Program Description

The 3-year Pediatric Cardiology Fellowship Program provides comprehensive training in the diagnosis and management of heart disease from fetal life through adolescence, as well as the adult with congenital heart disease. Structured instruction in basic and clinical research is also provided.

Pediatric Cardiology is a comprehensive and dynamic program within the Department of Pediatrics at New York University School of Medicine and NYU Langone Medical Center. One of the country’s leading academic medical centers, NYU Langone Medical Center carries a longhand distinguished history of pediatric care, including pediatric cardiology care. Dr. Janet Baldwin, one the Division’s first Directors, introduced pediatric cardiac catheterization to the New York City region. Dr. Eugenie Doyle, who directed the Division over a 4-decade period, made important observations on rheumatic fever and contributed to enormous advances in the medical and post-surgical care of young patients as effective surgery for congenital heart defects was being developed. Dr. Doyle worked closely with the prominent NYU cardiothoracic surgeon Dr. Frank Spencer, who trained under Dr. Alfred Blalock, developer of the “blue baby operation” that bears his name. Dr. Michael Artman later expanded the scientific and clinical programs, while Dr. Steve Colvin pioneered techniques in mitral valve and congenital heart repair as well as minimally-invasive surgical approaches. Dr. Achi Ludomirsky, widely recognized for his contributions to pediatric heart imaging, was recruited in 2007 as the current Director of Pediatric Cardiology. Internationally recognized as an accomplished congenital heart surgeon, Dr. Ralph Mosca joined the Department of Cardiothoracic Surgery in 2009 as the Division Chief for Pediatric and Adult Congenital Cardiac Surgery.

The Division of Pediatric Cardiology and Dr. Mosca are working closely together to build world-class pediatric and adult congenital heart disease center at NYU. Since his recruitment in the summer of 2009, Dr. Mosca has performed all manner of corrective and palliative cardiac surgery, from complex neonatal operations to challenging adult congenital cases. Performing approximately 200 operations yearly now, Dr. Mosca enjoys one of New York State’s lowest 30-day post-operative mortality rates. NYU Langone Medical Center participates in the Gift of Life Program and in the Kids World Wide Program, which provide cardiac diagnostic and surgical care to children from foreign countries. Dr. Sunil Malhotra has recently joined Dr. Mosca as Assistant Professor in the Division of Pediatric and Adult Congenital Cardiac Surgery. His clinical interests include neonatal cardiac surgery and the surgical management of complex congenital cardiac defects. He will serve as site director of the pediatric cardiac surgery program at the Children’s Hospital of New Jersey at the Newark Beth Israel Medical Center. The cardiothoracic surgery, pediatric cardiology, and pediatric critical care teams collaborate closely on the care of our post-operative patients.

Outpatients are seen in the Faculty Practice offices and in a large general Pediatric Cardiology Clinic that is held weekly at Bellevue Hospital Center. Outpatient visits average about 4000 per year. The Pediatric & Fetal Echocardiography Laboratory provides cardiac ultrasound imaging for inpatients and outpatients at both NYU Langone Medical Center and Bellevue Hospital. The laboratory performs over 4000 studies each year, including over 800 fetal and 150transesophageal studies. We collaborate closely with the Department of Radiology and the Adult Echocardiography Lab. Staffed by two cardiac radiologists specializing in congenital defects, the MRI/MRA and cardiac CT suites provide state-of-the-art facilities for cardiac imaging and analysis, including 3-dimensional reconstruction. Stress treadmill exercise testing and stress echocardiography testing are routinely performed by Pediatric Cardiology faculty as indicated. The NYU Cardiopulmonary Exercise Laboratory provides additional comprehensive and sophisticated analysis of cardiac and respiratory responses to exercise. The Pediatric Cardiac Catheterization Laboratory provides diagnostic, interventional and electrophysiology services to children and adolescents, as well as adults with congenital heart disease.

The ACGME–accredited three-year fellowship training program currently has 4 fellows, and an additional fellow will join the program in July 2011 (total of 5). Fellows, residents, and medical students are taught at NYU Langone Medical Center’s Tics Hospital. Bellevue Hospital Center, the “crown jewel” of the NYC public hospital system and the oldest public hospital in the US, serves as the major affiliate clinical and training site. The diversity of our clinical caseload is reflected in New York City’s population, and immigrants who have not received optimal care in their homelands provide challenging clinical problems rarely seen elsewhere in the US. Our clinical program is supported by a dedicated specialists in other Departments/Divisions, including Cardiology (Cardiovascular Genetics), Radiology (Cardiac and Pediatric Radiology), and Pediatric Critical Care. The anticipated opening of the dedicated Pediatric Cardiac Critical Care Unit, one of the few of its kind in the nation, will allow further focus and training on the pre- and post-operative management of the sick cardiac patient. Formal affiliations with major New York metro area hospitals, including Maimonides Medical Center and the Children’s Hospital of New Jersey, ensure the growth of our program.

The training program emphasizes knowledge and skills necessary for general pediatric cardiology clinical practice or further training in a pediatric cardiology subspecialty. In addition to a diverse patient population, numerous opportunities for didactic learning abound. Unparalleled opportunities for clinical, basic science and epidemiological research span across departments and schools within New York University, the largest private university in the country. There are also opportunities to pursue courses in higher education offered by NYU, such as Masters Degrees in public health, and courses in medical statistics. Our fellows also learn how to teach, and teach well they do: two in the past 2 years have garnered the Fellow of the Year, Award of Excellence in Teaching from the Pediatrics house staff. We are justifiably proud of our graduates, who have placed well throughout the country in clinical practice, further subspecialty training positions, and in full-time faculty positions.