UTGSM Cardiology Fellowship

WELCOME TO THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE

Cardiovascular Disease Fellowship Program

DEPARTMENT OF MEDICINE

Cardiovascular Disease Fellowship Program

Rajiv Dhand, MD, FCCP, FACP, FAARC Chairman and Professor, Department of Medicine

Stuart 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 – Research Clinical Associate Professor

Anne Kassira, MD Associate Program Director – Education Clinical Assistant Professor

Leadership Team

Michael Kopstein, DO

3rd year fellow

Chief Fellows

CHIEF FELLOWS

Completed residency at HCA HealthONE Program, Lone Tree, CO

John Taylor, DO

3rd year fellow

Completed residency at AdventHealth Orlando, Orlando, FL

Tyler Coombes, MD

2nd year fellow

Completed residency at the University of Tennessee

Graduate School of Medicine, Knoxville, TN

The power of Teamwork

2022 - 2023

ACADEMIC YEAR

PUBLICATONS

Assaf SN, Assaf AN, Assaf MN, Taylor J, Adam JM, Harrell J, Johnson J. Extracranial Microvascular Complications of Moyamoya Disease Leading to Left Ventricular Systolic Dysfunction. J Med Cases. 2023 Mar;14(3):88-94. doi: 10.14740/jmc4057. Epub 2023 Mar 31. PMID: 37032739; PMCID: PMC10079364

Assaf SN, Taylor J, Assaf AN, Assaf MN, Villarosa AR. Nonbacterial Thrombotic Endocarditis with Bivalvular Regurgitation. CASE (Phila). 2023 Mar 29;7(5):168-174. doi: 10.1016/j.case.2023.02.004. PMID: 37325460; PMCID: PMC10264202

Goodwin E, Fogelson B, Cox JW Jr, Mahlow WJ. An algorithm for pacing and cardioverting electronic devices undergoing magnetic resonance imaging: The PACED-MRI protocol. Magn Reson Imaging. 2023 Feb;96:44-49. doi: 10.1016/j.mri.2022.10.012. Epub 2022 Oct 27. PMID: 36441043

Taylor J, Assaf A, Assaf M, Assaf S, Shepple B, Kassira A. Pulmonary Fibroelastoma: A Rare Cardiac Mass Presenting With Dyspnea. CASE (Phila). 2022 Nov 14;7(2):81-85. doi: 10.1016/j.case.2022.10.003. PMID: 36861095; PMCID: PMC9968907

Almeida S, Shaikh K, Memon S, Singh V, Thomas D. Harnessing imaging biomarkers to refine individualized cardiovascular disease risk: a case-based discussion. Coron Artery Dis. 2022 Nov 1;33(7):574-579. doi: 10.1097/MCA.0000000000001173. Epub 2022 Aug 9. PMID: 35942620

Lee J, Shaikh K, Nakanishi R, Gransar H, Achenbach S, Al-Mallah MH, Andreini D, Bax JJ, Berman DS, Cademartiri F, Callister TQ, Chang HJ, Chinnaiyan K, Chow BJW, Cury RC, DeLago A, Feuchtner G, Hadamitzky M, Hausleiter J, Kaufmann PA, Kim YJ, Leipsic JA, Maffei E, Marques H, de Araújo Gonçalves P, Pontone G, Rubinshtein R, Villines TC, Lu Y, Peña JM, Lin FY, Min JK, Shaw LJ, Budoff MJ. Prognostic Significance of Nonobstructive Left Main Coronary Artery Disease in Patients With and Without Diabetes: Long-Term Outcomes From the CONFIRM Registry. Heart Lung Circ. 2022 Nov 3:S1443-9506(22)01126-X. doi: 10.1016/j.hlc.2022.09.014. Epub ahead of print. PMID: 36336615

Isang E, Stephens S, Coombes T, Abney L, Baljepally G. Left atrial thrombus after placement of watchman device. Clinical case reports. 10/01/2022; 10 (10) : e6410

Shaikh K, Ahmed A, Gransar H, Lee J, Leipsic J, Nakanishi R, Alla V, Bax JJ, Chow BJW, Berman DS, Maffei E, Lin FY, Ahmad A, DeLago A, Pontone G, Feuchtner G, Marques H, Min JK, Hausleiter J, Hadamitzky M, Kaufmann PA, de Araújo Gonçalves P, Cury RC, Kim YJ, Chang HJ, Rubinshtein R, Villines TC, Lu Y, Shaw LJ, Acenbach S, Al Mallah MH, Andreini D, Cademartiri F, Callister TQ, Budoff MJ. Extent of subclinical atherosclerosis on coronary computed tomography and impact of statins in patients with diabetes without known coronary artery disease: Results from CONFIRM registry. J Diabetes Complications. 2022 Dec;36(12):108309. doi: 10.1016/j.jdiacomp.2022.108309. Epub 2022 Sep 15. PMID: 36444796

Taylor J, Assaf A, Assaf M, Assaf S, Shepple B, Kassira A. Pulmonary Fibroelastoma: A Rare Cardiac Mass Presenting With Dyspnea. CASE. 2022, ISSN 2468-6441, https://doi.org/10.1016/j.case.2022.10.003

Isang E, Stephens S, Coombes T, Abney L, Baljepally G. Left atrial thrombus after placement of watchman device. Clin Case Rep. 2022;10(10):e6410. Published 2022 Oct 22. doi:10.1002/ccr3.6410

Fogelson B, Black W, Goodwin RP, Dieter R 3rd, Baljepally R. Asymptomatic Aorto-Atrial Fistula Secondary to Surgical Repair of Ascending Aortic Dissection: When to Do Nothing. JACC Case Rep. 2022 Jul 20;4(14):868-870. doi: 10.1016/j. jaccas.2022.04.013. eCollection 2022 Jul 20

2022 - 2023

ACADEMIC YEAR

PRESENTATIONS

Shali L, Taylor J, Villarosa A. Predictive Ability of More Than 3-day Pre-atrial Fibrillation Ablation Cardiac Computer Tomography In Detection Of Left Atrial Thrombus. Presented at Society of Cardiovascular Computed Tomography 2023: Boston, MA July 27-30, 2023

Kopstein M, Livesay J, Taylor J, Baljepally R. Plaque Rupture Cannot Hide from OCT. Presented at Cardiovascular Innovations Foundation 2023: Austin, TX July 19-22, 2023

Harrell J, Goodwin E, Kassira A, Shali L. Echocardiographic Predictors of Symptomatic Atrial Fibrillation. Presented at American Society of Echocardiography 2023: National Harbor, MD June 23-26, 2023

Harrell J. A Wave Factor: A Difference in Symptoms? Presented at ASE 2023: National Harbor, MD June 23-26, 2023

Coombes T, Desrosiers G, Heidel E, Isang E. Reducing Inappropriate Use of Stat Echocardiogram in an Academic Hospital. Presented at Society for Cardiovascular Angiography & Interventions (SCAI) 2023: Phoenix, AZ May 18-20, 2023

Coombes T, Stephens S, Villarosa A, Baljepally R. When Right Turns the Wrong Way: Treatment Implications of an Aberrant Right Coronary Artery. Presented at TN American College of Cardiology 2023: Nashville, TN March 29-31, 2023

Livesay J, Baljepally R, Eigbire G, Overly T, Barton B. When a Transcatheter Aortic Valve Replacement Goes Sideways. Presented at American College of Cardiology 2023: (Virtual) March 4-6, 2023

Assaf S, Assaf A, Kopstein M, Assaf M, Taylor J, Baljepally R, Heidel R. Outcomes of Patient with Impella Placed Post MI. Presented at Cardiovascular Research Technologies: Washington, DC February 25-28, 2023

Assaf S, Assaf A, Assaf M, Taylor J, Baljepally R, Heidel R. Left Ventricular Assist Device in Cardiogenic Shock – Risks Associated with Pneumonia Development and Adverse Outcomes. Presented at Cardiovascular Research Technologies 2023: Washington, DC February 25-28, 2023

Coombes T, Thomas W, Stephens S, Livesay J, Heidel E, Wiseman B, Baljepally R. Utility of Universal Troponin Assessment in all Patients with Acute Stroke. Presented at Cardiovascular Research Technologies 2023: Washington, DC February 25-28, 2023

Goodwin E, Goodwin R, Kopstein M, Baljepally R, Cox J. Novel Use of Aspiration Thrombectomy Via Transseptal Approach for Impella-cp Inlet Thrombus. Presented at Cardiovascular Research Technologies 2023: Washington, DC February 25-28, 2023

Livesay J, Baljepally R, Black W, Eigbire G, Tahir H. Association Between Coronary Flow Reserve and Left Ventricular End Diastolic Pressure. Presented at Cardiovascular Research Technologies: Washington, DC February 25-28, 2023

2022 - 2023

ACADEMIC YEAR

Taylor J, Fogelson B, Goodwin E, Hirsh J. Taking the Lead(less) on Infective Endocarditis. Presented at Cardiovascular Research Technologies: Washington, DC February 25-28, 2023

Stephens S, Baljepally R, Villarosa A, Coombes T. Incidentally Identified Anomalous RCA with Malignant Course-The Dilemma. Presented at the Tennessee Chapter of the American College of Cardiology 2022: Nashville, TN November 11-12, 2022

Livesay J, Fogelson B, Stephens S, Patel C, Dieter W, Tahir H, Wiseman B, Baljepally R. The Use Of CHA(2)DS(2)-VASc Score To Predict Functional Outcomes Of Mechanical Thrombectomy. Presented at American Heart Association’s Annual Scientific Sessions 2022: Virtual November 5-7, 2022.

Treat S, Venero C, Goodwin E, Barton B. Tricuspid Valve Endocarditis History and Acute Hypoxemic Respiratory Failure: POCUS, Bubbles, and More. Presented at (National) CHEST 2022: Nashville, TN October 17-19, 2022

Harrell J, Livesay J, Baljepally R, Hirsh J. Pressing Problem: External Cause of ST-Elevation Myocardial Infarction. Presented at Transcatheter Cardiovascular Therapeutics Conference 2022: Boston, MA September 1619, 2022

Baljepally R, Kopstein M. Left or Right: What is the Culprit? Presented at CVI 2022: Denver, CO July 20-23, 2022

Goodwin R, Dolacky S, Baljepally R. Novel Use of Optical Coherence Tomography to Find and Deploy a Dislodged Stent Within Another Stent. Presented at CVI 2022: Denver, CO July 20-23, 2022

Awards

Drs. James Livesay and Elliott Goodwin received the Fellow of the Year Award for exceptional clinical skills and dedication to teaching as chosen by his peers

Dr. Jeffrey Hirsh, MD received the 2022 – 2023 Faculty Award for his consistent excellence in teaching and unwavering commitment to their education

Who you’ll meet on Interview Day:

Stuart Bresee, MD, FACC

• 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

Raj M. Baljepally, MD,

• Associate Program Director – Research

• MD: Gandhi Medical College, Osmania School of Medicine

• Residency: John Hopkins University School of Medicine

• Fellowship: St. Vincent Hospital, University of Massachusetts School of Medicine

• Interventional Cardiology Fellowship: Miriam Hospital, Brown University, Providence, RI

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

Joseph Liu, MD

• MD: Northwestern University Medical School

• Residency: Keesler Medical Center, Keesler Air Force Base

• Fellowship: Wilford Hall Medical Center

John Taylor, DO

• MD: Lake Erie College of Osteopathic Medicine

• Residency: AdventHealth Orlando, Orlando, FL

Chief Fellows

Michael Kopstein, DO

• MD: Lincoln Memorial University – DeBusk College of Osteopathic Medicine

• Residency: HCA HealthONE Program, Lone Tree, CO

Tyler Coombes, MD

• MD: American University of the Caribbean School of Medicine, Sint Maarten

• Residency: University of Tennessee Graduate School of Medicine

Post-Fellowship Placement

Class of 2023

James Livesay, DO Interventional Cardiology Fellowship

Knoxville, TN

Elliott Goodwin, DO Electrophysiology Fellowship Kansas City, MO

Rachel Goodwin, DO Interventional Cardiology Fellowship

Class of 2022

Emmanuel Isang, MD Academic

Lon Abney, MD Private Practice

Class of 2021

William Black, MD Interventional Cardiology Fellowship

Jenna Johnson, MD Private Practice

Class of 2020

Jaime Holbert, DO Private Practice

Aimee Wehber, MD Academic

Class of 2019

Rajiv Sharma, MD Private Practice

Robert Tonks, MD Interventional Cardiology Fellowship

Class of 2018

Bryon Cook, MD Interventional Cardiology Fellowship

Kayleigh Litton, DO Interventional Cardiology Fellowship

Class of 2017

Moses Osoro, MD Private Practice

David Perkel, MD Academic

Hamilton Township, NJ

Kansas City, MO

Knoxville, TN

Santa Fe, NM

University of Tennessee Graduate School of Medicine, Knoxville, TN

Columbia, SC

Knoxville, TN

Knoxville, TN

El Paso, TX

University of Tennessee Graduate School of Medicine

Knoxville, TN

Carilion Clinic Roanoke, VA

University of Tennessee Graduate School of Medicine

Knoxville, TN

Maryville, TN

Knoxville, TN

Post-Fellowship Placement

Class of 2016

Steven Dolacky, MD Interventional Cardiology Fellowship Albany Medicine College, Albany, NY

Madhur Roberts, MD Advanced Cardiac Imaging Fellowship Piedmont Heart Institute, Atlanta, GA

Class of 2015

Umang Shah, MD Interventional Cardiology Fellowship Hackensack University Medical Center, Hackensack, NJ

Harry South, MD Private Practice

Class of 2014

Mitul Afiniwala, MD Private Practice Philadelphia, PA

Janet Eichholz, MD Interventional Cardiology Fellowship University Mass Memorial Medical Center, Worcester, MA

Class of 2013

Jujhar Bains, MD Private Practice Crossville, TN

Patricia Crawley, MD Interventional Cardiology Fellowship SUNY Downstate Health Science University, Brooklyn, NY

Class of 2012

Jeremy Mahlow, MD Electrophysiology Fellowship Saint Vincent Hospital, Indianapolis, IN

Deviprasad Venogupal, MD Electrophysiology Fellowship University of Minnesota, Minneapolis, MN

Class of 2011

Venkata Aligeti, MD Interventional Cardiology Fellowship Drexel University, Philadelphia, PA

Carmelo Venero, MD Interventional Cardiology Fellowship University of Alabama at Birmingham, Birmingham, AL

Class of 2010

Gayathri Baljepally, MD Academic Knoxville, TN

Rubinder Dab, MD Private Practice Richmond, IN

Cardiovascular Disease Fellowship Program

• 9 fellows

• 3 per year

• University Cardiology

• 30 Cardiologists

• 7 Interventional Cardiology

• 4 Electrophysiology

• 1 Heart Failure

• 1 Adult Congenital

• 1 Cardiology Oncology

• 2 Advanced Imaging

• 14 General

• All training is at this facility

Cardiovascular Procedures (annually)

• 21,525 echocardiograms (1,491 TEE’s)

• 2,607 cardiac catheterizations (778 PCI’s)

• Structural interventions include:

• 131 TAVR’s

• 35 MitraClip

• 80 Watchman

• 902 cardioversions

• 986 devices

• 74,129 ECGs

• 2,766 stress tests (50/50 inpatient PET/outpatient SPECT)

• 493 electrophysiological studies

The University of Tennessee Medical Center

• Opened August 1956

• 710 bed acute care teaching hospital

• Region’s only Academic Medical Center

• 19 ACGME accredited specialty and subspecialty programs

• Level 1 Trauma Center

• Certified Comprehensive 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

• Medical Simulation Center

Designated Level III

Neonatal Intensive Care Unit

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

Graduate School of Medicine – Residencies and Fellowships

• Anesthesia

 Fellowships in Pain Medicine and Perioperative Medicine

• 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, Interventional Cardiology, and Pulmonary Disease/ Critical Care Medicine, Hematology 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

ABOUT KNOXVILLE

We’re a nature-lovingadventure-seeking-artsykinda-town

• Lower cost of living than the national average

• 4 general seasons

• Multiple festivals and weekly concerts

• Exciting Craft Beer Scene with Knoxville Ale Trail

• Food Truck Parks

• Small local airport with access to major airlines and cities

• Multiple farmer’s markets

• www.visitknoxville.com

The City - Knoxville

• Est population 196,823

• Knoxville Metropolitan Statistical Area (Knox, Blount, Anderson, Loudon, and Union counties) is 1 ,156,861 million

• Economics

• No state income tax

• 15% below the national cost-of-living average

• Median household income $64,650

• Demographics

• Median age 33.5

• 32.3 Male / 34.7 Female

• 74.95% Caucasian, 16.44% Black, 0.15% Native American, 1.68% Asian, 0.02% Pacific Islander, Two or more races 5.09%, other race 1.67%

Travelling to / from Knoxville

Two major interstates – I-40 and I-75 make car travel convenient

McGhee Tyson

Airport is easy to get in /out of with reasonable flight rates (about 15 min from hospital)