Clinical Cardiac Electrophysiology Fellowship

Much of the learning for the CCEP Fellows take place in the Cardiac Electrophysiology Laboratory. Nevertheless, CCEP Fellows learn to manage of patients with actual or potential arrhythmias in the EP Consult service and in Clinics. The first-year cardiac electrophysiology fellow is assigned several months in the Cardiac EP Consult Service. This will enable the fellow to learn how to manage patients with arrhythmias or symptoms potentially attributable to arrhythmias, as well as learn indications for procedures. Fellows will also be expected to become proficient in all cardiac electrical device implants, particularly routine pacer/defibrillator implants, conduction system pacing, leadless pacer implants and coronary sinus left ventricular lead implants. They will also become proficient at performing diagnostic electrophysiology studies for supraventricular and ventricular tachycardia and begin learning skills for catheter ablation. The Fellow will be trained to become an interventional electrophysiologist by learning such techniques as transseptal catheterization, and the use/interpretation of 3D electroanatomical imaging and intracardiac echocardiography. The Fellows will learn laboratory techniques to maximize patient safety and comfort and minimize potential complications. All fellows are assigned a 4-week block of research early in the year to set up a research project with the appropriate mentor.

The second-year CCEP fellow will continue to grow in their clinical decision making, technical competence and overall knowledge base. Fellows will be expected to successfully diagnose different mechanisms of SVT during the performance of EP studies and will also continue improving their technical skills. Fellows will become proficient in routine catheter ablations (atrial fibrillation, premature ventricular complexes, and SVT) and participate in our complex ablations (VT/left atrial arrhythmias and more). By the end of the second year, the fellow will be ready to practice clinical cardiac electrophysiology in an academic or private practice setting. The 2nd year CCEP Fellows are granted a 4-week research block and are expected to present an abstract of their research and prepare a manuscript for publication.

Importantly, Fellows learn how to continuously learn so they can maintain the most up-to-date skill set necessary to care for patients in the years and decades to come.

In addition to direct teaching in the laboratory, on rounds or in the outpatient setting, CCEP fellows will participate in the following teaching activities:

• Weekly Electrophysiology Case Presentation Clinical Conference;
• Attend Electrophysiology Core Curriculum Conference weekly;
• Attend Cardiology Grand Rounds weekly;
• Attend the Electrophysiology Journal Club monthly with responsibility to lead discussion on ≥one electrophysiology topic at each session
• Attend the Electrophysiology Research Conference monthly, with responsibility for presentation at least once per year; and
• Attend at least one of the following national meetings annually: American Heart Association, American College of Cardiology or Heart Rhythm Society (HRS) and also attend appropriate Industry Sponsored Educational Conferences. Fellows with abstract presentations have priority for attendance at meetings. However, it is expected that each CCEP Fellow will attend HRS annual conference at least once during the 2-year program.