University of Cincinnati Medical Center Cardiac Catheterization Laboratory
The UCMC Cardiac Catheterization Laboratory rotation introduces trainees to heart catheterization and angiography. It also provides the experience necessary to achieve the skills required to independently and safely perform cardiac catheterization and to correctly interpret the hemodynamic and angiographic data obtained.
Each cardiology fellow will complete at least four months in the cardiac catheterization laboratories during the first three years of the fellowship.
Fellows desiring Level II certification in cardiac catheterization will need a minimum total of eight months in the cath lab. Level II certification permits trainees to independently perform cardiac catheterization after completion of fellowship training. An additional year of training is required to practice interventional cardiology.
In addition to technical procedure instruction, this rotation teaches fellows the indications and contraindications for cardiac catheterization, appropriate pre-procedure and post-procedure care, common complications of heart catheterization and interpretation of angiography.
In the UCMC cardiac cath lab, fellows will be instructed in vascular access, left and right heart catheterization, coronary and peripheral angiography, endomyocardial biopsy, intra-aortic balloon pump placement, temporary pacemaker placement and pericardiocentesis. Fellows will also be introduced to percutaneous coronary and peripheral intervention.
University of Cincinnati Medical Center Echocardiography
The echocardiography rotation through UCMC provides fellows with a general overview of all aspects of cardiac echocardiography and ensures fellows acquire the necessary expertise required to perform and interpret transthoracic, transesophageal, and stress echocardiography studies which are routinely encountered in the practice of general cardiology.
Each cardiology fellow will rotate on the UCMC echocardiography service for at least two months during the course of the fellowship.
On this rotation, the fellow will learn principles of echocardiography as pertains to the evaluation and management of patients with general cardiac disorders such as heart failure, coronary artery disease, valvular disorders, pericardial diseases and cardiac masses.
University of Cincinnati Medical Center Nuclear Cardiology
Each cardiology fellow will have the opportunity to rotate on the nuclear cardiology service for at least four months during the course of the fellowship. On this rotation, the fellow will learn the strengths and limitations of nuclear stress testing modalities, optimal stress test selection, how to safely and effectively conduct stress testing and how to accurately interpret stress studies.
University of Cincinnati Medical Center Float/Nuclear/Research
The UCMC float/nuclear/research rotation provides additional training in the nuclear cardiology lab. It also gives a designated fellow the responsibility for cross-coverage when other fellows are on vacation, at meetings or absent due to an illness or emergency. This rotation may also provide time to work on research projects.
University of Cincinnati Medical Center/VA Medical Center Night Float
The UCMC/VA Medical Center Night Float rotation is conducted in conjunction with the UCMC nuclear cardiology rotation. During this one-month rotation, two fellows share the night float duties and cover the UCMC nuclear cardiology service. The primary purpose of the night float rotation is for fellows to learn to cover a variety of acute cardiac issues in the on-call setting.
University of Cincinnati Medical Center/VA Medical Center Electrophysiology
The electrophysiology (EP) rotation through UCMC and the VA Medical Center provides fellows with a general overview of all aspects of cardiac electrophysiology and ensures fellows acquire the necessary expertise required to manage the electrophysiology disorders routinely encountered in the general practice of cardiology.
Each cardiology fellow will rotate on the EP service for at least two months during the course of the fellowship. On this rotation, the fellow will learn how to evaluate and manage patients with electrophysiologic disorders in both the inpatient and outpatient setting. The fellow will also be introduced to the performance of a variety of EP procedures and will be taught the basics of pacemaker/ICD management and device interrogation.
The multidisciplinary rotation provides fellows with exposure to clinical fields closely related to adult cardiovascular diseases.
These fields include pediatric cardiology, adult congenital heart disease, cardiothoracic surgery and cardiac rehabilitation.
Dedicated research time is built into the rotation's weekly schedule.
Each fellow will complete one month on the multidisciplinary rotation during the course of the fellowship. The elements specific to each component of this rotation will be described in the three separate curricula (cardiothoracic surgery, Cincinnati Children’s Hospital Medical Center pediatric/adult congenital heart disease) that follow.
The cardiothoracic surgery and cardiac rehabilitation rotation provides exposure to cardiothoracic surgery, cardiac anesthesia and cardiac rehabilitation. Each fellow will complete one month on this rotation during the course of the fellowship.
Cincinnati Children's Hospital Medical Center Pediatrics/Adult Congenital Heart Disease
The Cincinnati Children's Hospital Medical Center Pediatrics/Adult Congenital Heart Disease rotation provides exposure to pediatric cardiology and adult congenital heart disease. Each fellow will complete one month on this rotation during the course of the fellowship.
Cardiac CT and MRI
Each cardiovascular disease fellow will rotate on the Cardiac CT/MRI rotation for at least one month during the course of the fellowship. During this rotation, fellows will be introduced to the acquisition and interpretation of cardiovascular CT and MRI imaging studies. This rotation is a joing rotation at UCMC and the Christ Hospital.
Introduction to Research
The introduction to research rotation provides first-year fellows with broad exposure to the research opportunities available within the cardiovascular diseases division. Each first-year fellow will spend one month on this rotation.
The fellow will be exposed to both clinical and basic science research. By the end of the month, the fellow is expected to have identified the area of research in which he/she will participate and be paired with an appropriate mentor.