Structural Heart Disease Interventional Imaging Fellowship

Program Director and Director of Structural Heart Imaging: James Lee, MD

For application information and questions please contact: SHDIMAGINGCVFELLOW@hfhs.org or via phone at (313) 916-7462

• Duration of training: 1 year
• Number of positions: 1
• Prerequisite training:
  • 3-year general cardiology fellowship, or
  • a two-year U.S.-based cardiology research fellowship with substantial clinical or imaging exposure and a demonstrated interest in structural heart disease or cardiovascular imaging.
• Application information:
  • Method of application: Complete our Universal Application and email along with your CV, a brief personal statement, USMLE/COMLEX transcript and ECFMG certificate (if applicable) to our Program Coordinator. Please request 3 letters of recommendation to be sent directly to our Program Coordinator.
  • Start date: July 1
  • First day accepting applications: July 1 of year prior to start date (i.e. 12 months prior to start) 
  • Last day accepting applications: Rolling 
  • Interviews conducted: September to December
  • Participation in a NRMP match: No
  • H1B visas accepted. For all other visa types, please inquire prior to applying.

Program Overview

The Structural Heart Disease Interventional Imaging Fellowship at Henry Ford Hospital is a one-year, non-ACGME accredited advanced training program for cardiologists who have completed a general cardiology fellowship. One advanced fellow is accepted annually.

The program is supported by a multidisciplinary faculty, including four dedicated Structural Heart Interventional Cardiologists, five Structural Heart Interventional Imaging Cardiologists, and additional imaging specialists from Cardiology and Radiology. Henry Ford Hospital is a high-volume tertiary referral center with deep expertise in complex structural heart procedures, including cardiac electrosurgery.

This fellowship is designed to train physicians to independently perform CT planning and periprocedural imaging guidance for a broad range of non-coronary transcatheter interventions. These include transseptal puncture, transcatheter mitral and tricuspid valve repair and replacement (Mitral TEER, TMVR, TV-TEER, TTVR), TAVR, left atrial appendage occlusion, paravalvular leak closure, PFO/ASD/VSD closure, alcohol septal ablation, and balloon valvuloplasty.

Fellows work alongside experienced interventional imaging physicians to develop fluency in synthesizing CT and echocardiographic datasets for procedural planning, real-time intraprocedural guidance, and post-procedural complication surveillance. Hands-on training includes transesophageal echocardiography (TEE), structural CT segmentation, and device selection tailored to patient anatomy and pathology.

In addition to procedural training, fellows gain exposure to coronary CTA, cardiac MRI, and collaborate with Cardiothoracic Radiology on CT protocol optimization, technologist education, and quality improvement. The program also emphasizes academic development, with expectations for clinical research participation, scholarly writing, and teaching of general cardiology fellows.

Fellows participate in weekly multidisciplinary TAVR and Mitral Valve conferences, contributing to team-based decision-making with interventionalists, imaging specialists, surgeons, heart failure physicians, and valve coordinators.

Upon completion, fellows are equipped to independently perform advanced imaging-based planning and intraprocedural guidance for structural heart interventions and contribute meaningfully to high-performing clinical programs.