DiseaseCardiovascularFellowshipProgram WELCOME TO THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE
Dhand, MD, FCCP, FACP, FAARC Chairman and DepartmentProfessor, of Medicine
Stuart
Rajiv
DEPARTMENT OF
MEDICINE Cardiovascular Disease Fellowship Program
Bresee, MD, FACC Fellowship Program Director Clinical Associate Professor Chief, Division of Cardiovascular Disease Medical Director, Cardiac Catheterization Laboratory Raj Baljepally, MD Associate Program Director –ClinicalResearchAssociate Professor Anne Kassira, MD Associate Program Director – Education Clinical ProfessorAssistant Leadership Team
Chief Fellows James Livesay, DO 3rd year fellow Completed residency at University of Tennessee Graduate School of MedicineKnoxville Justin Harrell, DO 2nd year fellow Completed residency at the University of Kentucky CHIEF FELLOWS
The
Teamworkpowerof
Mehmood M. Flozins, fasting, and the fruition of heart failure prevention. JACC Heart Fail. 2021 Nov;9(11):858. PMID: 34711352 Livesay J, Baljepally R, Tahir H, Heidel RE. Heme effects in lowering patient discomfort in radial artery verapamil injection. Cardiol Res. 2021 Oct;12(5):286-292. PMID: 34691326
ACADEMIC YEAR
J Interv Cardiol. 2021 Aug 2; 2021:9932171. eCollection 2021. PMID: 34404983
2021 - 2022
PUBLICATONS
Fogelson B, Tahir H, Livesay J, Baljepally R. Iatrogenic arteriovenous fistula secondary to coronary artery dissection caused by contrast injection into a chronically occluded right coronary artery. J Med Cases. 2021 Oct;12(10):411-414. Epub 2021 Sep 29. PMID: 34691338
Black W, Baljepally R, Shali L, Alsharif O, Warden S, Heidel E, Zhao X. Old is (not) gold: Midazolam monotherapy versus Midazolam plus Fentanyl for sedation during cardiac catheterization.
Tahir H, Tonks R, Cox J, Baljepally R. Optimizing mechanical circulatory support hemodynamics using coronary sinus pacing. Catheter Cardiovasc Interv. 2021 Jul 1;98(1): E78-E84. Epub 2021 Feb 4. PMID: 33543547 Livesay J, Isang E, Tahir H, Baljepally R. Successful low dose tPA for mechanical mitral valve thrombosis in a patient with postinfarction contained left ventricular free wall rupture . Case Rep Cardiol. 2021 Jul 19; 2021:5532728. GSMID: 7210706
Tahir H, Livesay J, Baljepally R, Hirst CS. Successful rescue intervention of internal mammary artery anastomotic site acute graft failure with direct new generation covered stenting. J Med Cases. 2021 Jul;12(7):271-274. Available in PubMed: Aug 2021. PMID: 34434470
Tahir H, Livesay J, Fogelson B, Baljepally R. Association of echocardiographic diastolic dysfunction with discordance of invasive intracoronary pressure indices. J Clin Med. 2021 Aug;10(16):3670. PMID: 34441970
Baljepally R, Tahir H. Effect of atrioventricular dyssynchrony on impella hemodynamics: Mechanism and its clinical implications. Cardiol Res. 2021 Aug;12(4):219-224. Epub 2021 Jul 9. PMID: 34349862
Mehmood M. Letter by Mehmood regarding article, "Cardiac remodeling during pregnancy with metabolic syndrome: Prologue of pathological remodeling". Circulation. 2021 Jul 27;144(4): e68. Epub 2021 Jul 26. PMID: 34310162
Baljepally R, Tahir H, Goodwin RP, Livesay J, Fogelson B, Patel C, Coombes T, Wadi G, Dieter R 3rd. Comparison of transcatheter aortic valve implantation outcomes between normal flow low gradient severe aortic stenosis and normal flow high gradient severe aortic stenosis. Cardiovasc Revasc Med. 2021 Nov 2: S1553-8389(21)00725-9. PMID: 34764031
ACADEMIC YEAR PRESENTATIONS
Stephens S, Livesay J, Baljepally R. Interesting case of constrictive pericarditis. Presented at (State (Tennessee)) Tennessee Chapter of the American College of Cardiology State Meeting: Nashville, TN November 4-6, 2021
Fogelson B, Black W, Baljepally R. Asymptomatic aorto-left atrial fistula originating from the noncoronary aortic sinus secondary to an ascending aortic dissection. Presented at (State (Tennessee)) Tennessee Chapter of the American College of Cardiology State Meeting: Nashville, TN November 4-6, 2021 -
Wadi G, Livesay J, Baljepally R. What should you do first? Interesting case of severe aortic stenosis and hypertrophic cardiomyopathy. Presented at (State (Tennessee)) Tennessee Chapter of the American College of Cardiology State Meeting: Nashville, TN November 4-6, 2021
Abney LE, Goodwin E, Goodwin R, Villarosa A. Bevacizumab-associated left anterior descending artery occlusion in a young woman with neurofibromatosis type 2. Presented at (State (Tennessee)) Tennessee Chapter of the American College of Cardiology State Meeting: Nashville, TN November 4-6, 2021
2022
Dougherty P, Wadi G, Livesay J, Shorman M. Bartonella lead related infective endocarditis. Presented at (State (Tennessee)) Tennessee Chapter of the American College of Cardiology State Meeting: Nashville, TN November 4-6, 2021
2021
Awards Dr. Anne Kassira, MD received the 2021 –Faculty2022Award for her theircommitmentunwaveringteachingexcellenceconsistentinandtoeducation Dr. James Livesay received the Fellow of the Year Award for peersteachingdedicationclinicalexceptionalskillsandtoaschosenbyhisDr.Raj Baljepally received the Excellence and Leadership in Clinical ResearchScienceAward
Who you’ll meet on Interview Day: (INCLUDING NEXT THREE SLIDES) • Program Director • Cardiac Cath Lab Director • Division Chief • Undergraduate: University of Tennessee, Knoxville • MD: Emory University School of Medicine • Residency: Boston City Hospital • Fellowship: Boston University School of Medicine • Interventional Fellowship: University Hospital, Boston Stuart Bresee, MD, FACC
Joseph Liu, MD • MD: Northwestern University Medical School • Residency: Keesler Medical Center, Keesler Air Force Base • Fellowship: Wilford Hall Medical Center
Anne Kassira, MD, FACC • Associate Program Director – Education • MD: Penn State College of Medicine • Residency: Cleveland Clinic Foundation • Fellowship: Cleveland Clinic • Advanced Fellowship in Cardiovascular Imaging (Echocardiography, Cardiac CT, Cardiac MRI) - Cleveland Clinic
Chief Fellows James Livesay, DO • MD: University of Pikeville – Kentucky College of Osteopathic • Residency: University of Tennessee Graduate School of MedicineKnoxville Justin Harrell, DO • MD: Lincoln Memorial University – DeBusk College of Osteopathic Medicine • Residency: University of Kentucky
Didactics Cath Lectures Weekly ConferenceCath Echo Nuclear EP Heart Failure Case ConferenceBased Research/QualityImprovement Summer School Lecture Series Ethics Board Review AdultHeartCongenitalDisease Journal Club HypertensionPulmonary M & M Grand Rounds Financial/Business/ Practice Management
University of Tennessee Graduate School of Medicine, Knoxville, TN
Aimee Wehber, MD Academic Knoxville, TN
Class of 2015 Umang Shah, MD Interventional Cardiology Fellowship Hackensack University Medical Center, Hackensack, NJ
Post-Fellowship Placement
Madhur Roberts, MD Advanced Cardiac Imaging Fellowship Piedmont Heart Institute, Atlanta, GA
Harry South, MD Private Practice Hamilton Township, NJ
David Perkel, MD Academic Knoxville, TN
University of Tennessee Graduate School of Medicine Knoxville, TN
University of Tennessee Graduate School of Medicine Knoxville, TN
Class of 2021 William Black, MD Interventional Cardiology Fellowship
Class of 2017 Moses Osoro, MD Private Practice Maryville, TN
Kayleigh Litton, DO Interventional Cardiology Fellowship
Class of 2022 Emmanuel Isang, MD Academic Knoxville, TN
Lon Abney, MD Private Practice Santa Fe, NM
Robert Tonks, MD Interventional Cardiology Fellowship
Jenna Johnson, MD Private Practice Columbia, SC
Class of 2020 Jaime Holbert, DO Private Practice Knoxville, TN
Class of 2018 Bryon Cook, MD Interventional Cardiology Fellowship Carilion Clinic Roanoke, VA
Class of 2016 Steven Dolacky, MD Interventional Cardiology Fellowship Albany Medicine College, Albany, NY
Class of 2019 Rajiv Sharma, MD Private Practice El Paso, TX
Post-Fellowship Placement (continued)
Deviprasad Venogupal, MD Electrophysiology Fellowship University of Minnesota, Minneapolis, MN
Class of 2011 Venkata Aligeti, MD Interventional Cardiology Fellowship Drexel University, Philadelphia, PA
Rubinder Dab, MD Private Practice Richmond, IN
Class of 2014 Mitul Afiniwala, MD Private Practice Philadelphia, PA
SUNY Downstate Health Science University, Brooklyn, NY
Carmelo Venero, MD Interventional Cardiology Fellowship University of Alabama at Birmingham, Birmingham, AL
Patricia Crawley, MD Interventional Cardiology Fellowship
Class of 2013 Jujhar Bains, MD Private Practice Crossville, TN
Janet Eichholz, MD Interventional Cardiology Fellowship University Mass Memorial Medical Center, Worcester, MA
Class of 2010 Gayathri Baljepally, MD Academic Knoxville, TN
Class of 2012 Jeremy Mahlow, MD Electrophysiology Fellowship Saint Vincent Hospital, Indianapolis, IN
Cardiovascular Disease Fellowship Program • 9 fellows • 3 per year • University Cardiology • 26 Cardiologists • 6 Interventional Cardiology • 4 Electrophysiology • 2 Heart Failure • 1 Adult Congenital • 1 Cardiology Oncology • 1 Advanced Imaging • 11 General • All training is at this facility
Cardiovascular Procedures (annually) • 24,775 echocardiograms (1,349 TEE’s) • 2,607 cardiac catheterizations (778 PCI’s) • 26 impellas and 23 balloon pumps • Structural interventions include: • 113 TAVR’s • 18 MitraClip • 15 Watchman • 779 cardioversions • 867 devices • 74,677 ECGs • 5,260 stress tests (50/50 inpatient PET/outpatient SPECT) • 493 electrophysiological studies
The University of Tennessee Medical Center• Opened August 1956 • 685 bed acute care teaching hospital • Region’s only Academic Medical Center • 17 ACGME accredited specialty and subspecialty programs • Level 1 Trauma Center • Regional Referral Center • Certified Primary Stroke Center • Aeromedical Service Base • Magnet recognition for excellence in nursing • Clerkships for M3 and M4 students • Health Information Center – Preston Medical Library • LIFESTAR • Area’s first emergency response helicopter • 2010 – East TN’s first dedicated heart hospital • Medical Simulation Center
The Facility – Heart Lung Vascular Institute • Outpatient office • Connected to hospital via walkway • Fellow parking attached to HLVI • in garage • Shared fellow’s office with individual desks, call room adjacent to hospital
Cardiac Cath Lab • 6 Rooms • 1 Hybrid • 2 EP • Close working relationship with Lifestar and area EMS training
The Facility - Academics • Health Information Center • In hospital – access 24/7 • Patient access area separate from resident / fellow study area • Conference rooms • Computers • Stacks • Magazines • Access to thousands of books / electronic resources through UT Memphis
The Facility - Academics • UT Center for Advanced Medical Simulation • 6500 Sq ft • 1 of 68 in the world (only one in TN) to earn accreditation as Level 1 Comprehensive Accredited Education Institute from American College of Surgeons
• Anesthesia Fellowships in Pain Medicine and Perioperative Medicine Graduate School of Medicine – Residencies and Fellowships • Family Medicine Fellowships in Emergency Medicine, Hospice and Palliative Medicine and Sports Medicine • General Dentistry Fellowship in Dental Operating Room • Internal Medicine Fellowships in Cardiovascular Diseases, HematologyDisease/Cardiology,InterventionalandPulmonaryCriticalCareMedicine,Oncology • Transitional Year • Obstetrics & Gynecology Fellowship in Maternal-Fetal Medicine • Oral & Maxillofacial Surgery Fellowship in Oral/Head and Neck Oncologic Surgery • Pathology Fellowship in Oncologic Surgical Pathology • Radiology • Surgery Fellowships in Advanced GI MIS/Bariatric, Surgical Critical Care and Vascular Surgery • Urology
The City - Knoxville • Est population 193,114 • Knoxville Metropolitan Statistical Area (Knox, Blount, Anderson, Loudon, and Union counties) is 1 ,156,861 million • Economics • No state income tax • 17.8% below the national cost-of-living average • Median household income $58,801 • Demographics • Median age 32.7 • 31.5 Male / 34.1 Female • 75.63% Caucasian, 16.94% Black, 0.28% Native American, 1.68% Asian, 0.05% Pacific Islander, Two or more races 3.86%, other race 1.56%
FELLOW LIFE OUTSIDE THE HOSPITAL
Two
from(aboutflightwithgetAirportMcGheeconvenienttravelTysoniseasytoin/outofreasonablerates15minhospital)
Travelling to / from
Knoxville
interstatesmajor – I-40 and I-75 make car
