Educational conferences provide a unique but key perspective that complements clinical experience. There are two "lunch conferences," which take place each Tuesday and Wednesday, a "didactic" lecture on Thursday morning, and an invasive conference on Friday mornings. Additionally, fellows are encouraged to attend a variety of institutional conferences outside the Department of Cardiology. The following describes the educational objectives of the individual cardiology conferences.
Didactic Lecture Series: The emphasis of this lecture series is on core curriculum, current state of the art, and controversies surrounding a given topic. The scope of this conference spans a wide spectrum of topics, including basic science lectures on lipid metabolism, vascular endothelium biology, mechanics of left ventricular systolic and diastolic function, cardiac pathology and pharmacology, coronary and valvular heart disease, as well as a variety of clinical topics. Presentations are given by Lahey faculty and invited guest lecturers with recognized expertise from outside the institution.
Journal Club: Articles from the medical literature are carefully selected from peer-reviewed journals and presented by the fellow. A critical appraisal of design, strengths, use and limitations of biostatistics, article conclusions, clinical relevance, and impact on medical decision-making is presented and discussed by the presenting fellow in conjunction with other fellows and faculty members. Two fellows are assigned the responsibility of conducting Journal Club each month.
ECHO Conference: Presentation of interesting and instructive echocardiographic studies takes place. Emphasis is on recognition of pertinent findings, differentiation from artifact, differential diagnosis, derived hemodynamic data, and impact of findings on clinical decision making.
Cath/Nuclear Conference: While flexible in format, this is typically a case-oriented conference with an underlying theme. The cardiology or interventional cardiology fellow is responsible for gathering and presenting relevant clinical information and noninvasive data (such as CXR, stress testing, nuclear, and Echo). This is followed by presentation of hemodynamic and angiographic findings. The emphasis of discussion is on indication of procedure, integration of noninvasive and invasive data, and impact on decision-making. The specific intervention, as well as the outcome, is then discussed, with appropriate reference to the literature.
Invasive Teaching Conference: This is a didactic teaching conference with emphasis on basic hemodynamic and technical as well as angiographic principles. This conference is generally organized by Dr. Piemonte.
EKG Conference: Presentation of interesting ECGs. Tracings are typically shown as "unknown." The findings are described and interpreted by a fellow. This is followed by further analysis and commentary by faculty members. This conference is generally organized by Dr. Alexander.
Electrophysiology Conference: Presentation of interesting arrhythmias, mechanism, diagnosis and management. Presentation and discussion of intracardiac recordings by the electrophysiology fellow and the clinical fellow on the rotation with input from an electrophysiology attending.
Morbidity and Mortality Conference: Discussion of selected morbidity and mortality cases with emphasis on risk management and "lessons learned" from a given experience. Cases are compiled by Dr. Mirbach, presented by the fellow or attending involved in the case, or review of outcome data from department or individual laboratory database.
Research Conference: This monthly conference has a flexible format. It may serve as a forum for various staff members to list and discuss ongoing or potential research projects for consideration. Original as well as multicenter trials that involve Lahey participation may be discussed. Fellows may use this conference to present data prior to official presentation at a national meeting.
Fellow Presentation: This monthly conference is dedicated to a formal, in-depth, one-hour discussion of a selected cardiology topic. Topics for presentation may include a didactic topic, background and data of a fellow's research project, or a state-of-the-art topic of controversy.
Vascular Conference: This is a multidisciplinary conference that highlights patients with complex peripheral vascular disease. Input is solicited from vascular medicine, radiology, vascular surgery, and interventional cardiology. The conference takes place on Tuesday morning, and is optional but strongly encouraged, particularly during invasive rotation.
Medical Grand Rounds: It is important for fellows to maintain their skills in internal medicine during subspecialty training. We strongly encouraged attendance at the weekly Medical Grand Rounds on Fridays at 8 am in Alumni Auditorium.