For Medical Professionals
Pediatric Cardiology Fellowship
- Cardiac Intensive Care:
Each fellow will have six clinical months in the CICU over the course of the fellowship. (In addition, a senior CICU fellow and critical care fellows will rotate through the CICU and share the call schedule.) The clinical commitment is less than 80 hours/week including call. The fellows in the CICU are responsible for the intensive care management of the cardiac surgery, cardiac medical, and select patients with cardiac disease undergoing non-cardiac surgery. One attending intensive care staff is responsible for providing direct supervision of patient care and teaching during daily rounds. Fellows receive training in cardiac pathophysiology, intensive care management, and critical care monitoring and procedures.
- Non-Invasive Imaging:
Each fellow will have six clinical months in the non-invasive lab. Fellows are introduced to cardiac ultrasound as well as cardiac MRI through hands-on experience guided by the echocardiography and MRI attendings, senior fellows and experienced technologists. Additionally, didactic sessions are provided for the fellows. The fellow is expected to take an active role in the laboratory performing echocardiographic scanning, spending time each week to gain experience in the interpretation of anatomic, Doppler and ventricular function studies.
- Inpatient/Consult Rotation:
Each Fellow will have six clinical months on the inpatient cardiology/consult rotation. The fellow leads a team of about four pediatric residents in the care of cardiac medical patients on 2NE, the cardiac inpatient floor. The fellow also assists the surgical team (which includes nurse practitioners) in the postoperative care of cardiac patients convalescing on the floor, assuming the role of consulting cardiologist and pediatrician. The fellow runs morning rounds, manages patient care in tandem with attending cardiologists, and teaches the residents on an informal basis during the day. More formal teaching and supervision of patient care is provided by the attending cardiologist assigned each month. Additional daily teaching sessions are conducted by the cardiology faculty.
- Ambulatory Cardiology Clinic:
Each fellow will be assigned to a weekly half day clinic session, which is supervised by at least one attending cardiologist. Fellows evaluate and plan the care of patients referred to the clinic for outpatient evaluation, and also provide long-term continuity care for patients with more serious lesions whose care they have assumed while on their various inpatient clinical rotations.
Each fellow will have six months of the catheterization/electrophysiology rotation. The responsibilities of the fellow include: preparation of the case and review of informed consent with the patient's family the day of the procedure or the day prior to the procedure, presentation of the case at morning conference, performance of the catheterization with a staff physician, and analysis and review of the data at the end of the day. As the rotation progresses, the fellow learns to obtain a complete set of hemodynamic, saturation and angiographic data in a safe and expedient manner. Training in catheterization of the newborn infant and interventional procedures will also be taught throughout the rotations. One day a week, the fellow will be responsible for assisting the attending electrophysiologist (EP) in intracardiac electrophysiology studies, ablations and intraoperative procedures. In addition, the fellow will assist the EP attending with consults on inpatients and selected outpatients with arrhythmias.
The Department maintains that experience in cardiovascular research is an essential component of fellowship training in cardiology. Fellows will have 12 months of the research rotation during their fellowship. Fellows will be expected to become involved in a clinical research project during their fellowship, under the guidance of one of the faculty. Such projects, either new or ongoing, will often be of the chart review type, and may form the basis for a future prospective study for those fellows interested in clinical research. Fellows will need to identify a research mentor from among the faculty by the end of the first year. The cardiology faculty will assist fellows in identifying projects, resources, and the mentors will monitor their progress throughout fellowship training. During the first half of the second year, it will be expected that each fellow will, with appropriate guidance, write and submit a proposal for a research project which: (1) addresses an important question; (2) applies available state-of-the-art techniques to answering that question; and (3) is practical within the time and other constraints of the fellowship. By the end of the fellowship, each fellow will have been intimately involved with a research study that has been submitted or published in a peer review journal. In addition, the research fellow will be responsible for reviewing and presenting current relevant journal articles in the weekly fellow journal club.