Cardiovascular Fellowship Curriculum Overview
About the Program Curriculum
The cardiology training program is based on Core Cardiology Training Symposium (COCATS4) guidelines and takes into consideration the core missions of UCR School of Medicine which includes serving the healthcare needs of Inland Southern California. There is emphasis on:
- The 15 content areas delineated by COCATS4 plus population health as the 16th content area with achievement of competence in all these areas.
- The six core competencies delineated by ACGME with addition of scholarship and population and community health additional areas of competencies.
- Milestone monitoring, evaluation and declaration of independence.
- Continuity of care emphasis combined with training in specific specialized areas.
Education and training of our post-doctoral cardiology trainees is an important mission of this division, the department, institution and the medical school. It is anticipated that each cardiology trainee at the end of his/her training will be a competent cardiologist with superior bedside, interpersonal and communication skills as well as excellent procedural skills and medical knowledge in most major aspects of cardiology. We expect the fellows to be cognizant in research methods and population health and be competent to apply these tools in their practice when the graduate.
Principal Goals and Philosophy
Education is bidirectional, and benefits both the trainee and the faculty. This leads to superior patient care and outcomes. Each cardiology trainee must assume a major role in his/her own education through participation in clinical care under supervision and through active presentations and discussions in the teaching conferences.
Our program will strive to deliver the best possible training and endeavors to improve continually to produce the best possible cardiologists suited both to clinical practice and academic medicine, preferably serving the Inland Southern California.
Cardiovascular Fellowship Rotations & Experience
Ambulatory, Outpatient Consultative and Continuity Care Clinics
Ambulatory experience will obtained through continuity and specialized clinics. The specialized clinics include: arrhythmia, cardiac device, vascular, heart failure, aortic/marfan, valvular, structural heart disease, VAD/transplant, preop, cardio-oncology and device optimization clinics. Most of the clinics will be in the ambulatory building adjacent to the hospital.
Heart Transplant and LVAD Clinics
We do not have a separate program, but elective time will be offered at to gain experience in this at Cedars Sinai Medical Center in Los Angeles.
This will be under the supervision of Dr. Ravi Sureddi and Dr. Edward Abdalla. Goal is to get insights into ambulatory management of all types arrhythmias, understand indications for ablation, ablation options and their outcomes. The fellows will also get insights into complex management of Afib including ablation and appendage closure.
Under the supervision of Dr. Ravi Sureddi and Dr. Edward Abdalla. The fellows get experience in the management of ICD, pace makers and loop recorders.
Adult Congenital Heart Disease Clinic
Under the supervision of Dr Kanakriyeh. There will also be an option to gain experience at UCLA’s ACHD program.
Valve and Structural Heart Disease Clinic/Program
This is a multidisciplinary clinical management program including surgeons, cardiologists, anesthesiologists and nursing professionals to manage complex valvular and structural HD problems with or without surgery or devices.
Vascular and Aortic Clinic and Program
This is under the supervision of Ashish Mukherjee, M.D. and Prabhdeeb Sethi, M.D. The goal is to learn vascular ultrasound, evaluation of peripheral vascular disease, carotid disease, aortic aneurysms, selection of appropriate therapies and hybrid approaches. There will be exposure to carotid and peripheral artery stenting, EVAR etc. John Kearney, M.D. (vascular surgeon) will help in mentoring for surgical exposure of the arteries and arteriotomy. Continuity of experience from clinic to interventions in cath lab (arterial interventions) and clinic (venous ablation) to back in the clinic for f/u and secondary prevention.
Critical Care and Cardiac Consultation Rotation (St. Bernardine's Medical Center)
A specific objective of this rotation is to make a cardiology trainee knowledgeable in the management of acute cardiac illnesses requiring admission into the Intensive Care Unit. Also the resident will learn consultative cardiology for in-hospital patients.
Cardiac Cath Lab Rotation
Objectives: To develop the skills required to perform diagnostic cardiac catheterization and selective angiography. To learn derivations and interpretations of hemodynamic data obtained in the cardiac catheterization laboratory. To develop cognitive skills relative to indications for cardiac catheterization and angiography and planning management decisions after acquisition of clinical and laboratory data in adult patients with suspected heart disease.
Cardiac Electrophysiology Rotation
Specific objectives of this rotation are to learn about (a) current management of refractory arrhythmias including EP testing and use of drugs and devices, (b) indications and management of patients who are candidates for EP ablations or pacer and ICD devices.
Echocardiography Laboratory Rotation
Objective: A specific objective of this rotation is to familiarize the cardiology trainee with interpretation as well as technical skills of echocardiography (Both TTE and TEE) with emphasis on strengths and limitations of the procedure and use of appropriateness criteria.
Nuclear Cardiology Rotation
An average of 25-30 nuclear cardiology studies will be performed at St. Bernardines Hospital on a weekly basis. The cardiology trainee, in the morning session, will review the patient's chart, investigations, and indications for the nuclear study. He/she will explain to each patient the indications and potential complications of the study, and obtain a written informed consent. He/she will actively participate in the resting portion of the nuclear study. The exercise provocative portion of the nuclear study will be done in the cardiology department starting at noon. The cardiology trainee will actively participate in the exercise test, adenosine or Lexiscan nuclear studies. After completion of the studies, the cardiology trainee will interpret the nuclear studies and generate a report under the supervision. During this rotation there will be specific readings in nuclear cardiology that will be recommended. The cardiology trainees will also be encouraged to read the regular American College of Cardiology Hot Topics in nuclear cardiology.
Cardiac CT and MRI Rotations
The specific objectives of this rotation is to familiarize the cardiology trainee with selecting patients for CMR and cardiac CT, understanding the strengths and limitations of CMR compared to other cardiac imaging techniques, technique of performing cardiac MRI and various CMR sequences, familiarity with interpretation of CMR images. This should amount to level I training in CMR and Cardiac CT.
Research training and critical thinking are integral parts of fellowship training, irrespective of subsequent career plans. A good understanding of research methods is essential to continue self-education beyond the formal fellowship years. Each cardiology trainee will actively participate in research projects and monthly research conferences under faculty guidance and supervision.