This clinic is held throughout the week on the 9th floor of the Parkinson Pavilion in conjunction with a dedicated faculty supervisor. The purpose of this experience is to provide an opportunity for the fellows to obtain ambulatory cardiac care training and long-term follow-up of interesting patients with a variety of cardiac diseases. Each fellow sees his-her patients under the direct supervision of the clinic attending physician. The fellow is assigned to a specific half-day session each week. Patients are referred from the in-patient services, or for initial out-patient evaluation from the medical clinics and emergency room. Patients are followed longitudinally through the three years so as to provide the fellows with an understanding of the natural history of the cardiac diseases of their patients, and the influence of co-morbidities on this natural history. Fellows can also participate in an adult congenital heart disease clinic operated jointly with the pediatric service.
ECG reading takes place in the heart station area. All in-patient and out-patient ECGs accumulated from the past day to the time of reading are read jointly by the fellow in the CCU, the fellow on the EP service and a staff cardiologist. The fellows are expected to pre-read electrocardiograms, which are then to be reviewed by the staff cardiologist. Fellows are encouraged to bring interesting ECGs to the attention of their colleagues as well as to follow up on in-patients and out-patients who have ECGs of particular interest.
Holter Monitor Interpretation
After transcription, all Holter monitor recordings are divided among the fellows for interpretation. The recordings are then returned to an electrophysiologist for review.