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Welcome from the Program Director

The Cardiovascular Disease Fellowship at AdventHealth Orlando is a three-year ACGME-accredited fellowship and our mission is to develop cardiology clinicians of excellence and the future leaders in the field of cardiovascular disease. Our trainees will be equipped to shape the future of cardiovascular medicine though their leadership in clinical care, scientific investigation and education. Our diverse faculty provide experience and expertise in general cardiology and subspecialty disciplines in cardiology and immersion into the vibrant environment of AdventHealth Orlando hospital and clinics, allows our trainees to flourish with individualized career development. Thank you for your interest in the AdventHealth Cardiology Fellowship program.

 

Rodrigo Lago, MD, FACC

Program Director

Program Leadership

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Rodrigo M. do Lago, MD, FACC

Program Director

Interventional Cardiologist

Stacy Mandras, MD

Associate Program Director

Transplant Cardiologist, Pulmonary Hypertension

Cesar Bonilla Isaza, MD

Faculty

Electrophysiologist

James Tarver III, MD

Faculty

Pulmonary Hypertension, Cardiologist

Basiem Barsoum, MD

Faculty

Interventional Cardiologist

Teaching Faculty

The faculty have trained in numerous geographic locations and have come from prestigious training programs. They are eager to teach you!

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General Cardiology
  • William Barsoum, MD
  • James Tarver, MD
  • Rodrigo Lago, MD
  • Rajesh Shah, MD
  • Nipun Arora, MD
  • Jose Arias, MD
  • Phillip Anderson, MD
  • John Ververis, MD
  • Cesar Jara, MD
  • Linus Wodi, MD
  • Hector Lozano, MD
  • Barry Kramer, MD
Invasive Cardiology
  • Rodrigo Lago, MD
  • Jose Arias, MD
  • Nipun Arora, MD
  • Rajesh Shah, MD
  • William Barsoum, MD
  • Rohit Batheja, MD
  • Phillip Anderson, MD
  • Andrew Taussig, MD
  • Alejandro Franceschi, MD
Electrophysiology
  • Cesar Bonilla, MD
  • Sambit Mondal, MD
  • George Monir, MD
  • Chandra Bomma, MD
  • Ussman Siddicki, MD
  • Patricia Guerrero, MD
Heart Failure/Cardiac Transplant/Pulmonary Hypertension
  • Stacy Mandras, MD
  • Nirav Raval, MD
  • Simon Shakar, MD
  • Naveen Bellam, MD
  • James Tarver, MD
  • Scott Silvestry, MD
Cardiac Imaging/Echocardiography
  • Barry Kramer, MD
  • James Tarver, MD
Cardiac Surgery
  • Kevin Accola, MD
  • Jorge Suarez, MD
Advanced Cardiac Imaging (CT and MRI)
  • Manuel Hernandez, MD
  • Cesar Jara, MD
Adult Congenital Heart Disease
  • Matthew Zussman, MD
  • Augustin Ramos, MD
  • Aurelio Reyes, MD

Core Rotations

The first two years of our Cardiovascular Disease fellowship will offer intensive clinical experiences spanning general cardiology and subspecialty fields in both the inpatient and outpatient settings. The first-year curriculum will immerse fellows in general cardiology, echocardiography, cardiac catheterization, cardiovascular imaging, heart failure, consultative cardiology, and electrophysiology. The second- and third-year curriculum will build upon these skills and incorporate experiences in cardiac transplantation/mechanical circulatory support, vascular medicine, structural heart disease, and adult congenital heart disease. Additionally, fellows will have the opportunity to further explore many of the clinical cardiology subspecialty areas during elective time, in order to tailor their clinical training to their specific goals. Clinical fellows rotate primarily at the AdventHealth Orlando campus with a weekly half day continuity clinic at the AdventHealth Apopka campus. 

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Rotation Schedules

Program leadership will continuously work optimizing the schedule to maximize clinical experiences.

The schedule is set up of 13 blocks per year consisting of 4 weeks each per rotation.

Core Rotations PGY - 4 PGY - 5 PGY - 6
General Cardiology (Consult Service)

4

3 1
Cardiac ICU 1 0 0
Invasive Cardiology 3 2 1
Electrophysiology 1 1 1
Echocardiography 2 1 2
Stress Testing/Nuclear Cardiology 1 1 0
Heart Failure/Cardiac Transplant 1 1 0
Cardiac Surgery 0 1/2 0
Advanced Cardiac Imaging (CT & MRI) 0 1 0
Adult Congenital Heart Disease 0 1/2 0
Vascular Medicine 0 0 1
Pulmonary Hypertension 0 1/2 0
Cardiovascular Research 0 0 1
Electives 0 2 5

Pacemaker Clinic will also be available as part of the electrophysiology rotations.

Special Electives Opportunities
  • Invasive cardiology and cardiac catheterization
  • Heart valve program and structural heart disease
  • Electrophysiology
  • Echocardiography and advanced cardiac imaging
  • Adult congenital heart disease program
  • Cardio-Oncology program
Rotations Details

General cardiology/Cardiology consult service

  • Rotation coordinator:  Dr. Basiem Barsoum, MD
    • One of the strengths of clinical training at AdventHealth Hospital is the remarkable variety and complexity of patients seen during this rotation. Fellows serve as the primary cardiologists on new hospital-wide cardiology consultations and admissions to the cardiac units, cardiovascular observation unit, and cardiac ICU. Although senior staff will provide careful oversight and teaching, the fellow will be the main provider and decision maker for patient care. The patients seen while on service will be expected to be followed as outpatients and form the bulk of each fellow’s practice in the Cardiology Fellows Clinic.

Echocardiography

  • Rotation coordinator:  Dr. James Tarver, MD
    • First year fellows develop proficiency in the performance of diagnostic ultrasound, understanding of basic principles and competence in study interpretation. Fellows will also receive direct instruction from senior sonographers in the performance of the echocardiographic examination during their first rotation.
    • For second year fellows, emphasis is placed on interpretive skills and advanced procedures, such as stress echo studies and transesophageal echocardiography. Level II training in transthoracic and transesophageal echocardiography imaging can be completed during elective time and/or during the third year of fellowship.

Invasive cardiology/Cardiac catheterization laboratory

  • Rotation coordinator: Dr. Rodrigo Lago, MD
    • Fellows will be lead operators on diagnostic procedures in the AdventHealth Orlando Cardiac Catheterization Laboratory, a state-of-the-art suite of six rooms with high-resolution digital fluoroscopy units. A high-volume and wide variety of diagnostic and interventional procedures are performed every year. Since AdventHealth Hospital Orlando serves as the primary hospital for the local neighborhood AdventHealth medical facilities as well as a tertiary referral center for high-risk patients from state, national and international centers, cases are varied and often challenging. Fellows will gain a strong foundation in appropriateness and indications for catheterization, protocols for venous and arterial access, the hemodynamic assessment of cardiac, valvular and coronary function, angiography of coronary and bypass vessels and pre- and post-procedural management. Furthermore, the laboratory has a significant academic structure and has multiple active research protocols which will enable fellows to pursue their research interests.

Electrophysiology

  • Rotation Director: Dr. Cesar Bonilla, MD
    • The AdventHealth cardiac electrophysiology laboratory comprises a state-of-the-art facility that provide advanced arrhythmia services. Fellows on this rotation will gain competence in the interpretation of commonly performed electrophysiology studies, manage inpatients with arrhythmias, learn indications for pacemaker and ICD implantation and become experienced in programming and interrogating these devices. Fellows will participate at the electrophysiology laboratory in procedures to diagnose and treat complex arrhythmias. Fellows will also participate with the faculty in pacemaker and ICD placements.

Nuclear cardiology

  • Rotation coordinator:  Dr. Basiem Barsoum, MD
    • Nuclear cardiology at AdventHealth Hospital provide various types of cardiac stress tests that help to identify and diagnose heart disease. Fellows will learn the integral role of cardiac stress testing in the practice of clinical cardiology, as well as its limitations, by performing and interpreting studies. The second-year rotation will focus on multimodality imaging techniques.

Cardiac imaging

  • Rotation coordinator: Dr. Cesar Jara, MD
    • Fellows spend a month rotating through the cardiac CT and cardiac MRI facilities at AdventHealth Hospital Orlando and will be acquainted with these imaging techniques.

Heart failure/Cardiac transplant

  • Rotation coordinator:  Dr. Stacy Mandras, MD
    • The management of patients with advanced heart failure at AdventHealth Hospital is a multidisciplinary effort with input from physicians and non-physicians alike. Fellows will be integrated into a team consisting of members of the heart failure and cardiac surgery services by caring for patients with advanced disease and participating in meetings discussing transplant status and patient selection for advanced heart failure therapies. Fellows will gain a solid understanding of the management of severe heart failure and pulmonary hypertension, and assessment of candidates for transplantation and mechanical circulatory support.

Adult congenital heart disease

  • Rotation Director: Dr. Mathew Zussman, MD
    • Fellows will become familiar with the anatomy and physiology and current therapies of patients with congenital heart disease. Fellows will participate in Multidisciplinary adult congenital heart disease meetings and rotate in pediatric cardiology. Fellows will also participate in invasive procedures to diagnose and treat adults with congenital heart diseases in the pediatric cardiac catheterization laboratory.

Vascular medicine

  • Rotation Director: Dr. David Varnagy, MD
    • Fellows will spend one month becoming familiar with the evaluation and management of patients with aortic diseases and peripheral vascular disease, including carotid artery disease, peripheral arterial disease, renal artery stenosis, complications of venous thromboembolism, and others.

Cardiac surgery

  • Rotation Director: Dr. Kevin Accola, MD
    • Fellows rotating on the cardiac surgical service and cardiac surgery intensive care unit will gain further experience in the pre- and postoperative care of cardiac surgical patients. Fellows will participate in daily morning rounds with cardiac surgeons and cardiac intensivists. They will attend surgical cases in the operating room, to gain an appreciation of the complexity of cardiac surgical procedures and intraoperative management.

In addition to dedicated subspecialty program selective blocks, two additional weeks on the second year and five on the third year are set aside for elective rotations. The third academic year will offer more elective time to pursue research, academic endeavors and/or complete level II training in cardiac imaging or invasive cardiac catheterization.

Outpatient Cardiology Fellows Clinic:

  • One of the most valuable aspects of the cardiology program is the opportunity to be the primary outpatient cardiologist for patients across the three years of training. Many of the first encounters a fellow has with these patients will be during their initial inpatient stay, after which they will be enrolled in the fellow’s clinic. It is an opportunity to learn the fine points of the longitudinal management of a range of cardiac problems in ambulatory patients. Added to this is the challenge of evaluating new patients referred to the clinic by other providers. All fellows are assigned one half a day cardiology clinic per week throughout their 3 years of training. In addition to general cardiology, the Program offers subspecialty clinic experience in electrophysiology, interventional cardiology, heart failure, preventive cardiology, adult congenital heart disease and vascular medicine.

Core Curriculum

The curriculum of the cardiovascular diseases fellowship consists of a variety of clinical experiences and didactic conferences that will take place at AdventHealth Hospital Orlando. Fellows rotate on several inpatient and outpatient services and provide both direct and consultative care. Fellows attend a weekly continuity clinic. Procedural skills are gained as fellows rotate and advance through the invasive and non-invasive laboratories. They will progressively gain extensive experience in cardiac catheterization procedures, electrophysiology procedures, echocardiography and non-invasive vascular imaging, stress testing, and nuclear cardiac perfusion imaging testing. Training in cardiac CT and MRI techniques will be also provided through the joint collaborative programs between the Department of Radiology and Division of Cardiology. This training will take place either on the non-invasive imaging rotation or during an elective rotation dedicated to advanced cardiac imaging. Fellows also have access to the cardiac simulation laboratory where they can practice invasive cardiac procedures.

Several conferences will occur throughout the week and month, and include a core curriculum lecture series, cardiology board review series, journal club, invasive conference, electrophysiology and electrocardiography conference, non-invasive conference (echocardiogram/vascular imaging and stress testing), cardiology Grand Rounds, adult congenital heart disease conference, morbidity and mortality conference, and structural heart conference. These conferences and lecture series provide a forum to progress and advance into the cardiovascular didactic materials, critically review the literature and to debate current topics in cardiovascular medicine.

A final aspect of the curriculum involves fellow involvement in teaching. This occurs in several settings, including direct clinical teaching of Internal Medicine residents on the inpatient cardiology services (intensive care unit, heart failure service and cardiology consult service) as well as assisting in the early training of new cardiology fellows. Fellows are expected to give didactic lectures at catheterization/invasive conferences, cardiac imaging/non-invasive conferences, cardiology board review series, cardiology grand rounds, morbidity and mortality conference, etc.

COCATS 4 (Core Cardiology Training Symposium) is the curriculum guiding document for fellowships in cardiovascular disease. This document consists of the reports of individual task forces which reviewed and made recommendations for training in each of the vital areas of cardiovascular disease. AdventHealth Hospital Fellowship Program in Cardiovascular Disease addresses each Task Force’s recommendations.

Our program core conferences will deliver a structured didactic curriculum to supplement clinical experiences in a variety of learning formats, including traditional lectures, hands-on workshops or boot camps, fellow case presentations, and chalk talks. These conferences include:

Fellows Core Conferences and Meetings

Frequency

Core cardiology Conference

Weekly

Invasive conference (Cath conference)

Biweekly

Echocardiogram conference

Biweekly

ECG lecture series

Biweekly

Electrophysiology core curriculum

Monthly

Non-invasive conference (Nuclear, CT, MRI)

Monthly

Cardiology Grand rounds

Monthly

Heart failure/Transplant Conference

Monthly

Journal Club

Monthly

Fellows clinical cases conference/Morning report

Biweekly

Cardiology research and methods conferencen>

Bimonthly

M&M Conference

Bimonthly

Adult Congenital Heart Disease Conference

Monthly

Cardiology Board Review Conference

Biweekly

Boot Camp for 1st year fellows (PGY4) (over the summer - basic initial hands-on training): Basics of echocardiography, catheterization laboratory, pacemakers/ICD equipment.

Fellows are expected and encouraged to be involved in research from first year and dedicated research time will be provided in the 3rd year. Through integration of research mentorship and clinical training, our fellows will be well prepared for scientific discovery. The approach to research training during the cardiology fellowship training includes mentor identification from the start of training, research plan presentation, and formal structured curriculum focused on approaches to research design, execution and writing.  Research interests of the members of the cardiovascular division at AdventHealth Orlando are broad and include studies and clinical trials related to general cardiology and preventive cardiology, invasive and interventional cardiology, structural heart disease, heart failure and cardiac transplant, electrophysiology, and cardiac imaging.

AdventHealth Orlando exterior image

Our Training Sites

Primary clinical training occurs mainly at the AdventHealth Orlandocampus.

  • The AdventHealth Orlando campus is a 2,247-bed acute-care medical facility, serves the Greater Orlando area as a major tertiary referral hospital for Central Florida and much of the Southeast, the Caribbean and Latin America. AdventHealth operates 44 hospitals in ten states making it the largest not-for-profit protestant health care system in the United States. AdventHealth Orlando is a system of 8 hospitals in the Central Florida area which operate under one license. The hospitals which are included in the AdventHealth (AH) Orlando group are AH Altamonte, AH Apopka, AH Celebration Health, AH East Orlando, AH Kissimmee, Winter Park Memorial, AH Orlando, and AH Children’s Hospital.

The outpatient clinic and non-invasive outpatient training takes place at the AdventHealth Medical Group Cardiology at Apopka.

Program Information

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Benefits

We’ll Take Care of You

CME Stipend: $1,500

Salaries (Effective Academic Year 2020 - 2021):

  • PGY 4 - $60,257.60
  • PGY 5 - $62,316.80
  • PGY 6 - $65,416.00

Medical Insurance: Family medical insurance is provided free of charge through the AdventHealth insurance plan. Physician medical care co-pay is covered in all Residency offices.

Life Insurance: Equivalent to one year's salary, is provided free of charge. Additional life insurance may be purchased for a minimal charge.

Vacation/Personal Time: Residents/Fellows receive 20 days vacation/personal time each year. Major holidays are also off except when scheduled for holiday call.

Uniforms: Residents/Fellows receive two white jackets for their year in fellowship. Scrubs are provided in each location's OR locker room if required.

Meals: Residents/Fellows have access to the physician lounge when on duty.

Parking: Designated physician parking is free.

Physician Wellbeing: For more information on the many benefits offered across all programs, click here.

Diversity and Inclusion

AdventHealth Florida as an institution and Orlando as a city have a strong commitment to diversity and inclusion and has been at the forefront of promoting diversity and fighting for social justice in many respects. Our Cardiovascular Disease Fellowship program has strong commitment to diversity at all levels. Diversity and inclusion to us means not only considering race/ethnicity/gender and underrepresented groups in medicine and cardiology but also an individual's background and the distance traveled, or hardships traversed when applying to our program. We understand that a workforce of physicians who better understand the culture and customs of patients from all walks of life has a positive impact on patient care, education, and research. The AdventHealth system has a non-discriminatory and diverse approach to recruiting staff and the same criteria is applied to the fellowship program.

Physicians interviewing
Application Process

Join Our Team

We proudly received our ACGME accreditation in January 2021!

We will be recruiting outside of the NRMP Match for three fellows positions to start the 2021-2022 academic year. For consideration to our program please submit the following items to our coordinator:  

  • Photograph (passport style) 
  • Curriculum vitae
  • Personal statement
  • Copy of medical school diploma, transcripts, MSPE
  • Three letters of recommendation from: Chief of Medicine or Cardiology or IM Program Director and 2 additional sponsoring physicians 
  • USMLE / COMLEX  transcripts (1-3) 
  • If applicable, copy of residency completion certificate: must be an ACGME-approved program in Internal Medicine
  • If applicable, ECFMG certificate and current visa status

Please note, all interviews will be held virtually via Microsoft Teams. No in-person visits allowed. If you are selected for an interview, you will be contacted via email by our coordinator to schedule the next steps.

For appointment year 2022, we will participate in the NRMP Match. At that time, all applicants will need to apply through the ERAS website. 

AHS Staff
Contact Information

Program Coordinator

Simona Milosevska