The Adult Congenital Heart Disease (ACHD) Fellowship at IU School of Medicine is committed to the individual trainee. Commensurate with the ACGME guidelines, ACHD fellows should have completed a three-year adult or pediatric cardiovascular disease fellowship. The curriculum is organized to meet the needs of each trainee. The ACHD fellow who has completed subspecialty training in pediatric cardiology will spend additional time developing core competencies in internal medicine (inpatient service, adult ECHO lab). Those with subspecialty training in adult cardiovascular medicine will spend additional time developing core competencies in pediatric medicine (pediatric ECHO lab, inpatient service, transition clinic). This unique fellowship training allows all graduating fellows to pursue ABIM ACHD subspecialty board certification upon completion of their fellowship training.