Cardiac Catheretization (four months minimum)YNHH Cardiac Catheterization Laboratories (Dr. Michael Cleman, Director), and the VACT Catheterization Laboratory (Dr. Steven Pfau, Director). The YNHH laboratory performs over 3000 diagnostic procedures and more than 1300 interventional procedures annually. The VACT lab performs more than 800 catheterizations annually and more than 200 interventional procedures. The fellow will acquire the cognitive and motor skills to perform left and right heart catheterizations. All procedures are performed under the direct supervision of an attending.
EchocardiographyThe primary experience for echocardiography is the YNHH Echocardiography Service (Dr. Lissa Sugeng, Director) which performs more than 9000 transthoracic and more than 450 transesophageal examinations per year. The population includes a wide spectrum of acquired and congenital heart disease in patients of varying age and gender. Stress echocardiography is performed at YNHH, as well as in the Branford cardiology office, and fellows are encouraged to become familiar with this technique. A searchable repository of digital echocardiography cases is available on the computer in the YNHH Echocardiography reading area.
Nuclear Cardiology and Stress TestingThe primary experience for this rotation is the YNHH Nuclear Cardiology and Exercise Laboratory (Dr. Edward Miller, Director) and the VACT Nuclear Cardiology Laboratory (Dr. Judith Meadows, Director). The YNHH laboratory is one of the largest clinical nuclear cardiology laboratories in the world, performing more than 8,000 clinically requested tests each year; including SPECT, SPECT/CT, and PET/CT. Both laboratories cooperatively engage in 2 areas of activity: 1) clinical evaluation and diagnosis, and 2) clinical research.
Advanced Cardiovascular Imaging Rotation (one month minimum)
The Yale Advanced Cardiovascular Imaging rotation is an addition to the Core Clinical Curriculum for all Cardiovascular Medicine trainees. Its purpose is to introduce the fellow to the background, basics and applications of advanced cardiovascular imaging techniques including cardiovascular computed tomography (CT) and magnetic resonance (CMR).
The rotation comprises 4 weeks during 1st or 2nd year of Cardiology Training. The fellows are expected to be available daily for assistance with imaging consultation with referring physicians, assistance in study scheduling, live image acquisition and study reporting. The Yale Advanced Cardiovascular Imaging service is staffed by a collaborative effort from faculty in both the Departments of Radiology and Cardiology. Cardiology fellows are expected to interact and work with trainees from other Departments such as Radiology residents or Nuclear Medicine residents.