Clinical Experience

Duty Hours

The fellowship program is dedicated to complying with ACGME guidelines for duty hours. Each fellow will not spend more than 80 hours per week, on average, caring for patients during a four- week rotation. Each fellow will average at least one weekend day (24 hours) per week free from clinical duties. Moonlighting activities at the institution will be monitored by the Program Directors for inclusion in the duty hour calculation. The Duty Hours Policy can be found at the back of the curriculum Appendix A, which includes the Moonlighting Policy.

The program is designed to provide a high level of clinical training. Each rotation provides opportunity for the fellow in management of acutely and chronically ill patients, observation of and participation in therapeutic interventions, and teaching of medical students, residents, and colleagues. 

Both hospitals function as primary and tertiary care institutions. YNHH serves as a primary care hospital for the greater New Haven area and as a tertiary care center for southern New England. VACT is a primary care hospital for veterans in the state of Connecticut, and serves as a tertiary care center for the southern New England, Rhode Island and eastern New York areas. 

The patients from these institutions represent a wide variety of both common and rare cardiovascular disorders and provide excellent exposure to all areas of cardiovascular medicine in a demographically diverse population. 

To facilitate transition into fellowship, all first year core fellows spend the first 2 months rotating through five key clinical areas in 12 day blocks in order to gain exposure to all aspects of clinical cardiology at both sites. First year core fellows do not take call during the first two weeks, and the remaining calls during this two month period are performed under the guidance of a second year fellow.