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Staff Fellow - Medicine, Cardiovascular Advanced Hypertension and Preventive Cardiology

Overview:

This one-year advanced fellowship provides immersive training in the full spectrum of hypertension care and preventive cardiology. Hosted at the AHA–certified Comprehensive Hypertension Center—founded and directed by Dr. Delgado-Lelievre—the program delivers nationally recognized excellence in diagnosis, innovation, and prevention. Fellows gain clinical expertise, procedural training in renal artery denervation (RDN), scholarly development, and board preparation for Hypertension Specialist certification.

Curriculum/responsibilities

Hypertension Clinics (45%)

Under supervision, fellows manage hypertension as a multidimensional disease in diverse clinical settings.
Core Objectives:

Non-Pharmacologic: DASH diet, sodium reduction, lifestyle.
Pharmacologic: Drug mechanisms, sequencing, phenotype-based tailoring.
Interventional: Integration of RDN and device-based options.
Phenotyping: ABPM, renin/aldosterone levels, vascular stiffness.
Secondary Hypertension: Aldosteronism, RAS, pheochromocytoma, Cushing’s.
Family Risk: Early screening, preventive strategies.
Risk Management: Stratification using PREVENT and ASCVD tools.

Renal Artery Denervation Training (30%)

Under supervision, fellows:

Complete an intensive didactic RDN course
Assist in 15 RDN procedures
Conduct simulation training and trial participation
Undergo mid-year and final procedural assessments

Research & Scholarly Output (20%)

Produce one of the following: review article, original study, or case report
Receive mentorship for abstract submission and publication
Present at national scientific meetings

Didactic Curriculum (5–10%)

Weekly lectures: hemodynamics, lifestyle medicine, pharmacogenomics, minority health
Weekly Grand Rounds and Journal Club
Interdisciplinary case conferences with nephrology, cardiology, OBGYN, IR

5. Mandatory Rotations (6-8 weeks)

All fellows will complete mandatory rotations in Preventive Cardiology, encompassing diabetes management, lipidology, clinical nutrition, and cardiovascular rehabilitation.

These rotations will be hosted within our Comprehensive Preventive Cardiology Program, providing fellows with a holistic foundation in cardiovascular risk reduction.

Advanced cardiovascular imaging will be incorporated in the fellows curriculum.

6. Elective Rotations (6–8 weeks)

Interventional Radiology: Participate in AVS, lateralization discussions, aldosteronism pathway
Obstetrics: Manage preeclampsia, eclampsia, postpartum HTN
Nephrology: Hypertension in CKD, dialysis, and fluid regulation

Additional Clinical Enrichment

The fellowship further integrates:
In-depth exposure to ambulatory blood pressure monitoring (ABPM), central aortic pressure assessment, and home BP technologies. Clinical informatics tools for hypertension registry analysis, care quality improvement, and real-time BP monitoring. Emphasis on social determinants of health and community-level risk mitigation. Fellow-led teaching sessions for internal medicine residents and students to promote hypertension education. Participation in institutional quality improvement initiatives, including hypertensive emergency protocols and medication reconciliation. Case-based learning with interdisciplinary faculty from cardiology, endocrinology, nephrology, and behavioral medicine.

Capstone & Certification

Board review course and for the American Hypertension Specialist Certification Program
Capstone Presentation: research, procedural innovation, or case series
Final faculty evaluation and certification

Qualifications:

Education: MD or equivalent degree. Completion of an ACGME-accredited residency in Internal Medicine, Cardiology, Radiology, or other relevant specialties.

Licensure: Must be eligible for licensure in the state of Florida.

Skills: Strong analytical, communication, and organizational skills. Ability to work effectively in a fast-paced, multidisciplinary environment.

Research Interest: Interest in cardiovascular imaging research and its clinical applications

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff

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