The program offers experience in the care of complex heart failure, cardiomyopathy and pulmonary hypertension patients including selection and management of patients on mechanical circulatory support(LVAD, ECMO percutaneous therapies. Cardiac transplantation rotation will be in collaboration with UC San Diego. Scripps Clinic is a large multi-specialty clinic, and the division of cardiology is nationally recognized, with high-volume programs in interventional cardiology, EP, and cardiac imaging.