Fellowship Program Goals and Objectives

Housed in the department of Cardiology, the Interventional Fellowship program admits three fellows, selected from hundreds of applications, each year. Fellows are trained in all aspects of cardiovascular and peripheral procedures and work very closely with both full-time and part-time faculty. The interventional fellow is expected to spend a majority of his/her time doing coronary evaluations and interventions. On the average, fellows will spend 80% of their time in the Catheterization Laboratory, performing procedures, pre-procedure assessments and post-procedure follow-up. Fellows will be exposed to peripheral interventional as well as structural heart disease procedures as part of their training. One-half a day per week is dedicated to outpatient clinic with focus on coronary and peripheral artery disease.

It is expected that the Cardiology Fellow will enhance his/her clinical experience in the Catheterization (Cath) Laboratory with active involvement in academic research pursuits. This includes demonstrating an intellectual curiosity regarding the interventional literature, as well as involvement in ongoing academic research protocols. Each interventional fellow will be given sufficient time to pursue research interests and work. It is expected that the interventional fellows will participate in ongoing research or identify a new project with an interventional attending. At the beginning of the year, a realistic goal plan will be defined for each interventional fellow and progress will be monitored by the assigned attending on a regular basis throughout that year. The fellows are expected to attend and participate in the dedicated Interventional Cardiology Conferences, which include a weekly Core Curriculum Conference, a weekly Clinical Conference/Case Review, and monthly Morbidity and Mortality, Research, and Journal Club conferences. A leadership role by the Interventional Fellows is expected in the conferences and interventional presentations, and in the conferences of the General Cardiology Fellowship.

At the end of their training, each interventional fellow is expected to have mastered the clinical judgment necessary to integrate medical facts and clinical data, and to be proficient in the performance of coronary and basic peripheral interventions. He or she should be able to weigh alternative medical and/or interventional forms of therapy and understand the limits of this knowledge – recognizing any complications, diseases and side effects of treatment. He or she should be able to issue prompt measures to deal with serious or life-threatening clinical consequences of any intervention performed in the catheterization laboratory.

Necessary clinical skills include obtaining precise, logical, well thought out and appropriately directed patient interviews. This includes conducting an expertly focused physical examination and listing subtle findings directed toward the patient’s problems. The fellow must demonstrate an understanding of and proficiency in minimizing risks and discomfort to the patient in the performance of certain diagnostic and therapeutic procedures.
The strengths of our fellowship program reside in the high volume of procedures and the breadth of clinical conditions that the fellows are exposed to, as well as the commitment of the faculty to teaching in an environment of professionalism, compassion, and excellence.

Sergio Waxman, M.D.
Interventional Cardiology Fellowship Program