General Goals: nuclear cardiology training requires an understanding of cardiovascular pathology, physiology, and anatomy. These methods provide important diagnostic and prognostic information. As a first or second year fellow, the 2 months required in this area is designed to provide the general (level I) training necessary for a clinical cardiologist to understand the role of nuclear cardiology and cardiac CT in general clinical practice. This rotation will serve to allow the fellow to achieve competence in stress testing procedures. As an elective (additional months in the 2nd or 3rd year)

General Goals: Clinical Cardiac Electrophysiology requires an understanding of cardiac physiology, and anatomy, as well as cellular electrophysiology. Fellows must be able to diagnose and treat a variety of acute and chronic arrhythmias. This requires knowledge of safe and effective use of antiarrhythmic drugs as well as indications for pacemaker and defibrillator implantation, radiofrequency ablation, and electrophysiology testing. In addition, fellows are taught appropriate evaluation and management of documented or suspected arrhythmias, as well as risk stratification for sudden death. From

General Goals: The goals for the rotation include a broad experience in consultative/inpatient cardiology. This will include acutely ill patients in the intensive care units. In general, critically ill cardiac patients are evaluated by the CCU fellow, although the consult fellow may be called to assist in the evaluation of patients in the ED. Additionally consults will be seen and evaluated on the general medical and surgical floors. Through participation in the initial evaluation and ongoing care of these patients, the fellows will broaden their knowledge base in cardiology and in

General Goals: The goal of the rotation is to better understand the role of invasive testing in the modern day management of cardiovascular disease. The interaction and integration of the history and physical exam, pre-procedure imaging studies, hemodynamic and invasive imaging will be critically evaluated throughout the rotation. The fellow will have the opportunity to interact with multiple specialists with expertise in various areas of invasive/interventional cardiology. The fellow will be able to perform diagnostic procedure under direct attending supervision. Objectives: During the

Overall Rotation Goals and Objectives: This rotation provides an introductory experience in vascular and endovascular medicine. The goals of the experience are for trainees to become familiar with consultation in vascular medicine, diagnostic vascular imaging procedures, and the variety of peripheral artery interventional procedures, including, but not limited to: noninvasive vascular study interpretation, diagnostic angiography, peripheral interventions including carotid, vertebral, mesenteric, renal, aortic, iliac, and lower extremity intravascular interventions, as well as venous

General Goals: The goal of the echo lab rotation is to develop competence in the performance and interpretation of all the different modalities of echocardiography. This should be achieved in a logical step-wise approach of increasing complexity and depth of knowledge. This specific curriculum outlines the hands-on training requirements and the cognitive skills required, citing reading sources for achieving this knowledge. A clear reading curriculum is outlined for the fellows to follow and to be supplemented by attending Cardiologists as pertinent cases arise. This rotation, with others, also

General Goals: During the rotation the fellow will be responsible for the care of the patients in the CCU. This rotation, which spans 2 months in the first year, serves as an intensive introduction to the management of the most acute cardiac problems. The fellow is also responsible for initial evaluation and triage of patients presenting to the Emergency Department with suspected acute cardiac disorders. Objectives: At the end of this rotation, fellows are expected to be facile with: Evaluation, triage, management, and risk stratification of patients with chest pain. Management of patients

The cardiology training program broadly is divided into three areas: Inpatient and consultation Outpatient practice Invasive and non-invasive procedural and diagnostic testing The methods of assessing such procedural competence (cardiac catheterization, invasive procedures, cardioversions, echo/TEE, nuclear, etc.) are done through several mechanisms. Fellows will be supervised in all phases of invasive procedures in the cardiac cath lab, electrophysiology lab, and non-invasive lab for TEE procedures and cardioversions. Assessment is done through direct, daily supervision and instruction and

Teaching rounds will occur daily on the clinical services and procedural labs (echo, nuclear, cath). Rounds on the clinical services typically will take place in the morning. The procedural areas will also round daily to review all the diagnostic testing (cath, echo, nuclear). These services may round more than once a day depending on the clinical volume.