Invasive cardiology (Cath lab)
The Cath lab performs more than 2,500 catheterizations per year. In addition to extensive experience in cardiac catheterization and coronary angiography, our fellows perform approximately 800 coronary angioplasty procedures per year.
Most fellows spend eight months during their training in the Cath lab, gaining experience with more than
Non-invasive section
This rotation includes comprehensive echocardiography, exercise stress testing, nuclear SPECT scan and transesophageal echocardiography. A large volume of ECGs and Holter monitors are also read with staff supervision.
Echocardiography training provides the basic knowledge and experience necessary to be fully capable of performing and interpreting examinations in a clinical setting. Additional training opportunities in structural imaging for interested fellows are available.
Fellows may also opt to participate in additional training in vascular or CT imaging during their elective time.
Clinical cardiology and intensive care (CCU)
A program has been developed for fellowship involvement in the outpatient clinic practice, where fellows become familiar with the longitudinal care of ambulatory cardiac patients as well as performing consultations for other internists. This patient load is optimal for educational purposes.
The CCU includes a coronary care unit complete with hemodynamic monitoring and capability for insertion of intra-aortic balloon pumps, Swan-Ganz catheters, temporary pacemakers, mechanical circulatory support, etc. Intensive Care Cardiology is an excellent opportunity to gain primary service experience in the care of acute myocardial infarctions, unstable angina, cardiogenic shock and post-operative open-heart patients.
During this experience, fellows progress to direct the care of CCU patients and are expected to function as junior staff overseeing the medical residents and students. They are responsible for procedures necessary on CCU patients.
Electrophysiology
This rotation includes exposure to diagnostic and therapeutic EP studies, ICD implants and permanent pacemaker implants. Fellows are responsible for consults to the electrical service and will assist on electrophysiology studies, pacer and ICD implants.
Fellows are also given the opportunity to participate in the Afib clinic and attend device workshops on ways to interrogate and program pacemakers and defibrillators.
Nuclear
Six months of training for all fellows is designated to make fellows conversant in the field of nuclear cardiology, with the primary responsibility being Technetium stress test monitoring. Individual rotations are arranged with nuclear radiology regarding specific jobs and responsibilities.