|First Year||Second Year||Third Year|
|Orientation: 1 block||Echo Lab: 2 blocks||Echo Lab: 2 blocks|
|Echo Lab: 2 blocks||Cath Lab: 2 blocks||ACHD: 1 block|
|Cath Lab: 2 blocks||Electrophysiology: 1 block||Cardiac CT: 1 block|
|Electrophysiology: 1 block||CVICU: 1 block||Cardiac Mri: 1 block|
|CVICU: 1 block||VA Cardiology: 1 block||Elective: 8 blocks|
|VA Cardiology: 1 block||Consults: 2 blocks|
|Consults: 2 blocks||Advanced HF: 1 block|
|Advanced HF: 1 block||Nuclear: 1 block|
|Nuclear: 1 block||Night Float: 1 block|
|Night Float: 1 block||Elective: 1 block|
*each block is 4 weeks long
Outpatient Continuity Clinic
Each fellow has one-half day per week of clinic for the 36 months of training. There is exposure to a wide age range of patients, from adolescence through old age, including an appropriate distribution of both genders, with a spectrum of cardiovascular diagnoses. This includes post-operative patients, patients with congenital heart disease and patients for evaluation and management related to pregnancy.
Each fellow is, on average, responsible for 4-8 patients during each half-day session. The outpatient clinical experience is provided in four different settings on a rotating basis:
- MedStar Washington Hospital Center Cardiology Outpatient Clinic
- Washington DC Veterans Affairs Medical Center Cardiology Ambulatory Clinic
On any given night, two fellows are on call. One fellow is in-house at MedStar Washington. This coverage is provided as part of a night float system. His/her on call duties begin with sign out rounds in the Cardiovascular Intensive Care Unit (CVICU) at 7:00 p.m., and end at 7:30 a.m. the following morning, with sign off to the CVICU rotation fellow. A night float system is used to cover the in-house call schedule.
A separate fellow take home call to cover the consultative service needs at MedStar Georgetown University Hospital and the Washington DC Veterans Affairs Medical Center.
Moonlighting is allowed as long as it does not interfere with the ability of the fellow to achieve the goals and objectives of the educational program. All moonlighting must be approved by the Program Director.