Transcatheter Aortic Valve Implantation Fellowship Program

The goal of this fellowship program is to promote clinical excellence and skill acquisition in transcatheter aortic valve implantation with secondary goals of the pursuit of education and research.  This is a twelve-month clinical fellowship offered by the Winnipeg Regional Health Authority (WRHA) in conjunction with St. Boniface Hospital and the University of Manitoba.

We welcome applicants from all interventional cardiologists or cardiac surgeons having already completed their core training and eligible for training licenses in Manitoba, Canada (Provisional Academic Post Certification Trainee by the College of Physicians and Surgeons of Manitoba).

Training Duration

12 months

Trainee Funding

Salary is competitive and comes from a variety of sources.  Trainees will be eligible for billing consultations and assisting fees, where appropriate, to assist in self-funding this training program.  Consideration can be given to candidates who come with funding from their home institutions.

Program Commitment

The program commits the following to prospective trainees:

  • >150-200 TAVI procedure encounters each year
  • >250 TAVI consultation and patient assessment encounters each year
  • Development proficiencies related to the TAVI procedure in a graded, supervised fashion
    • Safe access using ultrasound guidance and micropuncture techniques
    • Insertion of the sheath/valve system
    • Effective methods for crossing stenosed aortic valve
    • Primary/secondary operator in at minimum 50 cases
Trainee Deliverables
  • Call requirements
    • 1 in 3 call either in cardiac surgery or interventional cardiology, depending on stream
    • 1 weekend of call/month
    • No call on days preceding TAVI operator days
  • Consultation requirements
    • Monday-Friday 9-5 responsibility for first assessment of inpatient TAVI consultations
  • Ward duties
    • Dedicated rounding on post-TAVI patients
      • Coordinating with other services
      • Discharge planning
      • Access site assessments
  • Research requirements
    • 1-2 projects in the fellowship year, done to completion (either submitted for publication or for presentation at conference)
  • Teaching requirements
    • Co-lead monthly TAVI educational series
    • Co-lead biannual TAVI journal club
Weekly Schedule

Monday – Clinic

Tuesday – TAVI day (typically 4 cases)

Wednesday – Imaging (CT heart/coronaries, Echo, dedicated TAVI CT, 3Mensio usage)/Academic day

Thursday – Hybrid TAVI procedures OR General cath lab/cardiac surgery operating room

Friday – General cath lab/cardiac surgery operating room

Application Process:

Interested individuals should send their CV, a letter of intent, and three reference letters to:

TAVI Fellowship Program Co-Directors: Aaron Spooner, MD, FRCSC and Malek Kass, MD, FRCPC
Division of Cardiac Sciences, St. Boniface Hospital
c/o Jessica Fraser
Y33015 – 409 Tache Avenue
Winnipeg, Manitoba R2H 2A6

E-mail: jfraser2@sbgh.mb.ca

Tel: 204-258-1000

Application cycle will close at the end of June of the year preceding expected start date of fellowship (Ie. 12 months before).  Fellowship start date begins on July 1 of the year.