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Cardiovascular Diseases

Cardiovascular Diseases

Training in Cardiovascular Disease is a three-year program accredited by the Accreditation Council for Graduate Medical Education (ACGME). Two fellows per year are accepted, with a total complement of six fellows. All applicants must have completed a three-year Categorical Internal Medicine residency.

Practical instruction and clinical experience

The Cardiovascular Disease fellowship training program is designed to provide the subspecialty fellow with didactic instruction, and clinical experience in the athophysiology, diagnosis, treatment, and management of patients with cardiovascular disease. Four week rotation blocks provide the framework for exposure to all required elements of cardiology training, with an emphasis on the development of cognitive, clinical, interpretive and procedural skills. Interpersonal skills, professional attitudes and humanistic qualities of the Cardiovascular Disease residents are continuously assessed through competency-based education initiatives.

  • Cardiovascular Disease fellow rotations at the Hospital of Saint Raphael
  • Clinical rotations including the Coronary Care Unit, Cardiothoracic Intensive Care Unit, Clinical Consult Service, Electrophysiology Service, and the Ambulatory Clinic
  • Invasive rotations in the Cardiac Catheterization Laboratory and the Electrophysiology Laboratory
  • Non-invasive rotations in echocardiography, stress testing, nuclear cardiology and ECG interpretation
  • Elective rotations in specific areas of cardiology, including cardiac MRI and cardiac CT.

Cardiovascular Disease fellows are assigned to the weekly longitudinal Ambulatory Clinic. Two fellows per session are supervised by a full-time attending cardiologist in a faculty practice office setting. The Ambulatory Clinic, which is staffed by nurses and a cardiac nutritionist, is complemented by on-site interaction with the cardiac rehabilitation program, a staff endocrinologist, and the director of the Lipid Clinic. Cardiovascular Disease fellows attend the weekly multi-disciplinary cardiology management conference, the didactic core curriculum lectures, cardiac catheterization laboratory conference, and board review sessions, as well as the quarterly morbidity & mortality conference, cardiology and cardiothoracic surgery journal clubs, and ECG conference. Additionally, attending physicians have direct teaching responsibilities during each of the rotation blocks. These small group sessions allow for the free discussion between the sub-specialty fellow, the house staff and the attending staff.

Opportunities to present at conferences

Cardiovascular Disease fellows have ongoing opportunities to strengthen presentation and teaching skills. Sub-specialty fellows identify and present the cases at the multi-disciplinary cardiology management conference, cardiac catheterization laboratory conference, and morbidity & mortality conference, as well as present papers at the cardiology and cardiothoracic journal clubs. Teaching responsibilities of the Cardiovascular Disease fellows include didactic lectures, interpretation of ECGs, and discussion of interesting cardiology cases with the medical house staff assigned to the CCU, and on the cardiology elective. Cardiovascular Disease fellows also facilitate the discussion in the weekly internal medicine case management conference.

Cardiovascular Disease fellows actively participate in clinical research initiatives, which include original hypothesis generated research, and multi-center clinical trials. Cardiovascular Disease residents are encouraged to participate in professional organizations, and attend local and national conferences.

Page last updated on Dec. 12, 2008