University of Iowa Health Care: UIHC Department of Pediatrics ...

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Department of Pediatrics Fellowship Training Program in Pediatric Cardiology Information for Applicants Introduction Eligibility and Application Procedure Curriculum Overall Schedule Description of Specific Clinical Rotations Research Iowa Cardiovascular Center Conferences/Meetings Resources and Facilities Stipends, Benefits, and Housing Equal Opportunity Employer Pediatric Cardiology Faculty Printable Application House Staff Affairs Office The University and Community

Transcript of University of Iowa Health Care: UIHC Department of Pediatrics ...

Page 1: University of Iowa Health Care: UIHC Department of Pediatrics ...

Department of Pediatrics

Fellowship Training Program in Pediatric Cardiology

Information for Applicants

● Introduction● Eligibility and Application Procedure● Curriculum

❍ Overall Schedule❍ Description of Specific Clinical Rotations❍ Research

● Iowa Cardiovascular Center● Conferences/Meetings● Resources and Facilities● Stipends, Benefits, and Housing● Equal Opportunity Employer● Pediatric Cardiology Faculty● Printable Application● House Staff Affairs Office● The University and Community

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Introduction

The training program in pediatric cardiology at the University of Iowa is an accredited program by the Accreditation Council for Graduate Medical Education and the Sub-Board of Cardiology of the American Board of Pediatrics.

Currently, the training program is partially supported by a National Heart, Lung and Blood Institute training grant. The purpose of the program is to provide skills necessary for a career in academic pediatric cardiology. The three-year program provides integrated clinical and research training. Fellows obtain training in clinical diagnosis and management while assigned to the inpatient and outpatient services. This will also include the management of patients undergoing surgery for congenital heart disease and cardiac transplantation. Fellows interpret noninvasive testing including electrocardiography (resting, exercise, Holter monitoring and event recordings), echocardiography (transthoracic, transesophageal, and fetal) and tilt table testing. Trainees will become familiar with applications of radiology to assess cardiac disease (chest radiography, nuclear medicine, magnetic resonance imaging, and electron beam computed tomography). Trainees will be assigned to the cardiac catheterization laboratory and participate in diagnostic, interventional, and electrophysiologic procedures. A fellow will, with faculty counseling, select an area in cardiovascular medicine that he or she would wish to pursue academically. The fellow selects a sponsor who will be responsible for the research education and will have protected research time to complete projects, write abstracts, present data at meetings and submit manuscripts. Fellows will provide teaching to residents, medical students and nurses. We feel such an integrated program is essential to the future success of a pediatric cardiologist at an academic center.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Eligibility and Application Procedure

Requirements for this program are U.S. citizenship (or permanent Visa), the completion of a three year pediatric residency program, and the necessary qualifications for a resident’s physician licensure in the State of Iowa. This license may be obtained by either passing the United States Medical Licensing Examination (USMLE) or other examinations that have reciprocity with the State of Iowa.

If you wish to apply for a fellowship please complete and send a formal application to the program, four appropriate letters of recommendation, United States Medical Licensing Examination (USMLE) scores, and your American Board of Pediatrics General Pediatrics In-Training Examination Performance Reports to Larry T. Mahoney, M.D., Director, Fellowship Training Program in Pediatric Cardiology, Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Health Care, 200 Hawkins Drive, Iowa City, Iowa 52242.

In addition, our program also participates in the National Resident Matching Program (http://www.nrmp.org). Applicants must contact the program and submit all material by the published deadlines.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Curriculum: Overall Schedule

Trainees spend their first months assigned to the echocardiographic and catheterization laboratories to develop necessary skills and knowledge in these two vital areas for diagnosing and managing cardiac diseases. Fellows are assigned to one daily outpatient clinic for continuity of care and must participate in this clinic while also assigned to research. Fellows assigned to the inpatient service also may participate in morning clinics as time permits. Clinics are also conducted in 8 communities around the State of Iowa as part of our outreach clinical activity. Fellows will be assigned to the inpatient service and provide primary care for patients on the cardiology service and consulting care for patients in the pediatric intensive care unit, nurseries, and other inpatient units. Research time is provided in blocks of time ranging from two to five months. During the 36 months of training, fellows are assigned approximately 16 months to clinical service, 17 months to research and 3 months to vacation and meetings.

SAMPLE FELLOW/PA SCHEDULE

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN Months: Res/Clin

1st E/C C/E C C C C R R R R R R 6/6 6/6

2nd R C S R R R R R C R C C 7/5 13/11

2nd C S R R R R C R R C C R 7/5 13/11

PA R R C C C R R C R C R C 6/6

R=Research C=Clinical Service E=Echo S=Surgery

PEDIATRIC CARDIOLOGY DAILY SCHEDULE

MON TUES WED THURS FRI

7:00 am Resident & FellowCheck-in Rounds

Resident & FellowCheck-in Rounds

Resident & FellowCheck-in Rounds

Resident & FellowCheck-in Rounds

Resident & FellowCheck-in Rounds

7:30 am Morning Report Surgery Conference:

Interesting Cases

Cath Conference Morning Report

8:15 am Cath Lab:

Fagan

Cath Lab:

Atkins/Law

Cath Lab:

Fagan

Cath Lab:

Morriss

Cath Lab:

Fagan

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8:30 am Dysrhythmia Clinic:

Atkins/Law

Cardiology Clinic:

1st/3rd/5th: Morriss/Fagan

2nd/4th: Morriss/Edens

Pyevich: Fetal Echoes

Cardiology & Preventive Clinic: Lauer: All

Cardiology Clinic:

1st/3rd/5th Mahoney/Scholz

Adolescent Clinic:

2nd/4th Mahoney/Skorton/

Mulhern

Cardiology Clinic: Knoedel

11:00 am Resident Rounds

(11:00 — 12:00)

Resident Rounds

(11:00 — 12:00)

Resident Rounds

(11:00 — 12:00)

Resident Rounds

(11:00 — 12:00)

Resident Rounds

(11:00 — 12:00)

12:00 pm Faculty Lunch

1:00 pm X-Ray Rounds X-Ray Rounds X-Ray Rounds X-Ray Rounds Grand Rounds

1:20 pm Cardiology Rounds

Cardiology Rounds

Cardiology Rounds

Cardiology Rounds

2:00 pm X-Ray Rounds

3:30 pm

4:00 pm Journal Club/Core Curriculum (1st, 2nd, & 4th)

Faculty Meeting (3rd)

Fellow Clinic Coverage

Inpatient*/Pardini Inpatient*/Ralphe Inpatient*/Frazer Inpatient*/Bartlett Inpatient*

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Curriculum: Description of Specific Clinical Rotations

● Inpatient Service ● Outpatient Service● Echocardiography● Cardiac Catheterization● Interventional● Electrophysiology● Surgery

Inpatient Service

The inpatient units are organized around the subspecialty services in order to facilitate patient care and improve teaching opportunities. The cardiology inpatient service is located on the second floor of the Colloton Pavilion. Patients younger than 28 days are cared for by Neonatologists in the nursery areas, which include a neonatal intensive care unit, an intermediate care nursery, and low risk nursery for the care of normal newborns. The Pediatric Intensive Care Unit is a multispecialty combined medical and surgical unit providing state-of-the-art respiratory, cardiovascular, and neurological monitoring and care. The PICU is designed to accommodate patients ranging in age from infancy to 16 years. Physician coverage is provided 24 hours a day by faculty from the Division of Critical Care Medicine

Each morning the fellow makes rounds to assess status of all patients. The fellow interfaces between the inpatient cardiology ward team (residents and medical students), and the cardiology attending. With the attending faculty cardiologist, the fellow actively participates in work rounds, provides teaching (bedside and didactic) to the team and participates in consultative care given to patients on other services. Fellows acquire the necessary skills to manage patients with congenital and acquired cardiac diseases admitted acutely, electively or postoperatively. Phone consultation is also provided to

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families and referring physicians. Night call is shared among all fellows, as well as two physician assistants. Generally night call, throughout the three years of training, is no more frequent than every fourth night and every fourth weekend. Yearly our service manages approximately 320 inpatient admissions with 900 inpatient days, 110 surgical admissions, and 250 inpatient consultations

Outpatient Service

The cardiology clinics are located in the Specialty Clinics of the Department of Pediatrics. We have well-equipped examination rooms (including specially equipped rooms for echocardiographic studies and electrophysiologic monitoring), a treatment room, and a conference room. The cardiology faculty provides diagnostic and therapeutic care for patients with congenital heart disease, acquired heart disease (e.g. cardiomyopathy, Kawasaki Disease, rheumatic heart disease, etc.), preoperative and postoperative cardiac surgery patients, including those requiring cardiac transplantation, and patients with hyperlipidemia. Pre- and post-procedure care is provided for patients requiring interventional catheterization. The adolescent/adult congenital heart disease clinic is jointly staffed by pediatric and medicine cardiologists and has been functioning as a joint venture since 1982. Support staff in the clinic include Physician Assistants, Advanced Nurse Practitioners and Registered Nurses.

Clinics are held each weekday morning and are staffed by all faculty in cardiology. Monday: Dysrhythmia clinic (Drs. Atkins and Law); Tuesday: General Cardiology/Transplant/Interventional clinics (Drs. Morriss, Fagan and Edens); Wednesday: General Cardiology/Preventive Cardiology clinics (Dr. Lauer); Thursday: General Cardiology and Adolescent/Adult Congenital Heart Disease clinics (Drs. Mahoney, Scholz, Skorton, and Fox); Friday: General Cardiology (D. Knoedel, PA-C and inpatient attending). Diagnostic Consultative services from nutritionists, psychologists and social workers are readily available. During the last fiscal year, our division saw 2,400 outpatients at UIHC.

The Child Health Specialty Clinics and Outreach Office cardiac programs provide local consultative services to community physicians and a means of identifying children

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with cardiac problems that require referral to the Children’s Hospital of Iowa for further care. Practicing Iowa physicians refer children and youth to regional clinics located in their areas for diagnostic evaluation. The clinics also provide follow-up services for children with congenital and acquired cardiac problems. During the last fiscal year, we saw 1,150 patients at 9 community sites in Iowa.

Echocardiography

Fellows are assigned two to three months to the echocardiographic laboratory, perform all testing needed at night and on weekends, and interpret studies transmitted from remote sites in Iowa. Fellows participate in fetal, stress, and transesophageal studies with direct faculty guidance. The Division of Pediatric Cardiology interprets 3,000 studies annually. Each fellow will be involved in over 300 studies during their years of training. The cardiology service has four echocardiographic units and one portable system for use in outreach clinics, four reviewing stations, including two new digital workstations, and an area for receiving transmitted studies. Examination rooms are available in the Specialty Clinic when sedated studies with nurse monitoring are required.

Cardiac Catheterization

The cardiac catheterization laboratory is located within the Division of Pediatric Cardiology and is equipped with a state-of-the-art digital, biplane system. The spacious laboratory can accommodate needs for transesophageal echocardiography and anesthesia equipment. During the last fiscal year, 280 patients were admitted to this laboratory for diagnostic procedures prior to cardiac surgery or for transcatheter intervention. Each fellow easily participates in over 100 cases during their years of training. Catheterization data is provided yearly to Cardiac Care Consortium for purposes of monitoring quality of care. Our data compares extremely favorable to the greater than 40 other institutions also participating.

Interventional

In addition to hands-on-training for diagnostic cardiac catheterizations, each fellow will get exposure to the full

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gamut of interventional procedures which constitute 50 to 60 percent of all cardiac catheterizations. These cutting edge procedures include: pulmonary, aortic and mitral valvuloplasties; pulmonary artery angioplasty and stent placement; patent ductus arteriosus occlusion; coarctation stent placement; atrial and ventricular septal defect occlusion. Currently there are three different atrial septal defect closure devices available for patients at the Children’s Hospital of Iowa Cardiac Catheterization Laboratory. We are also involved with several multicenter national trials involving new technologies for transcatheter treatment of congenital heart disease.

Electrophysiology

The electrophysiology lab performs both diagnostic and interventional electrophysiologic studies for the treatment of arrhythmias. More than 40 radiofrequency ablation procedures are performed each year, and several noncontact mapping systems have been incorporated into the electrophysiology lab to aid in treatment of the more complex arrhythmias. Pacemakers and implantable cardiac defibrillators are also implanted by the pediatric cardiologists in the cardiac catheterization laboratory.

Surgery

Fellows provide preoperative and postoperative care to patients with a wide variety of cardiac lesions. Drs. Douglas Behrendt and Christopher Caldarone provide excellent surgical care to our patients. They meet weekly with our division to discuss scheduled surgeries and interesting cases. Surgical data is provided yearly to Cardiac Care Consortium for purposes of monitoring quality of care. Our data compares extremely favorable to the greater than 40 other institutions also participating.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Curriculum: Research

During the first year, a fellow is expected, with faculty counseling, to select an area in cardiovascular medicine that he or she would wish to pursue academically. The fellow, with the guidance of the pediatric cardiology faculty, selects a sponsor who will be responsible for the research education of the fellow.

A second year fellow has the opportunity to pursue more intense academic training. During this year independent research is undertaken under the direction of a sponsor and appropriate graduate level courses are taken. In addition to the independent research, the fellow may select courses in developmental biology, embryology, biostatistics, bioassay, experimental design, or any other course that would provide the necessary academic background to perform as an independent investigator. Also, during that year the fellow is given the opportunity to write abstracts, manuscripts, and grants. We feel such training is essential to the future success of a pediatric cardiologist at an academic center.

During the third year, a fellow will present academic endeavors at national meetings, thus providing the necessary visibility for successful job placement upon completion of their training.

Research interests of the division faculty include coronary risk factors in childhood, conduction and rhythm disturbances, developmental aspects of cardiac muscle and cardiac contractile proteins, cardiac embryology, echocardiography, and interventional cardiac catheterization.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Iowa Cardiovascular Center

The Iowa Cardiovascular Center was established in 1975 by the Dean of the College of Medicine under the direction of Dr. Francois Abboud. The purpose is to coordinate the cardiovascular programs of the College into a more cohesive unit to permit us to 1) utilize our cardiovascular resources optimally, 2) intensify, expand and integrate basic and clinical research programs in areas related to cardiovascular research, and 3) evaluate the role of new measures for prevention, diagnosis and treatment of cardiovascular disease.

Space totaling 18,000 square feet was constructed for the Center. The space consists of a fifth and sixth floor addition to the Medical Research Center Building which is the closet to the geographic center of the University Hospitals/Medical Laboratories/Eckstein Medical Research Building/Bowen Science Building complex. The fifth and sixth floors house investigator research laboratories, core research laboratories, administrative offices, seminar rooms, and the cardiovascular library and learning resource unit.

The uniquely attractive feature of the Cardiovascular Center programs at Iowa is the close working relationship and cooperation between members of the basic science departments and the members of the clinical departments, particularly the Departments of Medicine, Neurology, Pediatrics and Surgery. Another important element in the success of this Cardiovascular Center has been the availability of a critical mass of basic scientists and clinical investigators who have full-time faculty appointments with tenure at this university. This represents a major commitment of university and state resources to cardiovascular programs, which have been a significant element in its stability and success.

There are several major interdisciplinary programs currently funded within the Cardiovascular Center and/or form the core of research and training programs utilized by postdoctoral trainees in cardiovascular diseases. These include a Program Project Grant on Integrated Neurovascular Control, a Program

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Project Grant on Fatty Acids, Lipoproteins and Lipid Oxidation, a SCOR on the Molecular Genetics of Hypertension, a SCOR in Occupational and Immunologic Lung Disease, a SCOR in Congenital Heart Disease, a Program Project Grant on Cerebral Blood Vessels, a SCOR in Cystic Fibrosis, a Cystic Fibrosis Foundation Research and Development Program, Program Project Grant on Gene Therapy for Cystic Fibrosis Lung Disease, a Cystic Fibrosis Foundation Gene Therapy Center, a Training Center in Lipid Disorders, a Clinical Trial and Observational Study of the Women’s Health Initiative-West, a Center for Research on Older Rural Populations, a Trial of ORG-10172 in Stroke, and a Biostatistics Core Facility. In addition, there is our Cardiovascular Interdisciplinary Research Fellowship, Pulmonary Training Program, Training Program in Hemostasis and Thrombosis, and an Institutional Pediatric Cardiology Training Grant that provide postdoctoral fellowships to M.D. and Ph.D. fellows.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Conferences/Meetings

Each week a joint pediatric cardiology and cardiovascular surgery is held to discuss patients to be operated within the ensuing week or interesting cases that faculty wish to hear other’s opinions on management. Complex inpatient cases are often discussed. Faculty from the Division of Critical Care Medicine, nurses, and medical students are in attendance.

Fellows, with faculty supervision, organize the discussions for a monthly journal club. Twice monthly, lectures felt to be part of a core curriculum for training, are presented by faculty and staff within the division of cardiology, other divisions in Pediatrics and other departments of the College of Medicine. A weekly conference is held to discuss interesting patients who recently underwent diagnostic, interventional or electrophysiologic testing.

Travel to national meetings is provided yearly to each trainee. Fellows have always been encouraged to submit their research findings to Young Investigator competitions of the Academy of Pediatrics, American College of Cardiology or Society for Pediatric Research during their second and third years of training. Previous trainees have successfully competed in these programs.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Resources and Facilities

The University Hospitals and Clinics and the buildings of the Roy J. and Lucille A. Carver College of Medicine are on the Health Science campus, which is part of the 1,300 acre main campus of the University, located in Iowa City, Iowa. The programs of the Cardiovascular Center are conducted in several adjoining buildings, most of which connect as if they were a single structure.

● The University of Iowa Hospitals and Clinics● Children’s Hospital of Iowa and Department of

Pediatrics● The Department of Pediatrics of the Roy J. and Lucille

A. Carver College of Medicine● Medical Research Center and Cardiovascular Center● Faculty and Areas of Research in the Cardiovascular

Center● Clinical Research Center● College of Public Health, Departments of Biostatistics

and Epidemiology● The Medical Laboratory Building● Bowen Science Building● Eckstein Medical Research Building● New College of Medicine Biomedical Education and

Research Building● Hardin Library for the Health Sciences

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: The University of Iowa Hospitals and Clinics

The University of Iowa Hospitals and Clinics

The hospital has 814 beds, all for single class care. The hospital complex serves as the Tertiary Care Center for a region encompassing some four million people in Iowa, Southwest Wisconsin, Northwest Illinois, and Northeast Missouri. The University Hospital provides both ambulance and helicopter service. The University Hospitals have served one of every two Iowa family units during the past four decades.

The University of Iowa Hospitals and Clinics is a large and well-supported teaching hospital complex providing tertiary level services for the entire state and region, while at the same time creating an environment for health education programs at all levels and in all specialties. As one of the largest of the nation’s university-owned teaching hospitals, University Hospitals, with 855 beds, admits over 40,000 patients annually and has over 540,000 annual outpatient visits.

University Hospital’s clinical services are organized through 16 departments: anesthesia, hospital dentistry, dermatology, family practice, internal medicine, neurology, obstetrics and gynecology, ophthalmology, orthopedics, otolaryngology, pathology, pediatrics, psychiatry, radiology, surgery, and urology. Each clinical service offers residency and fellowship programs as applicable, which are directed by faculty members from the College of Medicine and the College of Dentistry.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: Children’s Hospital of Iowa and Department of Pediatrics

Children’s Hospital of Iowa is a nationally recognized pediatric center of excellence, serving children and their families from throughout Iowa, the United States and several foreign nations. It provides comprehensive health care for children from birth to young adulthood in its many outpatient clinics, surgical treatment and diagnostic centers, and more than 175 inpatient beds. Each year, more than 90,000 clinic visits and some 7,000 inpatient admissions are recorded. In addition, numerous pediatric outreach and satellite clinics, including the Mobile and Regional Child Health Specialty Clinics, provide primary and specialty care for children in communities throughout Iowa. As a "hospital within a hospital," the Children’s Hospital of Iowa benefits from the sophisticated services and comprehensive resources of the University of Iowa Hospitals and Clinics – consistently ranked as one of the "Best Hospitals in America" by the U.S. News and World Report magazine.

Our world-class team of physicians, nurses, and other health care professionals specialize in the care of children. About 150 physicians and surgeons with expertise and certification in the care of children provide medical and surgical care. More than 400 specially trained pediatric nurses provide care to children at the Children’s Hospital of Iowa. Other staff members, including child life specialists, social workers, dietitians, respiratory therapists, pharmacists, and physical therapists are all part of the health care team.

In addition to providing patient care, the Children’s Hospital of Iowa faculty and staff members educate and train the next generation of health care professionals dedicated to caring for children and conducting research into some of childhood’s most challenging diseases and disorders.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: The Department of Pediatrics of the Roy J. and Lucille A. Carver College of Medicine

The Department of Pediatrics of the Roy J. and Lucille A. Carver College of Medicine is recognized nationally for excellence in each of its endeavors: teaching, clinical service, and research related to childhood diseases. Pediatric faculty here are among the nation’s best trained and most successful, as reflected in the authorship of major texts in the discipline and of reports of basic and clinical research in leading journals, receipt of research funds and training grants, election to leadership positions in pediatrics, and receipt of national and international recognition for achievements.

There are 37 resident physicians and 12 fellows in the department. Yearly admissions total almost 4,000 with an average daily inpatient census of 90 (120 total beds available). Yearly ambulatory visits available for educational purpose include 41,000 to the Children’s Hospital of Iowa, 7,000 in the UIHC Emergency Treatment Center, and 7,000 in the Child Health Specialty and Outreach Office clinics throughout Iowa.

The faculty serve as the staff physicians for children cared for at the Children’s Hospital of Iowa and as the mentors for residents and fellows in pediatric training programs. More than 70 pediatricians, pediatric subspecialists, child psychologists, and doctoral-level scientists constitute the full-time pediatric faculty. In addition, many pediatricians in private community practices throughout the state hold clinical faculty appointments and participate in teaching residents and fellows as well as medical students.

Faculty expertise is applied daily to resident and fellow education and to patient care. Measures of treatment outcomes of our patients and of our residents’ and fellows’ successes in board certification examinations, acceptance into further training programs and professional employment, and acclaim for excellence in their pursuits by national awards committees all attest to the effectiveness as clinicians and teachers.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: Faculty and Areas of Research in the Cardiovascular Center

The spectrum of research training provided in this program allows trainees opportunities to select research themes related to cardiac morphogenesis; molecular biology; the early phases of the development of atherosclerosis and hypertension; the evolution of hemodynamic regulation in the embryo, fetus, newborn and the young; and cardiovascular system in normal and disease states. The areas of research and the mentors are shown in the following table. Upon completion of this two-year research program, a trainee can be expected to be qualified for a faculty position with a sponsored training preceptor in either a Department of Pediatrics or in other departments where related research into cardiovascular disease of the young is pursued.

Research Area Investigators

I. Cellular Molecular, Biology, and Molecular Genetics

● Atherosclerosis and Lipid Metabolism — Chappell, Field, Heistad, Spector

● Myocardial Development — Lin, Weeks

● Contractile Proteins — Lin, Tobacman, Pessin

● Receptors and Transport Protein Immune Responses — Koretzky, Welsh

II.Hypertension and Blood Pressure Control

Mark, Sheffield Burns

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III. Biochemistry of Vascular and Cardiac Muscle

Bar, Campbell, Lamb, Rubenstein, Scholz, Fulton

IV.Electrophysiology of Vascular and Cardiac Muscle

Lee, Shibata, Lamb

V. Neurovascular Control and Endothelial Function

Abboud, Dellsperger, Heistad, Lamping, Mark, Johnson

VI.Genetics, Epedimiology, and Biostatistics

Burns, Lauer, Mahoney, Murray, Janz, Sheffield

VII.Bioengineering - Cardiac Imaging

Hoffman, Sonka, Stanford

VIII.Congential Heart Disease and Cardiac Development

Lauer, Lin, Sheffield, Snyder, Mahoney, Murray, Burns, Weeks, Tomanek, Atkins, Campbell, Hendrix

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Department of Pediatrics

Fellowship Training Program in Pediatric Cardiology: Facilities

Clinical Research Center

The Clinical Research Center is a 14-bed unit. This research facility provides all faculty members (basic science as well as clinical) with an opportunity to conduct studies involving normal human subjects and patients with precision and close supervision. The center does not replace existing research resources within the sphere of the medical school, but compliments and extends those facilities.

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Department of Pediatrics

Fellowship Training Program in Pediatric Cardiology: Facilities

College of Public Health, Departments of Biostatistics and Epidemiology

The Department is in the Steindler Building of the University of Iowa Health Sciences complex, in close proximity to the Department of Pediatrics in the University of Iowa Hospitals and Clinics. The general-purpose computing facilities available to the College of Public Health are quite extensive, including a Novell Netware and Microsoft NT Server local area network with over 120 gigabyte of storage space. This network supports over 275 personal computers (Intel Pentium processor and better), seven UNIX workstations, a host of printers, and four student computing facilities with an additional 30 personal computers (Intel Pentium processor and better). The local area network is connected to the University of Iowa campus and Internet through the campus fiber optic network. The College of Public Health owns a DEC Alpha 4610 running VAX/VMS. The University of Iowa Information Technology Services (ITS) department provides a variety of resources.

1. The Academic Technologies group provides consulting, training, documentation, and similar assistance to faculty and staff who develop and use learning technologies.

2. Computing accounts are available to University of Iowa students, faculty, staff, departments and recognized University of Iowa campus organizations on the following central-site computers: Unix systems RS/6000 Blue and Silicon Graphics, VAXA, and IBM TSO.

3. The Advanced Research Computing Services group provides support for the high performance computing and data visualization needs of University of Iowa researchers.

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4. The Applications Development Functional Group provides detailed systems analysis; establishment of improved applications development methodologies and tools; high-level tools development; end-user applications; packaged applications support.

5. Communications Services and Physical Infrastructure Functional group provides telecommunications facilities management; services moves, adds, and changes; network infrastructure; switch integration and management; hubs and router management; off-campus telecommunications access (Internet and common carriers); network operations center.

6. ITS Customer Education offers a wide range of training courses and educational programs in computing. The courses focus on practical aspects of computing, making ITS resources accessible and usable. The educational programs, which include telecommunications, teleconferencing and other forms of satellite programming, provide information about new products and changing technologies. ITS and the University Libraries sponsor web clinics for campus units interested in delivering information over the UI Web.

7. Customer Services Functional group provides help desks; user education; consultation; information center; ITC support; office support; sales and service.

8. Desktop Systems Team provides desktop operating system troubleshooting and research and development of current and future desktop operating systems, support of workstation installation and help desk consulting for both LAN Service and non-LAN Service customers. They also facilitate and provide desktop operating system and connectivity training to both staff and customers.

9. Dial-in access is commonly used for electronic mail, bulletin boards, Internet, class assignments, ISIS (class scheduling), and OASIS (library online card catalog).

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: The Medical Laboratory Building

This building houses the laboratories of the clinical departments, one section of the animal quarters, and the machine shop.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: Bowen Science Building

The Bowen Science Building provides laboratory facilities for most of the basic science investigators in the College of Medicine. The building is adjacent to the Medical Laboratories Building and joined by a tunnel.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: Eckstein Medical Research Building

The facility provides space for interdisciplinary research programs. This building houses several key core facilities including the Image Analysis Laboratory, the Ultrasound Laboratory, the DNA Core, and the Cell Sorter.

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Department of Pediatrics

Fellowship Training Program in Pediatric Cardiology: Facilities

New College of Medicine Biomedical Education and Research Building

This is a new biomedical education and research building which is scheduled for completion in 2001. This building will provide 160,000 gross square feet; 100,000 for research and 60,000 for education. It will be connected to the existing Eckstein Medical Research Building and will provide a focal point for the education and research programs of the University of Iowa College of Medicine.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Facilities: Hardin Library for the Health Sciences

The Hardin Library for the Health Sciences is located in the center of the Health Colleges and Hospitals complex. It provides books, journals, study facilities and computer literature searching services to all health professionals and other scientists on campus, as well as practicing physicians and other professionals throughout the state. This building of 60,000 square feet has 211,038 volumes and subscribes to 3,434 journals. A facility for searches by MEDLINES, SIDLINES, and CANCERLINE is provided, and a staff operator is available for assisting patrons in designing and executing searches. Searches based on Chemical Abstract Condensates, Biosis Previews, Psychological Abstracts, and NTIS are also possible. The newest library service is HealthNet, a greatly expanded search capacity available from the Campus computer network or from a modem.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Stipends, Benefits, and Housing

Vacations and Leaves

Fellows are granted three weeks of vacation during each year of training. Special requests for other absences are negotiated with the Fellowship Training Program Director. Female fellows are entitled to up to six weeks paid maternity leave for each pregnancy. time away from training due to illness will be made up at the discretion of the Program Director in accord with the needs of the fellow to complete essential components of the training program.

Medical and Hospital Care

Fellows and their dependents are granted complimentary inpatient and outpatient medical service at University Hospitals. When fellows or their dependents are away from Iowa City, such as during vacations or assigned rotations and treatment at University Hospitals is not practical, each fellow and his (or her) dependents (defined as a spouse or child living with resident) is protected by a University Hospital sponsored group insurance plan. This medical insurance plan is complemented by a Major Medical Insurance Program provided by University Hospitals which features unlimited protection for a resident and his or her dependents for required medical and hospital care outside Iowa City.

Disability Income Insurance

All fellows are covered by a long-term disability income insurance program. The total cost of this program is underwritten by University Hospitals and its affiliates and provides a guaranteed conversion option so that fellows may purchase an individual policy without evidence of insurability upon completion of training.

Life Insurance

Pediatric Cardiology Fellowship Training Program Home Page

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All fellows are covered by a $40,000 basic group life insurance plan. This benefit is payable to a fellow’s beneficiary for death of the insured due to any cause. The total cost of this program is underwritten by University Hospitals. Options for purchasing supplemental and dependent life insurance and for conversion to an individual policy at the completion of training are also available.

Professional Liability Protection

Professional liability protection is provided for fellows through the State Tort Claims Act for all services provided during assigned rotations at the University Hospitals and outreach activities elsewhere in Iowa.

Housing and Maintenance

Most fellows choose to live in private apartments or homes available for reasonable rental charges in the Iowa City-Coralville community. Inquiries concerning staff housing should be directed to: Manager, Family Housing Office, 100 Housing Service Building, Iowa City, Iowa 52242-1000. Meals are provided for fellows on call.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Equal Opportunity Employer

The University of Iowa does not discriminate in its educational programs and activities on the basis of race, national origin, color, religion, sex, age, disability, or veteran status. The University also affirms its commitment to providing equal opportunities and equal access to University facilities without reference to affectional or associational preference. For additional information on nondiscrimination policies, contact the Coordinator of Title IX and Section 504 in the Office of Affirmative Action, telephone 319/335-0705, 202 Jessup Hall, The University of Iowa, Iowa City, Iowa 52242-1316.

Individuals with disabilities are encouraged to attend all University of Iowa –sponsored events. If you are a person with a disability who requires reasonable accommodations in order to participate in this program, please contact the sponsoring department in advance at 319/356-3462.

Pediatric Cardiology Fellowship Training Program Home Page

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Faculty

Larry T. Mahoney, MD, Director, Division of Pediatric CardiologyDirector, Fellowship Training Program

Pediatric Cardiology Faculty

● Dianne L. Atkins, MD● R. Erik Edens, MD● Thomas E. Fagan, MD● Fred H. Lamb, MD● Ronald M. Lauer, MD● Ian H. Law, MD● Jill H. Morriss, MD● Vickie D. Pyevich, MD● Thomas D. Scholz, MD● Brian C. Schutte, PhD● Trudy L. Burns, MPH, PhD

Adolescent and Adult Congenital Heart Disease Faculty

● David J. Skorton, MD● James Fox, MD

Pediatric Thoracic Cardiovascular Surgeons

● Douglas M. Behrendt, MD, Chairman● Christopher Caldarone, MD

Pediatric Cardiology Fellowship Training Program Home Page

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Department of Pediatrics

Larry T. Mahoney, M.D.

Medical/Graduate SchoolUniversity of Iowa

ResidencyUniversity of Iowa

FellowshipUniversity of Iowa, Pediatric Cardiology

Clinical InterestsInterests are in invasive and non-invasive studies of children and adults with congenital heart disease. Is a participant in the Preventive Cardiology Clinic.

Research InterestsInterested in determining long term significance of coronary risk factors measured in childhood. Seeking out the earliest non-invasive detection of the atherosclerotic process in young adults who have previously had their coronary risk factors measured.

E-mail: [email protected]

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Department of Pediatrics

Dianne L. Atkins, M.D.

Medical/Graduate SchoolJohns Hopkins University

ResidencyUniversity of Kentucky

FellowshipUniversity of Iowa, Pediatric Cardiology

Clinical InterestsClinical interests are pediatric electrophysiology(disturbances of cardiac rhythm), methods of defibrillation.

Research InterestsResearch interests revolve around control and regulation of cardiac growth and contractile function as they relate to sympathetic innervaritation.

E-mail: [email protected]

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Department of Pediatrics

R. Erik Edens, M.D., Ph.D.

Medical/Graduate SchoolUniversity of Iowa College of Medicine & College of Pharmacy

ResidencyUniversity of Iowa Hospitals and Clinics

FellowshipUniversity of Iowa Hospitals and Clinics, Pediatric Cardiology

Clinical InterestsMy clinical responsibilities are divided between the Divisions of Pediatric Critical Care and Pediatric Cardiology. I care for patients as an attending physician in the Pediatric Intensive Care Unit. As an ICU physician, I have a particular interest in management of children that have undergone repair of congenital heart disease. I am also interested in the inflammatory response that accompanies surgical procedures and infectious illnesses. As a pediatric cardiologist, I provide the ongoing management of children

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that have received or are awaiting a heart transplant.

Research InterestsI am interested in 1) mechanisms of transplant rejection, especially the role of complement in rejection 2) endothelial inflammation, 3) the interaction of polysaccharides with proteins, cells and platelets, and 4) pharmacologic uses of polysaccharides.

E-mail:: [email protected]

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Department of Pediatrics

Thomas E. Fagan, MD

Medical/Graduate School St. Louis University School of Medicine

Residency Pediatrics; Cardinal Glennon Children's Hospital/ St. Louis University School of Medicine

Fellowship Pediatric Cardiology; Texas Children's Hospital/Baylor College of Medicine

Clinical Interests Cardiac catheterization and cardiac interventional procedures

Research Interests

● Developing new modes of treating congenital heart disease by transcatheter methods

E-mail:[email protected]

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Department of Pediatrics

Fred S. Lamb, M.D., Ph.D.

Medical/Graduate SchoolUniversity of Michigan Medical School

ResidencyUniversity of Michigan Hospitals

FellowshipUniversity of Iowa Hospitals and Clinics, Pediatric Cardiology

Clinical InterestsClinical time is spent as an attending physician in the Pediatric Intensive Care Unit. Particular interest in the management of post-operative congenital heart disease repair patients. Also the acute and chronic management of pulmonary hypertension.

Research InterestsInterested in vascular smooth muscle function and blood pressure regulation in health and disease. Focus of research is on the contribution of chloride ion currents to smooth muscle activation by contractile agents.

E-mail: [email protected]

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Department of Pediatrics Physician Directory

Ronald Lauer, M.D.

Medical/Graduate SchoolUniversity of Manitoba

ResidencyWinnipeg Children's Hospital, ManitobaDeer Lodge Hospital (VA) , WinnepegChildren's Hospital, Sheffield EnglandCity General Hospital, Sheffield EnglandChildren's Hospital, Buffalo, New York

FellowshipChildren's Hospital Buffalo, New York, Pediatric CardiologyMayo Clinic, Rodchester, New York, Pediatric CardiologyHospital for Sick Children, Toronto, Pediatric Cardiology

Clinical InterestsCongenital Heart Disease. Preventive Cardiology.

Research InterestsCoronary Risk Factors in Youth-Congential Heart Disease.

E-mail: [email protected]

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Department of Pediatrics

Ian H. Law, M.D.

Medical/Graduate School University of Iowa College of Medicine

Residency University of Michigan (1993 - 1996)

Fellowship University of Michigan - Pediatric Cardiology (1996-1999), Pediatric Electrophysiology (1999 - 2000)

Clinical Interests Pediatric Electrophysiology

Research Interests

● Arrhythmias following surgery for congenital heart disease

E-mail:[email protected]

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Department of Pediatrics

Jill H. Morriss, M.D.

Medical/Graduate SchoolDuke Universtiy School of Medicine

ResidencyGeorgetown University, Washington DC.University of Colorado. Denver CO.

FellowshipDuke University, Durham, N.C. University of Colorado, Denver CO., Pediatric Cardiology, Baylor Universtiy, Houston TX., Pediatric Cardiology

Clinical InterestsInterventional Catheterization. Pediatric Cardiac Transplantation. Marfans Syndrome. Pediatric Cardiomyopathies.

E-mail:

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Department of Pediatrics

Vickie Pyevich, M.D.

Medical/Graduate SchoolUniversity of Iowa

ResidencyUniversity of Iowa

FellowshipChildren's Memorial Hospital, Chicago, IL

Clinical InterestsFetal echocardiography

Research InterestsPhospholemman (plasma membrane protein) and its potential function as a positive inotrope in the heart, fetal cardiology, structure and arrhythmias

E-mail: [email protected]

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Department of Pediatrics

Thomas Scholz, M.D.

Medical/Graduate SchoolWashington University School of Medicine

ResidencyUniversity of Iowa Hospitals and Clinics

FellowshipUniverstiy of Iowa, Pediatric CardiologyNational Institutes of Health Research

Clinical InterestsDirector of Pediatric Cardiology Graphics Laboratory. Non-invasive assesement of cardiac anatomy and function. Primary imaging modality is echocardiography, also includes magnetic resonance imaging and ultra-fast computed tomography.

Research InterestsPrimary research interests include investigations into maturational and pathologic changes in myocardial energy metabolism. Areas of concentration include substrate utiliaztion by the heart and the NADH shuttle pathways.

E-mail: [email protected]

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Department of Pediatrics

Brian C. Schutte, Ph.D.

Medical/Graduate SchoolPh.D. in Biochemistry, University of Wisconsin-MadisonPost-Doctoral Training, University of Chicago

Residency

Fellowship

Acedemic Positions1999 - Present, Assistant Professor, Pediatrics

Clinical Interests

Research InterestsGenetics of raniofacial development, function of the Clc3 chloride ion channel gene in neuronal excitability, genetics of cognitive and seizure disorders, genetics of environmentally-caused lung disease and modifiers of cystic fibrosis.

E-mail: [email protected]

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Department of Pediatrics: Fellowship in Pediatric Cardiology

Trudy L. Burns, MPH, PhD

Medical/Graduate School B.A. in mathematics; Oakland University – Rochester, MIM.P.H. in Biostatistics, University of Michigan – Ann Arbor, MIPh.D. in Biostatistics, University of Michigan – Ann Arbor, MI

Academic Positions

● 1976-77 Research Associate, Department of Dermatology, University of Michigan, Ann Arbor, Michigan

● 1976-77 Research Associate, Department of Biostatistics, University of Michigan, Ann Arbor, Michigan

● 1976 Lecturer, Department of Biostatistics, University of Michigan, Ann Arbor, Michigan

● 1982-87 Assistant Professor of Biostatistics, Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City, Iowa

● 1987-93 Associate Professor of Biostatistics, Department of Preventive Medicine and Environmental Health, University of Iowa, Iowa City, Iowa

● 1993-99 Professor of Biostatistics and Epidemiology (secondary), Department of Preventive Medicine and Environmental Health, The University of Iowa

● 1999-00 Professor, Department of Biostatistics,

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College of Public Health, The University of Iowa● 2000- Professor, Department of Biostatistics,

Division of Statistical Genetics, College of Public Health

● 2000- Professor, Department of Pediatrics (secondary), College of Medicine, The University of Iowa

● 2001- Professor, Department of Epidemiology (secondary), College of Public Health, The University of Iowa

Research Interests Genetic epidemiology of obesity, hypertension and congenital heart disease, epidemiology and physiology of cardiovascular disease, statistical methods for the genetic analysis of quantitative risk factors, approaches for localizing genes responsible for genetic disorders, etiology of birth defects.

E-mail: [email protected]

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Adolescent and Adult Congenital Heart Disease Faculty

David J. Skorton, M.D.

Medical/Graduate School Northwestern University

Residency University of California, Los AngelesInternal Medicine

Fellowship University of California, Los AngelesCardiology

Clinical Interests Clinical interests are in congenital heart disease in adolescents and adults. He is also interested in the clinical aspects of cardiac imaging, especially echocardiography, radionuclide imaging and magnetic resonance imaging of the heart.

Research InterestsResearch interests are in the area of congenital heart disease in adults and in cardiac imaging, especially computer applications in cardiac imaging using ultrasound, angiography and nuclear magnetic resonance techniques.

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Adolescent and Adult Congenital Heart Disease Faculty

James Fox, M.D.

Medical/Graduate School University of PittsburghCalifornia Institute of Technology

Residency University of IowaInternal Medicine

Fellowship University of IowaCardiology

Clinical Interests Interventional cardiologyAdult congenital heart disease

Research InterestsVisual neural systemsPositron emission tomographyImaging of cardiac functionCongenital heart disease

E-mail: [email protected]

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Pediatric Thoracic Cardiovascular Surgeons

Douglas M. Behrendt, MDChairman

Medical/Graduate School Harvard Medical School

Residency Massachusetts General, BostonNational Heart Institute, BethesdaHospital for Sick Children, London

Clinical Interests Surgical outcomes.

Research InterestsCongenital heart disease Transplantation.

E-mail: [email protected]

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Department of Pediatrics: Fellowship Training Program in Pediatric Cardiology

Pediatric Thoracic Cardiovascular Surgeons

Christopher Caldarone, MD

Medical/Graduate School Columbia University College of Physicians and Surgeons

Residency New England Deaconess Hospital/Harvard Medical School; The Hospital for Sick Children; Beth Israel Deacones Medical Center, Harvard Medical School

Fellowship (Adult Cardiothoracic Surgery) Deaconess Hospital, Harvard Medical School; (Congenital Heart Surgery) The Childrens Hospital, Harvard Medical School; (Congenital Heart Surgery) The Hospital for Sick Children

Clinical Interests Congenital heart disease

Research InterestsFetal and neonatal resistance to ischemic reperfusion and pressure loading

E-mail: [email protected]

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THE UNIVERSITY OF IOWA HOSPITALS AND CLINICSIowa City, Iowa 52242

RESIDENCY OR FELLOWSHIP APPLICATION

1. Position Applied For: ResidencyFellowship

Specialty_____________________

2. Training applied for to begin on:___________________________________________(Date)

3. Name___________________________________________________(Last, First, Middle)

Social Security #: _____________

4. Present Address__________________________________________________________________________

5. Permanent Address ______________________________________________________________________

6. Hospital or Office Phone_____________________ Home Phone ________________________________

7. Country of Citizenship

8. If you are not a citizen of the United States, what is your visa status?a. F Visa (Student) not allowed b. J Visa (Exchange Visitor) not allowed c. Permanent Visa _____If permanent visa, indicate number of green card or proof of status.

9. Have you passed the Foreign Medical Graduation Examination in Medical Sciences?Yes No Date Taken

10. *Iowa Medical License Number: *required of physicians engaged in patient care.

11. **ECFMG Number: Interim: Standard: **Please attach copy of certificate for Educational Commission for Foreign Medical Graduates if you are a graduate of a medical school outside theUnited States or Canada.

12. EducationGeneral - Undergraduate or Graduate

Dates AttendedInstitution From To Degree and Field Date Recieved

________________________________ ________ ________ _____________________ ___________________________________________ ________ ________ _____________________ ___________Professional________________________________ ________ ________ _____________________ ___________________________________________ ________ ________ _____________________ ___________Internship and Residency________________________________ ________ ________ _____________________ ___________________________________________ ________ ________ _____________________ ___________________________________________ ________ ________ _____________________ ___________________________________________ ________ ________ _____________________ ___________

13. Previous Research Experience _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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14. Previous Private PracticeLocation: ________________________________________________ From:__________ To:__________Location: ________________________________________________ From:__________ To:__________

15. Publications (Please submit copies if available. If space below is inadequate, continue on separate blank page.)______________________________________________________________________________________________________________________________________________________________________________________________________________________

16. Scholarships, Prizes or Awards-Memberships in honorary and/or professional societies____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

17. Military ExperienceActive Duty: In ______________________________

(Branch)Dates:______________________________________

Highest rank attained:__________________________ Reserve Comission:___________________________

18. Applicants are requested to have FOUR LETTERS OF RECOMMENDATION sent promptly and directlyto the clinical department to which application is being made. These letters should come from those personsbest qualified to vouch for the character and professional qualifications of the applicant. (One letter must befrom the office of the dean of the college of medicine from which applicant was graduated or will graduate.)

19. An unmounted recent photograph of applicant must accompany application or be provided at time ofinterview.

20. If an appointment is offered which I accept, I hereby agree and pledge myself as follows: 1) to serveduring the entire term to which I may be appointed, and 2) to comply faithfully with the rules and regulationsof The University of Iowa Hospitals and Clinics now in effect and those which may be adopted during my termof appointment.

Signed ___________________________________ Date:_______________________

The University of Iowa Hospitals and Clinics requests this information for the purpose of processing your application for a position on our housestaff. No persons outside the University are routinely provided this information without your consent. Responses to all items are required. If youfail to provide the required information, The University of Iowa Hospitals and Clinics may be unable to process your application.

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House Staff Affairs Office

Contact Information and Useful Telephone Numbers

University of Iowa Hospitals and Clinics House Staff Affairs Office -- 1303 John Colloton Pavilion319-356-2256

Staff Listing

Barbara Taylor, Director

356-2395

[email protected]

Primary Responsibilities: office manager, international graduates, visas, expense budget, billing to other hospitals, life and disability insurance, License Application Review Service

Carolyn Birch

356-0497

[email protected]

Primary Responsibilities: resident payroll, medical and dental licenses, certificates and medallions, health and disability insurance, License Application Review Service, rosters

Richard Garrison

356-2256

[email protected]

Primary Responsibilities: contract preparation, loan deferments, verifications

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Mary Reichardt

356-3804

[email protected]

Primary Responsibilities: parking, recruitment meals, clinical privileges, verifications

Other Helpful Contacts:

Iowa Board of Pharmacy Examiners

Contact for State Controlled Substance Certificate (SCSC)(515) 281-5944

Federal Drug Enforcement Administration

(202) 307-7255Call (800) 882-9539 for a Federal DEA Application

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Pediatrics at Iowa

The University and Community

Children's Hospital of Iowa

Founded in 1847 as Iowa's first public institution of higher learning, The University of Iowa was the first such institution in the United States to admit women and men on an equal basis. The University now enrolls approximately 29,000 students in the colleges of Liberal Arts, Law, Business Administration, Medicine, Dentistry, Education, Engineering, Nursing, and Pharmacy, as well as the Graduate College.

The University of IowaThe University enrolls students from every Iowa county, from every state, and from approximately 75 other countries. The faculty is international in composition and reputation, having earned distinction in fields ranging from speech and hearing to science and space exploration. The University was the first to accept creative work in the arts in lieu of theses and is the home of the renowned Writers' Workshop.

The campus is compact - the free Cambus system circles it every 12 minutes - but it abounds with scenic beauty. An abundance of stately trees and manicured greenery, enhanced by the Iowa River, sets the atmosphere for what is increasingly a pedestrian campus.

The ten colleges and seven schools which constitute The University of Iowa are enriched by the Iowa Center for the Arts, which includes the Museum of Art and educational programs in art and art history, music, dance, and theater. HancherAuditorium showcases come of the nation's finest cultural events. In recent years, the auditorium has perfor-mances by such world-famous artists as Isaac Stern, Kathleen Battle, Miles Davis, and the New York Philharmonic.

National touring companies present Broadway hits such as Les Miserables, Cats, and A Chorus Line. Hancher has also been a catalyst for artistic creativity, coproducing the Joffrey Ballet's production of The Nutcracker.

The University of Iowa Hawkeyes take the sports spotlight in the

Pediatrics at Iowa Home

The Iowa City Pedestrian Mall located in the center of the university campus features occasional live music, concerts, and arts fairs.

The Old Capitol building, located in the center of the University of Iowa campus, is a historical monument of the university's inception in 1842.

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state. As a member of the Big Ten Athletic Conference, the Hawkeyes represent the University in a full range of men's and women's varsity intercollegiate sports. The residents enjoy reduced rates for season tickets to athletic events.

Participant sports are within five minutes walking distance of the medical center. A swimming pool and indoor track, as well as basketball and racquetball courts are located in the Field House near the hospital. A nearby recreation building provides indoor tennis courts, weight lifting equipment, and a second indoor track. The University golf course is on the edge of the health sciences campus and outdoor tennis courts are located immediately adjacent to University Hospitals.

Iowa CityThe eastern portion of The University of Iowa campus merges with downtown Iowa City, whose approximately 70,000 inhabitants enjoy the advantages of a comfortable small-town atmosphere in combination with the University's cosmopolitan diversity of cultural and recreational opportunities.

A great many nineteenth century homes grace the residential areas of Iowa City, and entire neighborhoods have joined efforts to preserve and improve them. Iowa City has over 500 acres of parks graced with swimming pools, nature trails, and picnic facilities. The Coralville Reservoir, Lake Macbride, and Kent Park are major recreation centers near the city.

Education is Iowa City's heritage. Iowa City's population has the highest percentage (38.6%) of college-educated adults of any community in the United States.

Transportation is remarkably good. The University Cambus system is matched by municipal buses serving Iowa City and adjoining Coralville. A 15-minute drive on Interstate Highway 380 to the Cedar Rapids airport provides access to Northwest, TWA, United, and several other airlines. Via Interstate 80, which passes on the north edge of the city, Iowa City is only four hours away from downtown Chicago and less than a day's drive from Minneapolis, Omaha, Kansas City, and St. Louis.

The Iowa River flows through the heart of Iowa City and the university campus providing a delightful respite for students.

Big Ten football game, Iowa versus Michigan State at Kinnick Stadium.

Basketball, wrestling, and volleyball at Carver Hawkeye Arena.