Pediatric Cardiology Fellowship Program Description

Pediatric Cardiology is a comprehensive and dynamic program within the Department of Pediatrics at NYU School of Medicine and NYU Langone Medical Center. One of the nation’s leading academic medical centers, NYU Langone Medical Center carries a long and 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. Stephen 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, and then Dr. Frank Cecchin, a renowned leader in pediatric electrophysiology, were recruited to lead the Division of Pediatric Cardiology into a new era of growth, expanding our services broadly throughout the New York Metro region.

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 have worked closely together to build a world-class pediatric and adult congenital heart disease center at NYU.  Since his recruitment in 2009, Dr. Mosca has performed all manner of corrective and palliative cardiac surgery, from complex neonatal operations to challenging adult congenital cases. Performing close to 300 operations yearly now, Dr. Mosca enjoys one of New York State’s lowest surgical 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 overseas.

Dr. Sunil Malhotra joined Dr. Mosca in 2010 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 serves 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 NYU Faculty Practice offices and in a large general Pediatric Cardiology Clinic that is held weekly at Bellevue Hospital Center.  Outpatient visits average more than 6000 per year.  In addition, Drs. Dan Halpern and Catherine Weinberg from the Division of Cardiology (Department of Medicine) provide expertise in adult congenital cardiac care.

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 7000 studies each year, including over 1500 fetal and 200 transesophageal studies. We collaborate closely with the Department of Radiology and the Adult Echocardiography Lab.  

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 performs over 200 procedures per year and provides diagnostic, interventional and electrophysiology services to children and adolescents, as well as adults with congenital heart disease.

The new Hassenfeld Children’s Hospital at NYU Langone is scheduled to open in 2018.  A uniquely child-friendly and family-oriented hospital-within-a-hospital, Hassenfeld Children’s Hospital will be part of NYU Langone’s Helen L. and Martin S. Kimmel Pavilion.
 
Integral to the design of the pediatric hospital will be all private rooms, making it the only pediatric inpatient facility in Manhattan to have this feature.  This state-of-the-art facility is designed to create a dedicated healing environment addressing the special medical, surgical, and psychological needs of children.

The ACGME–accredited three-year fellowship training program currently has 5 fellows. Fellows, residents, and medical students are taught at NYU Langone Medical Center’s Tisch 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 dedicated specialists in other Departments/Divisions, including Cardiology (Cardiovascular Genetics and Adult Congenital Heart Disease), Radiology (Cardiac and Pediatric Radiology), and Pediatric Critical Care.  

NYU’s dedicated Congenital Cardiovascular Care Unit (CCVCU), one of the few of its kind in the nation, provides 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, NYU Winthrop Hospital, NYU Langone Health – Brooklyn, and the Children’s Hospital of New Jersey, ensure the scope, breadth, and 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 Master’s degree programs in public health and clinical investigation, and courses in medical statistics. Our fellows also learn how to teach, and teach well they do: two in recent  years have garnered the Fellow of the Year, Award of Excellence in Teaching from the Pediatrics housestaff.  

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.

Pediatric Cardiology Fellowship: Didactic Learning Opportunities

Conference
 
Frequency
 
Person(s) responsible for conducting conference    Venue
 
Pediatric Cardiology Fellows Core Lecture Series 3/month
 
Pediatric Cardiology Attending
Pediatric Cardiology Fellow
NYU
 
Pediatric Catheterization-Surgery Conference

 

1/week

 

Pediatric Cardiology &
Cardiac Surgery Attendings
Pediatric Cardiology Fellow
NYU

 

Echocardiography conference
 
1/week
 
Pediatric Cardiology Attending
Pediatric Cardiology Fellow
NYU
 
Patient Care / Management Conference
 
1/week
 
Pediatric Cardiology Attending
Pediatric Cardiology Fellow
NYU
 
Bellevue Pediatric Cardiology Post-Clinic Conference 1/week
 
Pediatric Cardiology Attending
Pediatric Cardiology Fellow
BHC
 
Electrophysiology conference
 
1/week
 
Pediatric Cardiology Attending
Pediatric EP Nurse Practitioner
NYU
 
New York Pediatric Echo Society

 

4/year

 

Pediatric Cardiology Attendings & Fellows
Pediatric Cardiac Sonographers
 

Rotating, NY City Hospitals
 

Dept. of Pediatrics Grand Rounds

 

1/week

 

Pediatrics Attendings
Pediatrics Chief Residents
Visiting Professors
NYU

 

Adult Cardiology Grand Rounds 1/week
(as relevant)
Adult Cardiology Attendings
Visiting Professors
 
NYU

 

Dept. of Pediatrics M&M
 
QO week
 
Pediatrics Chief Residents
Pediatrics Attendings
NYU
 
Basic Science Rotation:
Work-in-Progress talks
~Q3 months Pediatric Cardiology Fellow
 
NYU
 
Basic Science Rotation:
Journal Club
 
As scheduled
 
Pediatric Cardiology Fellow
Lab Personnel
Basic Science faculty
NYU

 

General Clinical Research Center
 
As scheduled GCRC personnel
 
BHC
 
Maternal Fetal Conference monthly OB, NICU and Cardiology attendings and fellows NYU
 

 

General Program Goals

The program is designed to:

  • Facilitate acquisition of knowledge and technical expertise in the care of children with cardiovascular disease.
  • Provide the academic tools to enable trainees to make meaningful scholarly contributions to the field of pediatric cardiology.
  • Develop the capacity for on-going continuous education and self-improvement beyond the period of formal training.

General Program Learning Objectives

Patient Care

Each fellow will:

  • Demonstrate expertise in history-taking and physical examination including family history which is a critical aspect of the evaluation of pediatric patients with cardiovascular disease.
  • Develop expertise in interpretation of radiography, electrocardiography, exercise testing, ambulatory electrocardiography and magnetic resonance imaging.
  • Develop expertise in the performance and interpretation of echocardiography. Each fellow must perform and interpret a minimum of 300 pediatric echocardiography studies.
  • Demonstrate understanding of the indications for and limitations of invasive testing and management, including cardiac catheterization, angiography, electrophysiologic testing and pacemaker implantation. Each fellow must participate in a minimum of 100 cardiac catheterizations and 10 intracardiac electrophysiologic studies.
  • Develop expertise in the pre-and post-operative care and evaluation of patients having open or closed cardiac surgery.
  • Demonstrate understanding of principles of mechanical ventilation, resuscitation, cardioversion, pericardiocentesis and temporary pacing.
  • Develop expertise in the comprehensive evaluation and management of outpatient cardiology patients.

Medical Knowledge

Each fellow will:

  • Demonstrate understanding of the embryology and anatomy of the normal heart and vascular system, clinical morphological correlations and pathology
  • Demonstrate understanding of congenital and acquired heart disease, as well as pertinent aspects of neonatology, anesthesiology, critical care, cardiothoracic surgery, cardiac radiology and adult cardiology. These topics will be covered in series of didactic sessions as well as part of ongoing hands-on training.