The Cedars-Sinai AHFTC program is fortunate to operate in one of the highest-volume centers in the world. With such a large volume of cases, we can provide outstanding exposure for fellows in the care of patients with advanced heart failure (HF), mechanical circulatory support (MCS), and heart transplantation (Tx). The structure of our fellowship includes three inpatient services, in HF, MCS, and Tx, and one outpatient/clinic service.