Clinical education and experience is provided by a busy pediatric cardiology inpatient service, as well as an active outpatient service that allows fellows to follow patients starting in their first year of postgraduate training. Progressive responsibility is added for performance and analysis of cardiac catheterizations, interventional catheterizations, electrophysiological procedures, and the full range of non-invasive diagnostic modalities including the most recent modality like 3D echocardiography and pediatric cardiac MRI. Supervision provided by faculty in each of the areas is appropriate to the level of training and the demonstrated skill of the fellow.
On the inpatient rotation fellows evaluate and care for all surgical and medical patients admitted to the cardiology service. Fellows manage patients pre-operatively, and are actively involved in the management of all post-operative patients in the cardiac intensive care unit. Fellows on the inpatient service also consult on patients presenting in the emergency room, and evaluate emergency medical and surgical cardiac cases admitted to the hospital.
The catheterization service provides fellows with opportunities to evaluate patients prior to the procedure, discuss upcoming procedures and family concerns with patients and their families, perform catheterizations, evaluate the studies with the faculty mentor, and present the catheterizations in the combined pediatric cardiology-surgery catheterization conference. In addition to diagnostic hemodynamic catheterizations, fellows learn to perform and analyze interventional procedures and electrophysiologic studies. They gain experience in radiofrequency ablation, transesophageal pacing, and pacemaker insertion in the cardiac catheterization laboratory.