The three-year program emphasizes training to develop a fellow into a
well-rounded clinical cardiology consultant. The specific structure of
the program varies somewhat from year to year. The first year is
generally comprised of 6 months on clinical services, 4 months on
non-invasive services including echocardiography and nuclear cardiology,
and 2 months of invasive cardiology. The second year is comprised of 4
months each of clinical services, non-invasive, and invasive services.
Fellows in the Cardiovascular Diseases Fellowship Program at Lankenau
Medical Center rotate on a variety of clinical rotations to become
well-rounded consultants in the management of the cardiac patient. These
rotations include intensive care unit service, cardiothoracic service
(including operating room experience) and clinical consultative
services. These consultative services span the spectrum of primary and
tertiary cardiology including electrophysiology referral practice,
interventional referral practices, and consultative cardiology involving
patients on internal medicine, general surgery, surgical subspecialties,
and obstetrics- gynecology services.
The noninvasive service stresses proficiency in the performance and
interpretation of conventional electrocardiographic and myocardial
perfusion imaging exercise tests, equilibrium scintigrams, first-pass
radionuclide studies, ambulatory ECG monitoring, M-mode, two-dimensional
and Doppler echocardiograms including color flow studies, exercise, and
transesophageal echocardiograms. Time away from the institution is
permitted to obtain 200 didactic hours in nuclear cardiology. This added
to the 1,000+ clinical hours of training during the fellowship have
qualified graduates of the program to obtain NRC (Nuclear Regulatory
Commission) Licensure for their nuclear laboratories. In addition, the
fellowship program includes training in peripheral vascular disease
including ultrasonography, cardiac rehabilitation and exercise
Each fellow spends at least 4-6 months in the Cardiac Catheterization
Laboratory during the first 2 years. Training in clinical
electrophysiology is included. A fourth year of cardiac catheterization
is mandated to become certified for cardiac interventional techniques.
All fellows rotating through this laboratory should become proficient in
pre- and post-catheterization care, routine Judkins' left heart
catheterization, right heart catheterization, temporary pacemaker
insertions, cineangiographic and hemodynamic data interpretation and
operation of the catheterization technology.
A third year of training is devoted to obtaining expertise in advanced
echocardiographic techniques. A fourth year of training is available in
electrophysiology including permanent pacemaker insertion and catheter
ablation techniques. A fourth year is also available for training in
coronary interventional techniques including angioplasty, atherectomy,
and stent placement.
Call and Vacation
Each fellow will be on call every fourth to sixth weeknight and every
fourth to sixth weekend. When on call, the fellow will be responsible
Swan-Ganz catheter and pacemaker insertions.
Portable M-mode and two- dimensional echocardiograms.
Emergency catheterization procedure.
Supervision of thrombolytic administration.
Assistance in the management of critically ill patients. Senior
fellows are scheduled as back-up call for emergency
interventional procedures and transesophageal echocardiography.
Each fellow is entitled to three weeks vacation each year in addition to
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