The OHSU AHFT fellowship offers robust training in mechanical circulatory support, heart transplant, cardiomyopathy, and pulmonary hypertension. Fellows care for diverse, high-acuity patients at Oregon's only academic heart transplant center. The curriculum is flexible and can be tailored to individual interests such as cardiogenic shock, amyloidosis, or imaging, with strong mentorship and multidisciplinary collaboration to prepare graduates for careers in advanced heart failure.