Rotations
Echocardiography
- Perform and interpret echocardiographic images from transthoracic, transesophageal (general, intra-operative, and structural intervention), stress, strain, and 3D echocardiography
- Begin hands-on training with TEE their first year
Nuclear
- Perform and interpret myocardial perfusion stress imaging
- Opportunity to interpret nuclear imaging studies with both Cardiology and Radiology faculty
- Exposure to additional imaging modalities including, PET, amyloid PYP scans, thallium viability studies, and MUGA scans
Cardiac Catheterization
- Immersive hands-on exposure to invasive hemodynamic assessment and coronary anatomy
- Complex structural heart interventions by high-volume operators
- Peripheral arterial and venous interventions including acute and chronic venous thromboembolism
- Intra-procedural management of cardiogenic shock with percutaneous mechanical circulatory support
- Right heart catheterization and endomyocardial biopsy experience with dedicated PH-RHF/LHF-Txp Cardiology attendings
General Consults
- Consultation on a wide breadth of disease among medical and surgical patients
- Operates as an interface between the primary medical services and the invasive and non-invasive cardiac laboratories
- Opportunities to teach housestaff, medical students, PA students
Electrophysiology
- Multidimensional rotation including inpatient consultation, outpatient care, and dedicated time in the electrophysiology laboratory
- Exposure to basic device implantation and EP studies, as well as advanced EP therapies such as His-bundle pacing, leadless pacemakers, device extractions, and complex ablations (including epicardial and endocardial VT)
Cardiac Intensive Care Unit
- Cardiology fellow serves as junior attending in a resident-staffed CICU with oversight from dedicated cardiology faculty
- Consultation on post-operative cardiac surgery, LVAD, heart transplant, pulmonary thromboendarterectomy, and mechanical circulatory support patients
- Opportunities for invasive bedside procedures
Left Heart Failure and Transplant
- Cardiology fellow serves as junior attending on resident-staffed inpatient heart failure service
- Consultation on patients being evaluated for advanced heart failure therapies
- Work in a large multidisciplinary team to manage pre- and post-transplant and VAD patients
- Dedicated month in outpatient left heart failure, right heart failure, VAD, and transplant clinics
Pulmonary Hypertension & Right Heart Failure
- Service exclusively run by Cardiology division as a Nationally Accredited Center of Comprehensive Care
- Multidimensional rotation including inpatient consultation, outpatient care, and dedicated time in the invasive hemodynamics laboratory including exercise RHC with invasive CPET
- Second largest CTEPH program in the country and a national leader in pulmonary thromboendarterectomy (PTE) and balloon pulmonary angioplasty (BPA)
Electives
- Additional elective opportunities exist including vascular medicine, preventative cardiology, pediatric & adult congenital cardiology, advanced cardiac imaging, cardiac rehabilitation, intraoperative TEE, CT surgery, ECMO, Palliative Care, and research
Nights
- A consecutive week of nights as primary in-house cardiologist
- Assist resident-staffed CICU team
- Cover all cardiac emergent procedures including STEMI, TVP, TTE
Continuity Clinic
- Half-day of clinic per week for each fellow to follow their own panel of patients longitudinally
- Work alongside attending preceptor using the same clinic infrastructure, nursing, and administrative assistant
Block Schedule (Weeks)