Michael Mack MD Baylor Scott amp White Health Dallas TX How Have Most Operators and Centers Been Trained in Structural Heart 3 Do We Need Formal Structured Training in Structural Heart ID: 913533
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Slide1
Adapting to Change in Structural Heart Disease Training
Michael Mack, MD
Baylor Scott & White Health
Dallas, TX
Slide2Slide3How Have Most Operators and Centers Been Trained in Structural Heart?
3
Slide4Do We Need Formal “Structured” Training in Structural Heart?
4
Slide5Non-certified Structural Heart Fellowships For Interventional Cardiology in US
n=40
Banner
Henry Ford
UNC
Buffalo
Scripps
Minnesota
Rutgers
Case Western
UCLA
MayoHackensackLankenauUCSFMinneapolis HeartLenox HillBrownUCSDWashington UColumbiaHouston MethodistYaleMMHINYUBaylor SW PlanoMiamiDartmouthU WashingtonCarrillonEmoryDukePrarie HeartMGHRushJohns HopkinsOchsnerBeaumontDetroitBoston UMarylandU Massachusetts
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Slide6Non-certified Structural Heart Fellowships For Cardiac Surgery in US
n=10
Brigham &
Womens
Medstar
Columbia
NYU
Emory
Penn
Baylor Scott & White Plano
UT Houston
Houston MethodistUniversity of Virginia6
Slide7What Is Included in Fellowship Training?
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Slide8Structural Heart Fellowships
Baylor Scott & White Health-Heart Hospital Plano
Cover Structural Cases (1/2 TAVR Days Weekly)
TAVR Clinic (One Half Day Per Week, Provide Opinion on Surgical/TAVR Candidacy)
Mitral Clinic (One Half Day Per Week)
Valve Service Responsibilities (Consults, Rounding, Discharges,
etc
)
Attend/Present at Weekly TAVR Meeting
Attend Monthly Mitral Meeting
Surgical High Risk Conference
Weekly Research MeetingSurgical CasesKarim Al-Azizi, MDInterventionalCardiologistAnita Krueger, MDCardiac Surgeon
Slide9Structural Heart Fellowships
Baylor Scott & White Health-Heart Hospital Plano
Slide10Structural Heart Fellowship- One Year
Case Log
Cardiac Surgeon
Total Cases: 273
TAVR: 161
MitraClip
: 12
Additional Trans-Septal Punctures: 19
Mitral
ViV
/
ViMAC: 6 BAV: 2Tricuspid: 3Surgery-68Interventional CardiologistTotal Cases-436+TAVR: 200Watchman: 20MitraClip: 16PCI: 200+
Slide11Structural Heart Fellowships July 2021
Baylor Scott & White Health-Heart Hospital Plano
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Slide12Proposed Future Structural Heart Training
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Slide13Proposed ACGME S
tructural
H
eart
F
ellowship
for
SURGEON and CARDIOLOGIST
Pros
Cons
Slide14Example of Fellow
Rotation Schedule
July
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
AprMayJuneCSCathSHSHSHSHCSSHSHSHSHCSInterventionalistCS: Cardiac Surgery- 3monthsCath: Diagnostic Cath- 1monthSH: Structural Heart- 8 monthsJulyAugSepOctNovDecJanFebMarAprMayJuneSHCSCathSHSHSHCathSHSHSHSHCathCardiac Surgeon
CS: Cardiac Surgery- 3months
Cath: Diagnostic Cath- 1month
SH: Structural Heart- 8 months
IC
CS
Slide15Structural Heart Training
Summary
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