Cardiology
Introduction
The Division of Pediatric Cardiology at OHSU, directed by Dr. Mark Reller, includes thirteen physicians, two nurse practitioners, four fellows, nurses, technicians and administrative staff. Expertise in the subspecialties of Interventional Cath, EP, Echo, MRI, Heart Failure, Pulmonary Hypertension, Dyslipidemia, Heart Transplant and Adult Congenital Heart Disease are represented in our faculty. We provide the highest quality care to children with heart disease referred to our center from throughout the Pacific Northwest.
Dr. Langley together with our two PA's, Richard Reed and Rachel Sunstrom perform all state-of-the-art pediatric cardiac surgical procedures with the exception of heart transplantation. The surgical team are actively involved in all aspects of peri-operative care and fellow education.
The Pediatric ICU, wards, OR, echo lab and clinic are located in Doernbecher Children's Hospital, a free-standing academic Children's Hospital providing the widest range of health care services for children in the region. Doernbecher connects via bridge to OHSU Hospital where the ED, NICU, Cath Lab, Cardiac MRI and Adult services are located.
FELLOWSHIP PROGRAM
Our Fellowship Program provides a solid foundation of knowledge and experience to academically oriented trainees. Fellows are trained in all aspects of pediatric cardiology. The patient volume and acuity are appropriately challenging, while still facilitate the educational opportunity in each experience. The 3-year curriculum provides ample elective and research experience. Our program is proud to produce exceptionally trained graduates with the skills and opportunities to become leaders in any aspect of the field.
The Pediatric Cardiology Fellowship Program is a three-year ACGME-accredited training program.
OHSU will accept trainees who are not US citizens for Graduate Medical Education purposes. All non-US citizens must have a Visa which allows for patient care, most commonly an H1B or a J-1 Clinical Visa.
Required application documents (submitted through ERAS) include:
- Completion of the on-line Eras application (including personal statement, curriculum vitae, hobbies, USMLE scores, etc.)
- Medical Student Performance Evaluation (MSPE) from the Dean of your medical school
- Medical School Transcript
- A letter of verification from the Program Director(s) of prior residency training, including dates, location and verification of completion
- Verification of any previous staff positions
- Two letters of reference from faculty at your current training program or professional colleagues if not in training (including the Evaluation Form)
Evaluation Form
Laurie Armsby, MD
Pediatric Cardiology Fellowship Program Director
Associate Professor of Pediatrics
Division of Pediatric Cardiology
Oregon Health & Science University
Brea Sparks
Pediatric Cardiology Fellowship Program Coordinator
Division of Pediatric Cardiology
Oregon Health & Science University
503-494-2192
Clinical Overview
The Echocardiography lab, under the direction of Dr. Mary Minette, is staffed by six faculty and seven technicians. The lab performs ~ 4600 transthoracic, 220 transesophageal and 290 fetal echos per year. We also utilize the techniques of intravascular sonography and 3-dimensional imaging. Dr. David Sahn enjoys an international reputation for his work in the development and application of the most technically advanced echocardiography equipment available, and serves as a mentor for our fellows interested in echocardiography and/or research.
Dr. Grant Burch directs the OHSU Congenital Cardiac Catheterization lab which performs over 300 catheterizations per year. Dr. Burch and Dr. Armsby provide training and experience in all aspects of interventional catheterization.
The Electrophysiology program performs state-of-the-art procedures including radiofrequency ablation and intracardiac mapping techniques for complex dysrhythmias. Dr. Seshadri Balaji directs our Pediatric Electrophysiology program.
Drs. Michael Silberbach, Craig Broberg and Dianna Bardo provide the division with expertise in Cardiac MRI and CT.
We enjoy a close, collaborative relationship with the Adult Congenital Heart Disease team, comprised of Drs. Craig Broberg, Vic Menashe, George Pantely and Joseph Weiss.
Fellow exposure to outpatient pediatric cardiology is provided through numerous settings including Fellows Continuity Clinic, Clinics in Adult Congenital Heart Disease, Electrophysiology, Pediatric Dyslipidemia as well as a busy Outreach Clinic program operating throughout Oregon.
Cardiology Clinic site
Research
Research is a valued and exciting facet of the Pediatric Cardiology Fellowship Program. Fellows are provided concentrated, protected time to pursue mentored basic science or clinical research projects during their training. The OHSU community provides an extraordinarily rich and enthusiastic environment for both intra-divisional projects as well as interdisciplinary collaborations. Within pediatric cardiology, investigators are at the cutting edge of technology in Echocardiography, Cardiac MRI, Heart Failure, Dyslipidemia, Transcatheter Interventions and Electrophysiology.
Another important resource is the University Heart Research Center under the direction of Dr. Kent Thornburg. The expressed purpose of this Center is to attract and support a multi-disciplinary world class research team to foster expanding research opportunities in the study of the mechanisms and expressions of congenital heart disease. Opportunities for an additional year of funded research are available to our fellows
Conference Schedule
1. Clinical Sign-in, Mondays. Each Monday morning the faculty and fellows meet to review the cardiology service.
2. Medical/Surgical Conference, Mondays.Our combined cardiology/cardiothoracic surgery conference meets weekly to discuss patients scheduled for surgery or catheterization during the week. We also review, as a group, patients with complex issues or who are being considered for surgery.
3. Pediatric Cardiology Fellows Conference, Wednesdays and Fridays.A rotating curriculum provides comprehensive coverage of pediatric cardiology topics during the three-year fellowship. Echo, EP, and Cath topics are presented every 6 weeks. Chapters of the Moss & Adams text are presented in a Board-Review Format every 6 weeks.
4. Weekly Echo Conferences, Tuesdays. Dr. Brendan Kelly reviews echos with in a small group setting.
5. Pediatric Cardiology Case Review Conference, Thursdays. The fellow on-service presents a challenging or interesting clinical case from the service.
6. Basic Sciences / Physiology Seminar, Fridays. This is an excellent educational experience staffed by faculty by Adult Cardiology, Basic Sciences, and Pediatric Cardiology. The topics vary on a 3-year rotational basis.
7. "TOFS" Conference, Fridays. A research conference for presenting new or preliminary data. Attended by fellows, graduate students, and staff from Adult and Pediatric Cardiology, Cardiac Surgery and Basic Science Divisions. The forum offers an excellent exposure to the variety of research being done within the institution.
Monthly Conferences:
1. Cardiac Critic
al Care Morbidity and Mortality Conference.
A review of cardiac-related cases from the pediatric critical care unit.
2. Congenital Cardiac Interventional Morbidity and Mortality Conference. A review of the monthly morbidity and mortalities within cardiac catheterization, electrophysiology and congenital cardiothoracic surgery.
3. Pediatric Cardiology Journal Club, Wednesday, 8-9:00am.
Articles are selected by a faculty member with fellows presenting the papers for discussion. Emphasis is placed on achieving an evidence-based practice of medicine and arriving at a consensus statement.
Recent Graduates
David Bailly, MD
Current Position: Pediatric Cardiac Critical Care Fellowship, Boston Children's Hospital
Michael Hainstock, MD
Current Position: 4th year Cardiac Interventional Catheterization, Boston Children's Hospital
Erin Madriago, MD
4th year imaging training, Stanford University School of Medicine
Current Position: Assistant Professor, Pediatric Cardiology, OHSU
Misty Carlson, MD
Current position: Assistant Professor, Pediatric Cardiology, OHSU
Ronald Wells, MD
Current position: US Army, Pediatric Cardiology, Berlin, Germany
Michael Schaal, MD
Current position: Father
Anoop Singh, MD
4th Year training in Electrophysiology, Duke University
Current position: Assistant Professor, Pediatric Electrophysiology, University of Wisconsin.
Andrew Hoyer, MD
Current Position: Assistant Professor of Pediatrics and Radiology, University of Virginia
