In addition to supplementing the learning experience in other areas, the consult service rotation, along with the acute service rotation and ambulatory rotations, is designed to provide the trainee with Level I competency in the following areas: Specific curricular milestones relevant to the consult service (and overlapping with acute service and ambulatory rotations), as they relate to the Core Competencies promulgated by the ACGME, are adopted as outlined in the COCATS 4 Task Force 1 and Task Force 2 documents. A majority of the lecture series will have content pertinent to this rotation and curriculum. Fellows will be assigned a half-day clinic schedule comprising new patients and return visits. This will include: Additional scheduled time (as elective rotation or concomitant with other rotations) in the vascular imaging lab. Maintain professional interactions and high quality communication with all members of the clinic team and staff. Provide cardiology consultation on patients in the ICU, as requested. The Adult Congenital Heart Disease rotation is typically offered during the second or third year of fellowship training. Previous nominees from the Cardiovascular Disease Fellowship are listed here. Further exposure to cardiac magnetic resonance imaging content is composed of, but is not limited to, ordering, reviewing, and applying results from cardiac MRI studies is anticipated for all fellows on the following rotations: The cardiac MRI portion of the Vascular/Imaging rotation and associated training are designed to provide the fellow, within the standard three-year program, one potential level of COCATS training: COCATS Level II training requires a minimum of three months of dedicated training in cardiac MRI. When assigned, prepare cases for the Nuclear/Cath Correlate Conferences with appropriate correlations to coronary angiography and other imaging modalities. Notify the respective faculty of expected attendance or, if unable to attend the scheduled sessions, notify as a courtesy for their involvement in the program. Be cognizant of indications to withhold or adjust standard treatment. This elective is part of a joint pediatric cardiology and pediatric cardiovascular surgery medical mission trip, supervised by faculty physicians Dr. Stephen Cyran and Dr. Jack Myers, both of whom have over 30 years of individual experience in this arena. Each year at the programs graduation ceremony, one Cardiovascular Disease fellow receives the ECG Interpretation Award. In addition, there are numerous great restaurants with a wide variety of cuisine to choose from. Cardiac critical care is the ICU sub-specialty that best captures the aspects of critical care that drew me to the field in the first place. The conference is attended by the pediatric cardiothoracic surgery team, pediatric interventional cardiology, general pediatric cardiology, adult congenital heart disease, pediatric radiology, neonatology, pediatric critical care, cardiac sonographers and other learners including residents and medical students. Samii and Hussain. Program Description: The program is a 12-month training experience available to graduates of a fellowship in adult cardiology and will accept one fellow per year. The current rotation schedule for each of the three years of fellowship is listed below. Performed throughout the morning on all weekdays. Specific outpatient topic reviews will occur as a part of: The ambulatory clinics overlap extensively with almost all areas of cardiovascular training and promotes competency across many of the designated training goals as outlined in COCATS 4. Penn State Health Milton S. Hershey Medical Center has a Heart and Vascular Institute Intensive Care Unit. Have questions, or suggestions for missing content? All applications are reviewed in their entirety. Interested fellows must discuss the opportunity to achieve COCATS Level II training during general fellowship with a member of the EP faculty. Research options include clinical research with Childrens Heart Group faculty, several of whom are involved in multi-institutional projects and/or grants, as well as opportunities for basic science research through the Penn State Center for Pediatric Cardiovascular Research. 215-662-6005 Email Us In this program, fellows have the opportunity to participate in the development of cardiac case stimulations for the residents, run real-time simulation cases and lead educational debriefing sessions with resident teams. Another distinguishing feature of the program is an effort to tailor each fellows schedule to his or her needs. Fellows engage in discussion and teaching of anatomy, hemodynamics, pathophysiology, and potential patient management strategies. Robert D. Tunks, MD Local Penn State Health clinic: Fellows Clinic with Dr. Leaman. Applications will not be received outside of ERAS, and positions will not be filled outside the match. All fellows are expected to achieve COCATS Level I training within the first two years of fellowship. Get directions. They will learn to provide evidence-based treatment strategies within a family-centered care model. Phone: 412-648-9636 Communicate procedural findings and/or testing results to the referring team. The following documents should be uploaded to ERAS for review: Thank you for your interest in our program. The Clinical Simulation Center also offers a variety of multi-disciplinary courses in areas such as central line placement and ECMO management, allowing for additional hands-on learning. Contact person: Rich Bradford (or any exercise physiologist), Review and provide preliminary interpretation for ambulatory ECG monitoring (Holter monitors). Be aware of the risk and benefits of sedation and of the TEE and provide informed consent to the patient or surrogate. Be cognizant of indications to withhold or adjust standard treatment. Additional recent teaching by fellows includes medical student education in cardiac gross anatomy, resident education in the simulation center, and a NICU Postgraduate Fellowship Cardiac Lecture Series. Provide daily sign out on consult patients to the on-call cardiology fellow on a daily basis. Under the mentorship of Dr. Imundo, fellows will prepare and present a case, including clinical data, timeline, fishbone diagram, and literature review, for an open and professional multidisciplinary team discussion aimed at improving patient care. Please note, schedules are individually reviewed and personalized based on trainee interests, skills, and goals. They are included in this curriculum with the appropriate associated Evaluation Methods for fellows. Fellows gain experience with the use of LVADs and ECMO and caring for patients after cardiothoracic surgery. Penn State College of Medicine and Penn State Health Milton S. Hershey Medical Center accept ongoing nominations for the Exceptional Moments in Teaching award. Network of Under-represented Residents and Fellows Administer moderate conscious sedation and perform the TEE under the direct guidance and supervision of the TEE attending. Additional outpatient experiences occur regularly in general pediatric and subspecialty clinics, with experiences customized to trainee interests and career goals during the final years of fellowship. Four weeks of vacation are allocated per year. Specific inpatient topic reviews will occur as a part of: The acute service rotation overlaps extensively with almost all areas of cardiovascular training and promotes competency across many of the designated training goals as outlined in COCATS 4. The Childrens Heart Group is a regional center of excellence in the care of children with heart disease. Applicants must be eligible for or hold a Pennsylvania medical training license or medical license. The acute service rotation provides the opportunity to evaluate, diagnose, and treat patients admitted to the hospital with a primary cardiovascular issue, encompassing a broad range of cardiovascular disease and disorders. This includes understanding the mechanisms and management of arrhythmias required to provide comprehensive patient care. P.O. Pediatric cardiology fellows have the opportunity to attend camp, lead various educational sessions, and get to know the campers during activities such as kayaking, archery, kickball and pottery. There is no dedicated Acute Service Lecture Series. Click the + next to a nominee name to read their nominators comments. All fellows will have a minimum of six months of direct echocardiography experience. The medium-sized academic program allows for the combination of a close-knit, personalized fellowship experience within all that an academic medical center has to offer. See more about the award here. Responsible for consult note on cardiology consult patients and rounding with appropriate cardiology attending. Attend, supervise or perform any necessary bedside procedures based on the skill level of associated house staff team members. The Cardiovascular Medicine Fellowship at the University of Pittsburgh offers: Denise Goppman Outpatient Continuity Clinics (HMC and VA). Facilitated by the maternal fetal medicine (MFM) perinatal coordinators, the meeting includes a brief review of each maternal/fetal case currently cared for within the Perinatal Program, with in-depth multidisciplinary commentary and discussion as appropriate. Specific curricular milestones for vascular imaging, as they relate to the Core Competencies promulgated by the ACGME, are adopted as outlined in the COCATS 4 Task Force 9 document. A faculty mentor is identified based upon individualized career and research goals. Attend planned cardiac CT studies when possible. Longitudinal outpatient experiences in . All fellows will have a minimum of two months of direct electrophysiology experience. The consult service rotations are also a component of the fellows exposure to ECG interpretation with routine review of inpatient ECGs. The Office for Culturally Responsive Health Care Education was formed to help meet that goal. Discuss appropriate use criteria (AUC) for diagnostic catheterization, pertaining to the case. The goal of the cardiac catheterization laboratory rotation is to provide the general cardiology fellow with the requisite cognitive and technical knowledge of invasive cardiology. NURF is sponsored by the Penn State College of Medicine Graduate Medical Education Office and the Penn State Health Office for Diversity, Equity and Inclusion. Trainees are encouraged to develop a quality improvement project to enhance system based practices that will help him or her throughout their professional careers. We come to know our fellows well, and are able to tailor their educational experience based on their interests, skills and career aspirations. Wednesday and Friday mornings in the cardiac clinic (fourth floor, Building 21) of the Lebanon VA hospital. When the presentation is provided by residents or medical students (most common), provide supplementary information as necessary. COCATS Level III training requires experience beyond a three-year fellowship and by definition cannot be obtained during general fellowship in cardiovascular disease. Provide education to the residents, medical students and other consult service team members. Minimum number of TTE examinations performed/interpreted: 75/150. Graduate level course work is available through the Penn State College of Medicines. Intensive experience in multi-disciplinary inpatient care. Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Observe and participate in device interrogations and programming in the outpatient device clinic and on the inpatient units. Interested applicants should review the "To Apply" section of the program of interest or contact the program for any additional questions regarding the interview process. Discuss planned protocol with the responsible faculty. All Level I milestones represent minimum expectations during general fellowship. The Multidisciplinary Pediatric Cardiac Surgery Case Conference is a weekly session occurring Thursdays from 7:30 to 9 a.m. During this conference, fellows have the opportunity to prepare and present clinical cases for diagnostic and management input, including discussion of surgical or catheter based intervention. The program hopes to make this event a tradition. Drs. Located in the heart of Pittsburgh, we take immense pride in our well-rounded, clinically robust academic cardiology training program. The Network of Under-represented Residents and Fellows (NURF) is a group of diverse residents and fellows representing all specialties. Fellow attendance and participation is encouraged. COCATS Level III training requires experience beyond a three-year fellowship and by definition cannot be obtained during general fellowship in cardiovascular disease. Privacy Policy | Participate in the weekly Structural Heart Disease (SHD) multidisciplinary meetings. Fax: 412-648-2117, Department of Medicine Attend and participate in the echocardiography conference series throughout the year. Penn was the cradle of electrophysiology in the 1970s. Additional elective time for interested fellows is available. The Pediatric and Congenital Cardiac Imaging Conference is held weekly on Friday mornings from 7 to 8 a.m., led by Dr. Stefek. NURFs goal is to promote cultural diversity in the residency programs through community involvement, mentorship with diverse faculty, professional networking and support for the recruitment of diverse medical students into the residency programs. Throughout the second and third year of fellowship, fellows are expected to participate in data collection and statistical analysis with the goal of developing at least one manuscript for publication. Silver clinic. 600 University Dr. Applicants must have completed an ACGME-accredited residency in Pediatrics or combined Internal Medicine/Pediatrics prior to the fellowship start date. 412-647-3429 Additional learning and teaching opportunities exist in the gross anatomy lab throughout the year. The cardiac CT portion of the Vascular/Imaging rotation exposes the fellow to the basics of cardiac CT. Additional elective time for interested fellows is available. This will include pre-procedural, procedural, and post-procedural planning and management, including the appropriateness of the planned procedure. This is an excellent educational opportunity to participate in multidisciplinary discussion on the optimal management course for patients, including recent literature and applicable evidence-based guidelines. Performed one-on-one with the Health Physics Department. supported browser. Fellowship candidates are encouraged to pay close attention to ERAS and NRMP calendars for this season, which may be different than prior years, and adhere to all deadlines to ensure a successful match. The cardiology division is part of the Heart and Vascular Institute. Clinical rotations are performed alongside accomplished faculty valued for their teaching skill, and are supplemented with an extensive series of lectures and conferences covering all major areas of cardiovascular medicine. Our program wishes all applicants a successful match! The ambulatory clinic rotations are also a component of the fellows exposure to ECG interpretation with routine review of ECGs. Further exposure and overlap experience to electrophysiology content comprises, but is not limited to, ECG review and interpretation, arrhythmia diagnosis and management, and pacemaker/AICD exposure is anticipated for all fellows on the following rotations: The electrophysiology rotation and associated training is designed to provide the trainee, within the standard three-year program, two potential levels of COCATS training. They are included, with the appropriate associated Evaluation Methods for fellows, as a separate document referenced by all associated rotations. All fellows are expected to achieve COCATS Level I training during the fellowship. Participate in Cardiac MRI and TEEs of ACHD patients when scheduling permits (Cardiac MRIs predominantly performed on Tuesdays). These lectures incorporate both fellow- and faculty-led didactic review of basic electrophysiology concepts. The heart failure service rotation provides the opportunity to diagnose, evaluate and treat patients who encompass a broad range of heart failure disorders. An on call echo faculty will always be available for TEEs and as back-up for TTEs. It is anticipated this level of training will be pursued by fellows who desire to move on to Level III subspecialty training in electrophysiology or who intend a career in an area with limited access to EP specialists. When assigned, prepare a topic or case review for presentation during electrophysiology conference. Timing of rounds is typically at least twice a day in the morning and afternoon. This allows you to both focus in a narrow subsection in the field based upon your interests and career goals, as well as become a well-rounded pediatric cardiologist., I love hiking and outdoor activities and am a total foodie! In December 2017, the system partnered with Highmark Health to facilitate creation of a value-based, community care network in the region. Ultimately the cardiac catheterization laboratory rotation provides a platform for teaching and learning the core knowledge base of cardiac anatomy, physiology, pathology and therapeutics that all cardiologists should possess regardless of whether they perform invasive cardiovascular procedures. Scheduled, recurring learning opportunities taught by faculty include procedural simulations such as pericardiocentesis and introduction to transesophageal echocardiography. To be completed as timely as possible, no later than the end of the day. Additional elective time for interested fellows is available. Dr. Luck was an electrophysiologist and educator with Penn State Heart and Vascular Institute for many years and quizzed fellows thoroughly on their ECG interpretation skills. This will be obtained during the combined Vascular/Imaging rotation and in aggregate exposure on other rotations. Trainee should find a faculty member to assist with the development of clinical questions and to oversee the scientific method as it pertains to cardiovascular research or scholarly activity. The attending physicians and staff were always welcoming and engaged in teaching. As a fellow, I felt responsible for my clinical work but well supported at the same time. COVID-19 Update for the 2023 Interview Season In accordance with national recommendations and in fairness to all fellowship candidates, some of whom remain under travel restrictions, in-person interviews will again be suspended for the 2023 interview season. UPMC Find A Doctor, For Physicians: 1-866-884-8579 | 412-692-2400 Review and confirm patient assessments performed by medicine resident and fellow coverage from night and weekend admissions. These rotations also include a high level overview of radiation biology and safety training. Email: elisabeth.reitman@yale.edu. Participate in the planned procedure in a manner commensurate with the fellows current level of experience under the direct guidance of the involved faculty. Penn State College of Medicine and Penn State Health are committed to addressing wellness among residents and fellows, with multiple resources readily available. A special emphasis is placed on ensuring that each fellow establishes a mutually beneficial relationship with a faculty mentor. Monday mornings begin with a cardiac catheterization conference from 7:15 to 8:30 am, facilitated by Dr. Weber. When necessary, contact ordering physicians directly with significantly abnormal or unexpected findings (such as abnormal stress test, cardiac tamponade, or new diagnosis severe aortic stenosis). In addition to supplementing the learning experience in other areas, the acute service rotation, along with the consult rotation and ambulatory rotations, is designed to provide the trainee with Level I competency in the following areas: Specific curricular milestones relevant to the acute service (and overlapping with consult service and ambulatory rotations), as they relate to the Core Competencies promulgated by the ACGME, are adopted as outlined in the COCATS 4 Task Force 1 and Task Force 2 documents. The goal of the interventional fellowship is to prepare the fellow to be a skilled, independent operator in the performance of diagnostic and therapeutic cardiac . Penn State College of Medicine and Penn State Health Milton S. Hershey Medical Center are committed to establishing and maintaining high-quality graduate medical education training programs.
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