Preventive Cardiology Clinical and Research Components

Fellows spend 2-3 days per week in the Preventive Cholesterol Management/Preventive Cardiology Clinic under Dr. Thompson’s supervision.

Two days per week are spent with patients in the Cardiac Rehabilitation Program. The fellow learns to design appropriate exercise training regimens for the patients and to run such a program.

The educational approach is experiential with supervision. In all experiences the fellow is required to be the first to meet the patient to formulate an appropriate plan and to discuss this with Dr. Thompson.

Participant’s supervisory and patient care responsibilities

The fellows do not rotate through various experiences, but spend their year in the Preventive Cholesterol Management/Preventive Cardiology Clinic, the LDL Apheresis program, the Cardiac Rehabilitation Program, the Athletes’ Heart Program, and Preventive Cardiology Research. The teaching approach is patient-based experience with faculty review and discussion, plus targeted research projects and review of the literature.

Procedural requirements

None.

Didactic components

Weekly sessions are held in various subspecialties including: noninvasive cardiology, cardiac catheterization, prevention cardiology, arrhythmia services, journal club, chief’s rounds, and cardiology grand rounds.

Program Length

Twelve months (6 months preventive and 6 months nuclear).

Evaluation Process

Fellows will be evaluated monthly on progress of research projects and gained clinical skills. This will be performed by each section leader. The curriculum remains the same regardless of the pathway the applicant comes from as the fellowship provides a way for the trainee to gain a new set of clinical experiences.


Nuclear Cardiology Clinical and research components

Clinical components

The nuclear cardiology fellow will participate in all activities of the nuclear cardiology laboratory. This includes evaluation of patients referred for procedures such as chest pain evaluation, myocardial viability evaluation, cardiac sarcoid evaluation, status of therapies in patients with known coronary artery disease. The fellow will interview the patient and work with the attending physician to perform appropriate stress procedures. These include vasodilator stress, dobutamine stress, exercise stress, and combined pharmacologic exercise procedures. The fellow will also participate in the interpretation and determination of clinical significance of the nuclear cardiology procedures in a formalized didactic session with the attending physician and cardiovascular fellows. The noninvasive fellow will also participate in the determination of clinical significance of the study results.

Research components

The nuclear cardiology laboratory is actively involved in clinical research. The research fellow will participate in several of these protocols which include recruitment of patients, performance of procedure, and interpretation of data. The fellow will actively participate in abstract or manuscript preparation. From these projects, it is also anticipated that the noninvasive fellow will identify projects of his/her own which would include development of the protocol, initiation of the study, and completion of data entry and data analysis for abstract/manuscript preparation. It is anticipated that at least 2 full manuscripts will be written and submitted during the year’s experience.

Participants supervisory and patient care responsibilities

No direct patient care responsibilities are anticipated in this program. The participant is occasionally asked to supervise residents and/or fellows in research rotations throughout the year.

Procedure requirements

No procedure requirements are necessary. The fellow will learn stress tests and procedures as well as nuclear cardiology interpretations.

Didactic components

The fellow is asked to participate in several activities of the cardiovascular fellowship program as a learning tool for the noninvasive fellow.

Program length

12 months (6 months preventive and 6 months nuclear).

Evaluation Process

Fellows will be evaluated monthly on progress of research projects and gained clinical skills. This will be performed by each section leader. The curriculum remains the same regardless of the pathway the applicant comes from as the fellowship provides a way for the trainee to gain a new set of clinical experiences.