, and echocardiography, especially fetal cardiology. A fourth year fellowship is available for selected fellows in these technical areas.

Multiple interdisciplinary interactions are available and highly active. The division has a strong and close working relationship with Pediatric Cardiothoracic Surgery under the programmatic umbrella of the University of Michigan Congenital Heart Center. The members of the division, including the fellows, further interact with Medical Cardiology, attending and participating in their teaching conferences including Cardiology Grand Rounds, and Cardiology ECG Conference held weekly. The fellows and faculty interact with general pediatric faculty as well as attend the conferences of the Pediatric Department.

Research Opportunities

Opportunities to participate in research abound. Virtually all members of the pediatric cardiology staff participate in clinical studies including outcomes research, design and development of innovative/interventional practices and devices, development of imaging techniques, and analysis of the health care system.

Unique research opportunities are available every 18 months for selected qualified fellows in the course entitled “Clinical Research Design and Biostatistics” offered by the School of Public Health. A number of pediatric cardiology fellows have received the Master of Science Degree that is awarded following successful completion of this program.

In addition, opportunities for basic science research, in a number of divisional, as well as university, laboratories exist. Every summer, the Medical School offers an introduction to molecular biology course and selected and basic research directed fellows are encouraged to enroll. Several of the faculty members have ongoing research activities in cardiac orphogenesis, genetic regulation of cardiac development, and the identification of cardiac disease related genes.

In addition, several faculty members explore vascular biology and operate active laboratories in this field. One investigator has a nationally funded program in the mechanisms of hypertension, particularly involving insulin resistance and obesity.

Interactions between other disciplines and units and members of the Division have an established track record at Michigan. These include: collaboration with Pediatric Cardiovascular Surgery, the Departments of Pharmacology, Pathology, and Physiology, the Divisions of Medical Cardiology, Human Genetics, and Hypertension within the Department of Internal Medicine, the Upjohn Center for Clinical Pharmacology.

University of Michigan Graduate Medical Education (GME) Scholars Program

The GME Scholars Program consists of 2 tracks, a Medical Education Track and a Healthcare Administration Track. Interested house officers may choose to participate in one of the scholar program tracks during their training. This innovative program will provide participants with a longitudinal training (a 20-month mini-fellowship) experience in one of the above two areas of concentration. This training will be incorporated into their current GME training program, and is open to all University of Michigan house officers (residents and fellows).

The primary goal of the GME Scholars Program is to better prepare graduates to assume and succeed in academic positions with a focus in either medical education or healthcare administration at leading academic medical centers. Additionally, the program will allow participants to establish strong mentoring relationships in their chosen area of study, a network for future collaboration, and might serve as a stepping stone to pursue further graduate study if desired. Program participants will begin to develop the knowledge base and skill set required for them to be successful as the next generation of physician leaders.

For additional details, please visit the Web site.

Trainee Eligibility and Selection

To be considered, applicants should have completed three years of training in an accredited American or Canadian pediatric residnecy by the time the fellowship begins. Exceptional applicants will be considered for fast-track review after two years of equivalent pediatric residency. Applicants are notified regarding interviews after the appliaction and evaluation forms have been received. Currently faculty and fellows interview candidates during their visit to Ann Arbor and evaluate eligible candidates for their preparedness, communication skills, motivation, integrity, and aptitude and their previous performance in rigorous residency programs based on the individual interview, the evaluations, and other materials submitted by the applicant.

The division participates in the Pediatric Cardiology Fellowship match administered through the National Residency Match Program. Applicants must advise the program director of his/her NRMP number as early as possible. Special consideration for applicants outside the match is possible on an ad hoc basis. The University of Michigan is committed to a policy of nondiscrimination and equal opportunity for all persons.

How to Apply

Thank you for your interest in the University of Michigan's Pediatric Cardiology Fellowship Program. Applications are accepted through ERAS.

Supervision Policy

Pediatric Cardiology complies with The University of Michigan Graduate Medical Education supervision policy. To view the policy, please click here.