Fellowship: Specific Rotations
Non-Invasive Service
Instruction in 2-D, Doppler, M-mode,
transesophageal and stress echocardiography is
provided with heavy emphasis on 'hands on' experience.
Echocardiographic interpretation is performed
with faculty supervision. Exercise testing is
also included and is generally performed with
direct faculty guidance. This approach allows
the trainee to develop familiarity with different
exercise testing protocols and provides them instruction
in exercise stress test interpretation.
Cardiac Catheterization Laboratory
Experience in cardiac catheterization
is provided in four catheterization laboratories
that perform about 6,000 studies per year. All
procedures are performed with faculty supervision.
Training is provided in all of the technical aspects
of cardiac catheterization including: coronary
angiography, hemodynamics, pulmonary angiography,
and ventriculography.
Coronary Care Unit/Consultation Service
Each trainee participates in the inpatient
and CCU service at the major teaching hospitals
under faculty supervision. The trainee acts as
a consultant and teacher for the housestaff and
students on the CCU service. Fellows work closely
with faculty members in providing teaching and
supervision for medical students and house officers
during these rotations. Procedures such as Swan-Ganz
catheter and temporary pacemaker insertion are
performed by the fellow.
Nuclear Cardiology
A two month block in nuclear cardiology
is required for all fellows. For individuals with
interest in non-invasive cardiology, certification
in nuclear cardiology (including the required
Radiation Physics course) can be accomplished
within the basic three-year program.
Electrophysiology/Arrhythmia/Pacemaker
Service
Each fellow is exposed to complex arrhythmias
and electrophysiologic testing during an eight
week rotation on this service. In addition, ambulatory
testing, inpatient consultations, and long-term
follow-up of patients with malignant arrhythmias
is provided. During the final two weeks on of
this block, the fellow works on the Pacemaker
Service, attending clinic and consulting on patients
with suspected pacemaker failure.
Cardiovascular Research
A four to six month assignment in cardiovascular
research is provided during which the trainee
becomes involved in either an ongoing research
project or on a project that is of particular
interest to him/her. Both clinical and basic science
projects are available. A specific faculty member
serves as a preceptor during this experience.
Attendance and presentation of the results at
the ongoing Research Conference is expected.