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 The Cardiology Fellowship Program is based on the West Campus of the Albert Einstein College of Medicine, Montefiore Medical Center (MMC) and the on the East Campus of the Albert Einstein College of Medicine Weiler Hospital (Weiler) and Jacobi Medical Center (JMC), and the Albert Einstein College of Medicine (AECOM).
General outline: The training program begins with one year of
formal, one-month long rotations through the various subspecialties, including
coronary care, cardiac catheterization, non-invasive cardiology,
electrophysiology and pacemaker services, nuclear cardiology, echocardiography
and consultative cardiology. The purpose of this initial period is to
familiarize the trainee with all aspects of clinical cardiology and the
expectation is that by the end of this period, the trainee will be facile with,
although not necessarily expert in, all aspects of clinical cardiology.
The additional expectation is that the trainee, with the help of the Program
Director and appropriate faculty, will have identified a broad career track and
an area of interest. Training during the second and third year is less
formal, although just as rigorous as in the first. During these two latter
years, fellows are frequently scheduled in block rotations of 2-4 months in duration.
These consist of clinical rotations in areas of subspecialization, such as cardiac catheterization, non-invasive cardiology,
consultative cardiology, and focused rotations in areas of defined interest
including research. The overall aims of the structured curriculum are to provide
the opportunity for the trainees to achieve the cognitive knowledge, psychomotor
skills, interpersonal skills, professional attitudes, and practical experience
required of a subspecialist. View the rotation schedule for
2005-2006 A. Scholarship Understanding research is critical to the training of modern subspecialists aspiring to academic careers. A Research experience is required in preparing for an academic career. For those fellows, block research time can be approved for laboratory experiences or to participate intensively in the research projects performed at one of the clinical laboratories. However preparation for a career in academic research invariably requires additional years of training. Fellows who will not have investigative careers will be expected to participate in various clinical trials run by the faculty. All fellows will be expected to co-author a paper for publication. Time can also be used to develop sophisticated technical skills during the pursuit of clinical research. A more detailed description of the research opportunities is provided in the section entitled "Cardiovascular Research Program" (see below). B. Call Schedule Night call is an important component of cardiology training at both MMC and AECOM. A great deal of acute cardiac pathology presents after hours. Additionally, the tertiary nature of the cardiology program mandates that things happen around the clock. We believe strongly that meaningful involvement of the fellows in these aspects of clinical cardiology is important for their education and development. We also believe that the cardiology fellows should be protected from the management of complex medical diseases that do not require subspecialty skills. Accordingly, medicine, critical care, and cardiothoracic surgery all have residents or fellows assigned to night coverage and cardiology is only consulted when appropriate. Approximately 60% of the primary night calls involve the first year fellows with the remainder covered by the second and third year fellows. A second or third year fellow is also assigned to backup call every night for both campuses. In general, the following rotation structure is anticipated during the training period. All fellows will rotate through the MMC and AECOM campuses and take night calls at both sites. The first year rotations are set to provide broad teaching for all of the fellows. After the first year of training, the rotation schedule is more individualized as much as possible and configured in a manner to allow for development of research experience and sophisticated skills by the trainees. We understand that the ultimate success of a curriculum is measured not by its structure but rather by the success of the trainees. The scholarly output of the fellows is evidenced by the many abstracts presented by clinical fellows at the national meetings of the American Heart Association and the American College of Cardiology. Still, other abstracts are accepted for presentation at other national and international meetings such as North American Society for Pacing and Electrophysiology (NAPSE), and the American Society of Echocardiography (ASE). Many of our recent graduates either accepted faculty positions at academic medical centers or opted to do additional subspecialty fellowship training at MMC / AECOM and other prestigious centers. |
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