Cardiology

 

Department of Medicine Academic Division:

Cardiology Training

Cardiology Fellowship

On-Call

Weekend calls are front-loaded (i.e. decrease in frequency as you become more senior). They are always split up between TWO fellows (a “Fri/Sunday fellow” and a “Saturday Fellow”). This is a call system different from many other cardiology fellowship program and has worked well.

 

Weeknight Call

Fellows leave by 12pm the next day.

 

Call may be taken "at home" when the service is stable, but an on-campus room is provided and should be utilized when problems exist on the service and require the in-hospital presence of the Fellow.

 

Call Rooms

Two bedrooms with carpeting, desk, chair, phone, wifi. You also have a private bathroom, two lockers, and large file cabinet with lock.

 

 

Clinical Training:

 

First Year Rotations (13 blocks)
Consult- 2 months.
The consult service is a busy rotation where the fellow gains knowledge in “bread-and-butter cardiology” (e.g. afib, supraventriclar tachycardias, acute coronary syndromes, CHF, peri-operative management, pericarditis/pericardial effusions) and less-common cardiology (e.g. cardiac amyloidosis, myxoma, rheumatic valve disease, HOCM). The fellow is also responsible for teaching medical residents and students on the consult team.

 

CCU- 2 months
The Coronary Care Unit is an enriching rotation for the cardiology fellow. At Westchester Medical Center, the fellow plays an essential role in running the CCU. WMC offers a unique 8-bed CCU that includes the entire spectrum of cardiology including 1) Acute Coronary Syndrome 2)Intra-aortic balloon pump management 3) Heart Failure with swan management eventually requiring inotropes and/or Left-Ventricular Assist Devices or peripheral Extracorporeal Membrane Oxygentation 4) Critical arrhythmias, 5) Post-electrophysiology procedure patients 6) Post-cath patients and 7) heart transplant patients.

 

Cath- 1 month
Every fellow will rotate through the cardiac catheterization lab through their training. They will have the opportunity to participate in both right and left heart catheterizations as well as pericardiocentesis, intra-aortic balloon pump placement, femoral and radial artery access, percutaneous coronary intervention, intravascular ultrasound and fractional flow reserve measurements.  Additionally, we work closely with pediatric cardiologists and have the opportunity to scrub in to interventions such as septal defect closures.  New to our department is the TAVR program and hybrid lab which is poised to open by the end of 2012.

 

CHF/Transplant- 1 month

WMC has a very active Heart Failure and Transplant program. The cardiology fellow on the CHF team will follow and manage his or her own set of patients during their month-long rotation. They will learn the nuances of inotropy, mechanical support in intensive care units including LVAD and ECMO, pre and post heart transplant care, and the latest treatments and studies in this exciting and evolving field.

 

Transesophageal and Transthoracic Echo- 1 - 2 months each

The transesophageal and transthoracic echocardiogram rotations include performance and interpretation of echocardiograms in various settings including the Heart Institute, Intensive Care Units, and Bradhurst (outpatient).  By offering these various venues, WMC affords the cardiology fellow a unique perspective on how echocardiograms can differ in style. The fellow is encouraged to do a “wet-read” of echocardiograms after they are done and then discuss their thought-process with attendings. In addition, fellows present these echocardiograms weekly at conference. Along with TEE and TTE, WMC offers echo with contrast (Definity) and 3-Dimensional echocardiography. For the current academic year, our cardiology program has a 100% pass rate on echo boards.

 

Electrophysiology- 1 month

Our EP department has made several exciting changes recently. Dr. Sei Iwai has joined us from Stonybrook as our new Chief of EP. Our EP lab performs both afib and complex ablations (both SVT and VT). The cardiology fellow has the opportunity to participate in the peri-procedural care and scrub into radiofrequency ablation as well as cryoablation cases. We are also starting a left atrial closure device program. Fellows also scrub in to pacemaker and AICD placements as well as lead revisions/laser lead extractions and generator changes. Time is allotted during fellowship to attend basic pacemaker/AICD device interrogation courses, in addition to providing hands-on experience in various settings within our division.

           
Nuclear- 1 month

The fellow will participate in at least 1 month of Nuclear stress testing per academic year.  The stress tests include treadmill, regadenoson and sometimes dobutamine. They include EKG and nuclear imaging.  The fellow will decide if the ordered test is indicated and if so, which modality of stress test should be used. The fellow will work closely with the attending in nuclear imaging interpretation. On a weekly basis the fellow will rotate through an outpatient teaching practice for nuclear stress imaging interpretation as well as for Stress Echocardiography.

 

Vacation- 1 month

Since WMC is one of the higher paying cardiology  training programs in NY, go wherever you want for vacation!

 

Second Year Rotations:
Consult-1 month
CCU- 1 month
Cath- 1 month
CHF/Transplant- 1 month
TEE- 1 month
TTE- 1 month
EP- 1 month
Nuclear- 1 month
Sound Shore- 2 months
Vacation- 1 month
Elective- 2 months

 

Third Year Rotations:
CHF/Transplant- 1 month
EP- 1 month
Cath- 1 month
TEE- 1 month
Vacation- 1 month
Elective- 6 months

TEE= Transesophageal Echocardiography
TTE= Transthoracic Echocardiography
CCU= Coronary Care Unit
Cath = Cardiac Catheterization
EP= Electrophysiology
CHF= Congestive Heart Failure
Electives: Research, Congenital Pediatrics, Cardiothoracic Surgery, or more of the aforementioned rotations.

 

Conferences:

Mondays:
Morning Report 7:30-8:30am
Dr. Aronow Lecture 1-2pm
EP Lecture: 5-6pm

 

Tuesdays:
7:30-8:30am- Cath Conference
4-4:20pm- Article Review.
4:20-5p- EKG Workshop
5-6p- Grand Rounds

 

Wednesdays:
7:30-8:30am Cath and Cardiothoracic Surgery Conference

 

Thursdays:
7:30-8:15: Nuclear Conference.
8:15-9:00: Echo Conference.

 

Fridays:
7:00-8:00: Vascular Conference
8:00-9:00: EP Conference.
12:00-1:00: CHF Conference.

 

Other: Morbidity & Mortality (“M & M”), Journal Club, Congenital Peds

 

 

Page updated: September 30, 2013

 

Cardiology Fellowship:

 

Welcome Page
Program History
Current Fellows
Past Fellows
Clinical Training
Research Opportunities
Fellowship Program Application
Cardiology Fellow Benefits at WMC

 

Cardiology Home