Jan Shrem & Maria Manetti Shrem Cardiovascular Fellowship

Jan Shrem & Maria Manetti Shrem Cardiovascular Fellowship 

The Jan Shrem & Maria Manetti Shrem Cardiovascular Fellowship builds the foundation for an elite cardiology career. Join our ACGME-accredited, three-year fellowship program, strategically positioned in a tertiary referral center for all of Northern California.

About the Fellowship Program

Visit our website to view our video introduction 

The cardiovascular fellowship program at CPMC was founded in 1959 at a time when Presbyterian Medical Center had emerged as a major center of innovation in the treatment of cardiovascular disease. The first open heart surgery on the West Coast was performed here in 1954. In fact, from the time the institution was originally founded as Cooper Medical College in the late 1800s, and as Stanford University School of Medicine in the early 1900s, there has been a strong tradition of medical education and clinical training. CPMC was established as a merger of four of the oldest medical centers in San Francisco, and the institution continues to be one of the busiest cardiovascular centers in the Bay Area. As the largest medical center within the Sutter Health system, CPMC is a tertiary referral center for complex cardiac services from throughout Northern California. Drawing patients regionally, nationally, and internationally, CPMC is an exceptional institution for cardiovascular training.

From its inception, the fellowship program has been closely integrated into the Division of Cardiology, and fellows train in an intimate setting, working side-by-side throughout the day with faculty cardiologists and cardiovascular surgeons. A collegial environment is constantly fostered that encourages fellows to participate in patient care as junior attendings. Fellows are also an integral part of the quality improvement processes for both the Division as well as the fellowship program. All fellows attend the monthly institutional cardiovascular process improvement meetings as members of specific workgroups that work on projects throughout the year. In regular group meetings with the program director (weekly, during pandemic), fellows have the opportunity to give immediate feedback regarding rotations and curricula, and collectively play an active role in the direction of this responsive and adaptive program.

In the newly opened Van Ness and Mission Bernal campuses, our nine fellows have the opportunity to train, teach and care for patients in state-of-the-art facilities with the latest healthcare delivery innovations and technologies. Through a Technology-in-Cardiology curriculum, fellows are able to utilize and evaluate the newest technology trends, such as wearable ECG monitors and electronic stethoscopes. In a program without subspecialty interventional or electrophysiology fellows, our fellows are directly involved in the most advanced levels of cardiovascular care delivery, including cutting-edge coronary and structural interventions, complex catheter ablations, and pacemaker and ICD implantations and extractions. As the center that performed the nation’s first heart transplant outside of a university research setting in 1984, CPMC has continued to pioneer the field of heart failure management and has long provided a uniquely advanced training experience for our general cardiology fellows. In 2021, CPMC is excited to welcome our first fellow into the newly ACGME-accredited Advanced Heart Failure and Transplant Cardiology subspecialty fellowship program.

Through two decades of support from the William E. & Aenid R. Weisgerber Foundation the program has created a rigorous didactic curriculum to accompany its busy clinical rotations, including a weekly cardiology grand rounds series that features national and international experts. The recent generous endowment from Jan Shrem and Maria Manetti Shrem will allow expansion of other lecture series, as well as continued support for fellows attending cardiovascular conferences and review courses for subspecialty certifications. While many graduates go on to further subspecialty training, most find positions in group and foundation practices in the Bay Area. Wealth of advanced clinical experience, coupled with resources for expansive learning opportunities, have allowed CPMC to provide training for a new generation of cardiologists that leave the program as exceptional clinicians, well-versed in the forefront of cardiovascular care, and confidently prepared for board examinations as well as for clinical practice in a region known for superior cardiovascular care.

Clinical Rotations

Clinical training takes place primarily at the new, state-of-the-art Van Ness Campus (video tour) of CPMC (opened 3/2019) that is a tertiary referral center for Sutter Health as well as for Northern California, providing advanced cardiac care including complex coronary intervention, structural heart intervention, cardiac electrophysiology, and advanced heart failure and heart transplantation. All acute cardiac services were moved from the Pacific Campus of CPMC, the site of the original Cooper Medical College (established 1890) and Stanford University School of Medicine (1909-1959). Two months are also spent at the new Mission Bernal Campus (video tour) of CPMC (opened 8/2018) in the Mission district of San Francisco that serves an underserved patient population as well as houses the Acute Care for the Elderly (ACE) unit for older adults. This new campus was built to replace St. Luke’s Hospital (established 1871), one of the original hospitals in San Francisco.

Our 9 cardiology fellows (3 per year) are integral members of the cardiovascular services and laboratories, and work side-by-side with core faculty and attending cardiologists in every aspect of the cardiovascular division. All fellows also participate in monthly institutional cardiovascular process improvement meetings as members of specific workgroups. While gaining exceptional clinical training, fellows also take an active role in supervising and teaching interns and residents from the CPMC Internal Medicine Residency program, as well as medical students from Geisel School of Medicine at Dartmouth and UCSF.

Clinical rotations are distributed over 3 years with core rotations (required by ACGME/COCATS) concentrated in the first two years. This allows for more time in Year 3 to customize training using months reserved for elective rotations, whether it be for advanced fellowships preparation, advanced COCATS achievements, or other specific career goals. The more condensed rotation schedule during the first year also allows full exposure to the breath of cardiology so that fellows can make a decision for sub-specialization early.

* Biweekly coverage schedule throughout year
** Dedicated curriculum during Echocardiography rotation
*** Weekly ½ day at assigned office throughout year

2025-2026 Salary and Benefits

Sutter Health is committed to providing its residents and fellows with a total compensation package that is competitive with what is offered in the external market. Sutter Health MDs and DOs enrolled in ACGME-accredited training programs receive a robust health and benefits package in addition to their annual salaries.

*Disclaimer: This information does not apply to any employee who is in a collective bargaining unit represented by a recognized labor organization unless otherwise specified in a collective bargaining agreement.

Academic Year 2025-2026

Annual Stipends (per post-graduate education level)

Employment Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Long-term Disability Insurance
• AD&D Insurance
• Short-term Disability
• Flexible Spending Accounts
• Retirement Benefits
• Paid time off benefits (vacation, holiday, etc.)
• Leaves of absence, including family care, bereavement, etc.
• Employee Assistance Programs
• Employee Resource Groups

Additional GME Benefits

• Housing Stipend: $12,000  annually (pre-tax) 
• Parking/Transportation Stipend: $2,400 per year (pre-tax) 
• Relocation Benefit (Eligibility Required): $2,000 one-time benefit during first year of training
• Step 3 Exam Reimbursement
• DEA License Reimbursement (Subject to Program Director approval)
• Electronics Benefit (Computer, tablets, phone, watch, etc.): $1,000 one-time benefit during first year of training
• PTL license for residents / CA medical license for fellows. Reimbursement for the California Medical License will only be paid for a graduating resident that will be staying on at CPMC for a fellowship.
• Reimbursement for the California Medical License will only be paid for a graduating resident that will be staying on at CPMC for a fellowship.
• Scholarly Activity:
  $2,000 per year (all Residents/Fellows) for attendance at a medical/scientific conference for a poster/podium presentation.
• $2,000.00 (only Residents/Fellows in their final year of training) for a Board Review Course or study materials.