Provide clear documentation of the cardiac assessment and plan with attention to any specific questions raised by the requesting team. Please note, schedules are individually reviewed and personalized based on trainee interests, skills, and goals. I am delighted you are interested in the pediatric cardiology fellowship program at Penn State Health Childrens Hospital. The curriculum for the Cardiovascular Disease Fellowship at Penn State Health Milton S. Hershey Medical Center is divided into 14 components. Additional elective time for interested fellows is available. We have heart experts who specialize in: Vascular disease. The minimum numbers for participation in temporary pacemakers and ECVs are outlined, but observing all the procedures at least once is encouraged. The team has extensive experience and expertise in: Approximate Childrens Heart Group annual case volumes: Interested in learning more about living and working in Hershey, Pa.? See more about the award here. Review and provide preliminary interpretation of the resting and stress ECGs (at the Medical Center). They are included in this curriculum with the appropriate associated Evaluation Methods for fellows. In light of COVID-19, Penn State Health will be conducting all interviews virtually for the 2022-2023 residency and fellowship application cycles. Fellows will work directly with their mentor to explore clinical questions of interest and review the literature to develop ideas for their scholarly project. HeartAndVascular@upmc.edu | HVI website This is an excellent educational opportunity to participate in multidisciplinary discussion on the optimal management course for patients, including recent literature and applicable evidence-based guidelines. 600 University Dr. The rotation will also provide exposure to transplant medicine and management of patients both pre- and post-transplant. They are included, with the appropriate associated Evaluation Methods for fellows, as a separate document referenced by all associated rotations. I also dabble in oil painting and mixed media art. When appropriate arrange for TEE with anesthesia. Administer moderate conscious sedation and perform the TEE under the direct guidance and supervision of the TEE attending. Evaluation, continuing care, and cardiovascular disposition planning of patients in the emergency room and admitted to non-cardiology services when a cardiology consultation is requested. All fellows are expected to achieve COCATS Level I training within the first two years of fellowship. Graduate level course work is available through the Penn State College of Medicines. Many Childrens Heart Group families and their heart kids attended and shared their stories at this sold-out fundraising event. 24 hours/day, 365 days/year. Review and confirm patient assessments performed by medicine residents and fellow coverage from night and weekend consults. Maintain a functional knowledge of all patients being followed by the consult service, even if they are being seen routinely by a resident or study. The fellowship coordinator will confirm these dates with you two weeks before the start of the rotation so new patient visits can be specifically assigned for the fellow to see with EP faculty supervision. Additional elective time for interested fellows is available. Cardiology Overview. Additional outpatient experiences occur regularly in general pediatric and subspecialty clinics, with experiences customized to trainee interests and career goals during the final years of fellowship. This will include: Additional scheduled time (as elective rotation or concomitant with other rotations) in the vascular imaging lab. Performed throughout the morning on all weekdays. Examples include preventive cardiology topics such as hyperlipidemia, hypertension, or alternative medicine, management of pulmonary hypertension, and heart failure/cardiomyopathy. It is expected that at the end of three years of fellowship, 25 ACHD echocardiograms will have been interpreted. This includes the ordering, administration, and interpretation of nuclear cardiology studies in patients with suspected or known cardiovascular disease. Discuss planned protocol with the responsible faculty. The Cardiology Fellowship Programs at Penn Medicine prepare fellows for careers as clinical cardiologists, clinician investigators or basic scientists. Contact person: Rich Bradford (or any exercise physiologist), Review and provide preliminary interpretation for ambulatory ECG monitoring (Holter monitors). Third-year fellows in the program are offered an opportunity to participate in a global health elective at the Hosital de Ninos de Roberto Gilbert Elizade in Guayaquil, Ecuador, a 400-bed Childrens Hospital with a dedicated CICU and pediatric cardiac intensivist team. 3400 Civic Center Blvd. Participation in the performance of 300 diagnostic catheterization procedures. These virtual additions further enhance fellows educational experience and provide the opportunity to regularly engage with faculty and fellows from programs across the country. Being able to live near the hospital in an affordable home thats spacious enough for all my art supplies plus separate spaces for yoga and meditation, not to mention with great natural lighting and overlooking greenery, is a definite perk and improvement in my quality of life. In addition to supplementing the learning experience in other areas, the consult service rotation, along with the acute service rotation and ambulatory rotations, is designed to provide the trainee with Level I competency in the following areas: Specific curricular milestones relevant to the consult service (and overlapping with acute service and ambulatory rotations), as they relate to the Core Competencies promulgated by the ACGME, are adopted as outlined in the COCATS 4 Task Force 1 and Task Force 2 documents. My hope is that graduates of our program translate their robust experiences from fellowship training into satisfying careers of their choosing that enhance the health of patients and advance the field to new heights. Based on the curriculum and rotation schedule a fellow may achieve these milestones ahead or behind the suggested timeframe in the COCATS 4 document. When necessary, perform an exam and document pertinent findings or decisions to supplement the residents comprehensive history and physical. Qualified applicants will be invited for an interview. Studies performed or interpreted during conferences and while not on the echocardiography rotation should also be tracked. A series of case-based and didactic lectures have been assembled to meet the educational goals of the program. Learn more about the Office for a Respectful Learning Environment. See details here: Wellness, including emotional, spiritual, social and physical health, is a crucial component to training and to becoming a professional, compassionate and resilient physician. Registration, travel, and meal costs are covered by Stanford and the boot camp co-sponsors. This will be obtained during the combined Vascular/Imaging rotation and in aggregate exposure on other rotations. Review and confirm pertinent lab data, diagnostic testing, and prior interventions/surgical history. Ultimately the cardiac catheterization laboratory rotation provides a platform for teaching and learning the core knowledge base of cardiac anatomy, physiology, pathology and therapeutics that all cardiologists should possess regardless of whether they perform invasive cardiovascular procedures. Penn State College of Medicine and Penn State Health are committed to addressing wellness among residents and fellows, with multiple resources readily available. The award, given monthly by the Office for a Respectful Learning Environment, accepts nominations from College of Medicine students who are invited to submit narratives about faculty members, residents, fellows, nurses or any other educators who challenge them and provide an exceptional learning experience. Senior fellows are encouraged to participate in the orientation, supervision, and guidance of new first-year fellows in the echo lab. In keeping with this, Penn State Health has an active Office for Diversity, Equity and Inclusion with various programs, networks and resource groups, including: Learn more about the Penn State Health Office for Diversity, Equity and Inclusion, Learn more about the College of Medicines Office for Diversity, Equity and Belonging, Office for Culturally Responsive Health Care Education. 3550 Terrace Street While aspects of the training programs structure must be adhered to, ample elective time is provided to allow fellows to pursue individual interests. For international medical graduates, ECFMG certification is required as part of the application. Arranging CHF focused outpatient clinic exposure during the 3. Learn more about life in Hershey, Pa., here, View accessible video with audio description and transcript here, More about Penn State Health and its locations, Visit BeWell a health program designed to support Penn State Health employees, See Penn State College of Medicine wellness resources here, Employee Health Care Concierge and Case Management Service, The Doctors Kienle Center for Humanistic Medicine, See resident and fellow wellness resources here, Business Employee Resource Groups (BERGs), masters degree program in Public Health Sciences, Learn more about Resident/Fellow Research Day here, Other Penn State Heart and Vascular Institute Residencies and Fellowships, Other Department of Medicine Residencies and Fellowships, U.S. citizens, permanent residents or J-1 visa holders (no additional visa types are sponsored), Board-eligible or board-certified in internal medicine, Pennsylvania medical training license eligible, ERAS application, inclusive of current photograph, Three letters of recommendation, including one from current program director, 10 minutes of a Penn State Health primary care provider, 20 minutes of Penn State Health specialty care, 30 minutes of a Penn State Health acute care facility, The health systems 628-bed flagship teaching and research hospital, The only medical facility in Pennsylvania accredited as both an adult and a pediatric Level I (highest-level) trauma center, Dedicated surgical, neuroscience, cardiovascular, trauma and medical intensive care units, Accredited Life Lion critical-care transport providing more than 1,100 helicopter and approximately 750 ground ambulance transports per year, More than 1,300 faculty members and more than 650 residents and fellows, Approximately 28,500 admissions, 75,000 emergency department visits, 1.1 million outpatient visits and 32,000 surgical procedures annually, Designated as a Magnet hospital four consecutive times, one of 116 hospitals to do so, An eight-story, 263,000-square-foot-facility built in 2013 and expanded in 2020, 146 licensed pediatric beds, 18 acute care beds and a 56-bed neonatal intensive care unit, Level IV (highest-level) neonatal intensive care unit, Level I quaternary (highest-level) pediatric intensive care unit, Level I (highest-level) pediatric trauma center designation, More than 150,000 pediatric outpatient visits and approximately 5,000 pediatric patient discharges annually, Talks and lectures on diversity, equity and inclusion through the, Disability Business Employee Resource Group, Interfaith Business Employee Resource Group, Military and Veterans Business Employee Resource Group, Multicultural Business Employee Resource Group, Strives to foster a supportive environment for women in Cardiology and its subspecialties at Penn State Hershey Medical Center, Offers unique opportunities to address and support career-focused education for women within our field, Provide resources for leadership, mentoring and families, Minimum of bi-annual events for participation, Attending and fellow-level support system, Training in Ambulatory, Consultative, and Longitudinal Care (Task Force 1), Training in Preventative Cardiovascular Medicine (Task Force 2). And hearts are just darn awesome., Ive only been here a short time so far, but Ive been really impressed by the quality of the educational experience, as well as the down-to-earth approach to life/work of everyone Ive interacted with. All fellows will have approximately half a day per week of ambulatory clinic throughout the duration of their three-year fellowship. At all clinics the fellows are expected to: See the patient at the arranged time and date. Further exposure to cardiac computed tomography content composed of, but not limited to, ordering, reviewing, and applying results from cardiac CT studies is anticipated for all fellows on the following rotations: The cardiac CT portion of the Vascular/Imaging rotation and associated training are designed to provide the fellow, within the standard three year program, one potential level of COCATS training: COCATS Level II training requires a minimum of three months of dedicated training in cardiac CT.At the current time, Level II training is not available during the standard fellowship. Evaluate the appropriateness of the study and anticipated clinical data. Nationally recognized basic science, translational, and clinical research programs in: Electrophysiology, including advanced mapping and ablation techniques, novel pacemakers and defibrillators, machine learning applications, and translational genetics, Cardiovascular Imaging, including cardiac MRI, advanced echocardiography, cardiac CT, nuclear cardiology including SPECT and PET, and advanced molecular imaging, Pulmonary Hypertension and Pulmonary Vascular Disease, Cardiac Critical Care Medicine, Cardiac Arrest and Cardiogenic Shock, including the use of mechanical circulatory support, Advanced Heart Failure, including Ventricular Assist Devices and Cardiac Transplantation, Advanced Percutaneous Coronary Interventions, including Chronic Total Occlusion, Transcatheter-based Cardiovascular Procedures, such as transcatheter aortic valve repair, edge to edge mitral and tricuspid valve repair, mitral valve replacement, left atrial appendage closure, interatrial closure devices, and alcohol septal ablation, Translational Genetics, including Inherited Cardiomyopathies and Inherited Arrhythmias, System-Wide Quality Assurance and Improvement, Womens Heart Disease and Cardio-Obstetrics, Experienced, successful, and dedicated faculty mentors, Opportunity for appointment to prestigious NIH T32 translational training grants, Training in biostatistics, epidemiology, laboratory methods, study design, and many other areas is available, Advanced training leading to an MPH or MS degree is available. Our program wishes all applicants a successful match! All fellows are expected to achieve COCATS Level II training during the fellowship. Philadelphia, PA 19104. Complete the History and Physical (H&P) note for the first patient of the day. Network of Under-represented Residents and Fellows All Level I milestones represent minimum expectations during general fellowship. Attend outpatient clinic to shadow and participate in the evaluation and treatment of patients with peripheral vasculature disease. My husband and I have been able to explore multiple new cities in addition to Hershey in our time living here., Clinical Interests: Cardiac Critical Care, Even prior to my critical care fellowship, I knew I was fascinated by the intricacies of congenital heart disease. SCHOOL OF MEDICINE FIND PEOPLE FIND A UPMC DOCTOR. Review patient history, physical, and prior studies. The acute service rotation provides the opportunity to evaluate, diagnose, and treat patients admitted to the hospital with a primary cardiovascular issue, encompassing a broad range of cardiovascular disease and disorders. Assess for high acuity or unstable clinical scenarios through daily sign out and indirect assessment. They are included in this curriculum with the appropriate associated Evaluation Methods for fellows. Review prior CMR studies and/or other imaging modalities. Fellows will be trained to perform transthoracic and transesophageal echocardiograms, learn appropriate supervision of stress echocardiography, and will gain improved understanding on the appropriate use of echocardiography to diagnose and guide therapy of cardiovascular diseases. Clinics will alternate between a local cardiology clinic with a faculty preceptor and the Lebanon VA clinic. The program hopes to make this event a tradition. These procedures take place inside blood vessels to open arteries, remove clots, and treat aneurysms. The research rotation, along with longitudinal effort occurring concomitantly with other training, is designed to provide the trainee, within the standard three-year program, training that meets or exceeds COCATS Level I expectations. We come to know our fellows well, and are able to tailor their educational experience based on their interests, skills and career aspirations. The conference includes presentation and multidisciplinary discussion of ACHD cases. Penn State Health does not offer subspecialty training in cardiac MRI. Additional recent teaching by fellows includes medical student education in cardiac gross anatomy, resident education in the simulation center, and a NICU Postgraduate Fellowship Cardiac Lecture Series. Applications will not be received outside of ERAS, and positions will not be filled outside the match. Review each request for a TEE to determine appropriateness. The Cardiovascular Medicine Fellowship at the University of Pittsburgh offers: Outstanding clinical training that is designed to create master clinicians. This will occur on Fridays at Nyes Road clinic with Drs. Observe and participate in device interrogations and programming in the outpatient device clinic and on the inpatient units. Trainees should establish a relationship with a research mentor and devote six to 12 months to one or more scholarly activities or cardiac research projects. In addition to daily assistance with EP consults. Specific curricular milestones for cardiovascular research and scholarly activity, as they relate to the Core Competencies promulgated by the ACGME, are adopted from the COCATS 4 Task Force 15 document. Attend 7 a.m. and 7 p.m. ICU handoff rounds. Feel free to contact me at any time should you have any questions. Further exposure to echocardiography content comprises, but is not limited to, the ordering, review, and clinical correlation of echocardiographic studies is anticipated for all fellows on the following rotations: The echocardiography rotation and associated training are designed to provide the trainee, within the standard three-year program, three potential levels of COCATS training: Specific curricular milestones for Echocardiography, as they relate to the Core Competencies promulgated by the ACGME, are adopted from the COCATS 4 Task Force 5 document. . The objective of this rotation is to provide a broad exposure to the field including an understanding of the fundamentals of cardiac ultrasound imaging and image acquisition, the approach to obtaining and optimizing images on different ultrasound systems, as well as accurate interpretation of transthoracic, transesophageal, and stress imaging. Assist in the management of patients who are undergoing evaluation for or who have had cardiac transplantation in conjunction with designated transplant coordinators. All fellows will have a minimum of two months of direct acute service experience. Teach the ICU staff about cardiology topics. In general, it is anticipated the fellow will spend, on a daily basis, the equivalent of a half day seeing and following up on consults as needed and the equivalent of a half-day participating in one of the other recommended or required activities. The annual Resident/Fellow Research Day was held each summer on and around the Penn State Health Milton S. Medical Center campus in Hershey, Pa., but has temporarily been suspended due to the COVID-19 pandemic. A meaningful research effort is mandated for all fellows, and may be taken in any of a number of clinical, basic or translational areas. Twelve months of the fellowship program are dedicated to clinical or laboratory-based research training. In addition, there are numerous great restaurants with a wide variety of cuisine to choose from. Obtain clinic schedule assignments from Pam Henderson prior to starting the rotation. Main Contact: Elisabeth Reitman. All fellows will have approximately one-half clinic day per week on average. There should be one upper-year fellow assigned and available to cover TEE each day. The ample opportunities for hands-on experience and learning from such a wide variety of approachable faculty members made this program an obvious choice for me., Fellowship has been rewarding! This exposure sparked my interest in pediatric cardiology which continued throughout medical school and residency. Postnatal case correlation is also included. A majority of the lecture series will have content pertinent to this rotation and curriculum. This includes exposure to conducting research, increasing knowledge of the scientific method and enhancing the ability to critically evaluate published scientific data. Maintain professional interactions and high quality communication with all members of the care team. Detailed descriptions for these components appear below. They experience first-hand the high standard of patient care and scientific accomplishment which serves them well throughout their careers. Penn State College of Medicine and Penn State Health Milton S. Hershey Medical Center are committed to establishing and maintaining high-quality graduate medical education training programs. All fellows will have a minimum of three months of dedicated research time. Have questions, or suggestions for missing content? All fellows will have a minimum of one month of direct Cardiac Critical Care experience. Email us at comweb@pennstatehealth.psu.edu. Fellows are encouraged to attend local, regional, and national conferences to not only present their own work, but also engage with researchers from other institutions across the country for inspiration, continuing education, and initiating long-term professional relationships. Provide education to the residents, medical students and other acute service team members. Fellows will learn the fundamentals of radiation safety as it pertains to the catheterization laboratory. Interested applicants should review the "To Apply" section of the program of interest or contact the program for any additional questions regarding the interview process. The mission of the Electrophysiology section is to improve the care of patients by providing state-of-the-art and patient-oriented diagnosis and treatment of heart rhythm disorders, while maintaining a regional, national, and international leadership role in advancing cardiac . In addition to supplementing the learning experience in other areas, the acute service rotation, along with the consult rotation and ambulatory rotations, is designed to provide the trainee with Level I competency in the following areas: Specific curricular milestones relevant to the acute service (and overlapping with consult service and ambulatory rotations), as they relate to the Core Competencies promulgated by the ACGME, are adopted as outlined in the COCATS 4 Task Force 1 and Task Force 2 documents.
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