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William Beaumont Hospital BEAUMONT HOSPITAL SYSTEM DEPARTMENT OF CARDIOVASCULAR MEDICINE CARDIOVASCULAR DISEASE FELLOWSHIP POLICIES, RESPONSIBILITIES AND CURRICULUM 2018 – 2019 Michael J. Gallagher, MD Director, Cardiovascular Disease Fellowship Robert D. Safian, MD Associate Director, Cardiovascular Disease Fellowship Director, Center for Innovation and Research in Cardiovascular Disease (CIRC) Simon R. Dixon, MBChB System Chair, Department of Cardiovascular Medicine July 2018 1 INDEX Cardiovascular Disease Fellowship Program 2018 – 2019 Cardiovascular Disease Faculty 3 Cardiovascular Medicine Administration 4 Fellowship Description 6 Compact Between Cardiology Fellows & Teaching Faculty 11 Fellowship Policies Selection, Promotion, Discipline & Dismissal 13 Evaluation of Fellows, Faculty, Curriculum & Graduates 15 Fellow Transfer 17 Duty Hours & On-Call Activities 19 Moonlighting 23 Documentation of Procedures 25 Detection of Fatigue/Advisor-Mentorship Program 29 Travel, Vacation, Leave of Absence & Maternity Leave 30 Supervision of Cardiology Fellows 34 Parking at Royal Oak 34 Cardiology Fellows 35 Chief Fellow Responsibilities 36 Educational Conferences 37 Core Curriculum Core Competencies 39 Cardiovascular Disease Specific Core Competencies 40 CCU 42 Echocardiography 49 Electrophysiology 53 Heart Station/Electrocardiography 58 Cardiology Clinical (In-Patient) Service Rotation 62 Nuclear Cardiology 67 Cardiac Catheterization Laboratory 81 Continuity Clinic 88 Cardiac MRI/CT (Elective) 92 Cardiac Rehabilitation/Preventive Cardiology 100 Outpatient Cardiology (Elective) 103 Cardiovascular Surgery (Elective) 107 2 Cardiovascular Disease Faculty Full-time & Part-time Teaching Staff Amr Abbas, MD Harold Z. Friedman, MD Gil Raff, MD Director, Interventional Cardiology Medical Director, Cardiac Rehab Director, Advanced Research Cardiovascular Imaging Steven Almany, MD Interventional Cardiologist James Goldstein, MD Renato Ramos, MD Director, Clinical Research/Education Attending Cardiologist Aaron Berman, MD Clinical Chief, Cardiology Robert Safian, MD Michael Gallagher, MD Director, Interventional Director, Cardiovascular Cardiology Fellowship A. Neil Bilolikar, MD Disease Fellowship Director, CIRC Medical Director, Echocardiography Lab Terry Bowers, MD Mazen Shoukfeh, MD Medical Director, Vascular David Haines, MD Interventional Cardiologist Medicine – Royal Oak Director, Heart Rhythm Center Elvis Cami, MD Ivan Hanson, MD Cardiovascular Imaging Interventional Cardiologist James Stewart, MD Attending Cardiologist George Hanzel, MD Kavitha Chinnaiyan, MD Director, Cardiac Cath Lab Director, Cardiac CT Research Director, Structural Heart Disease Steven Timmis, MD Director, Coronary Care Unit Simon Dixon, MBChB Chair, Cardiovascular Medicine Nathan Kerner, MD Brian Williamson, MD Clinical Cardiologist Director, Electrophysiology Fellowship Darlene Fink, MD Director, Nuclear Medicine Robert Levin, MD Clinical Cardiologist Barry Franklin, PhD Director, Preventive Cardiology & Cardiac Rehab 3 Cardiovascular Medicine Administrative Services Juliana Foust 84198 Administrative Assistant David E. Haines, MD Coordinator, EP & Interventional Fellowship Robert Safian, MD Programs Brian Williamson, MD Gil Raff, MD Mazen Shoukfeh, MD Ivan Hanson, MD Toni Haggerty 84176 Administrative Assistant Simon Dixon, MBChB Clinical Fellowship Coordinator Robert D. Safian, MD Aaron Berman, MD Michael Gallagher, MD Lauren Burgett, RN Jenna Brinks, MS Shannon Herrington 81529 CME Conference Coordinator Sandy Klovski 87350 Administrative Assistant James Goldstein, MD Amr Abbas, MD Nathan Kerner, MD George Hanzel, MD Bennett Russ 83850 Assistant Robert N. Levin, MD Noon Conferences Kavitha Chinnaiyan, MD Cath Lab Support Kathryn (Katy) Tewilliager 82495 CME Program Assistant 4 Description of the Cardiovascular Disease Fellowship Training Program 5 I. Educational Program The Cardiovascular Disease Fellowship Training Program at Beaumont Hospital is organized to provide training and supervised experience in the evaluation and management of a wide variety of patients with acute and chronic cardiovascular conditions including coronary artery disease, congestive heart failure, arrhythmias, acute myocardial infarction, acute ischemic syndromes, lipid disorders, hypertension, cardiomyopathy, valvular heart disease, pulmonary heart disease, peripheral vascular disease, inflammatory heart disease, and adult congenital heart disease. The training and experience will exceed ACGME requirements for the fellow to acquire the competency of a cardiovascular specialist. The program is 3 years in duration. II. Key Clinical Faculty The key institutionally based faculty members (“key” as defined by the ACGME, not by our commitment to the training program) include the Program Director and other institutionally-based faculty members as follows: Michael Gallagher, MD Director, Cardiovascular Disease Fellowship Robert Safian, MD Director, Interventional Cardiology Fellowship Director, Center for Innovation and Research (CIRC) Amr Abbas, MD Interventional Cardiologist Steven Almany, MD Med Dir Innovative Technologies & Prog Development, Med Dir Anticoagulation Management Service Aaron Berman, MD Clinical Chief, Cardiovascular Medicine - Royal Oak A. Neil Bilolikar, MD Medical Director, Echocardiography Lab Kavitha Chinnaiyan, MD Director, Cardiovascular Imaging Education Simon Dixon, MBChB Chair, Cardiovascular Medicine, Co-Director Cardiology Research Darlene Fink, MD Director, Nuclear Medicine James Goldstein, MD Director, Clinical Research/Education David Haines, MD Director, Heart Rhythm & EP Labs George Hanzel, MD Director, Cardiac Cath Lab & Percutaneous Valve Program Nathan Kerner, MD Attending Cardiologist Dominic Marsalese, MD Director, Chest Pain Emergency Service Associate Director, Interventional Cardiology Fellowship Program Gil Raff, MD Director, Cardiac MRI/CT James Stewart, MD Attending Cardiologist Steven Timmis, MD Director, Cardiac Coronary Care Unit Brian Williamson, MD Director, EP Fellowship III. Facilities and Resources Modern facilities to accomplish the overall educational program are available in the Heart Center and at Beaumont Hospital. These include inpatient care; ambulatory care; research resources; laboratories for hemodynamics, angiography, percutaneous transluminal coronary angioplasty, invasive electrophysiologic studies, and other interventional procedures; electrocardiography; ambulatory electrocardiogram (ECG) recording; exercise testing; echocardiography (including Doppler and transesophageal studies), cardiac and vascular MRI; cardiac and vascular CT; radionuclide imaging; facilities for assessment of peripheral vascular disease and pulmonary physiology; intensive cardiac care unit, a medical intensive care unit, a cardiac surgery intensive care unit, and a general surgical intensive care unit; resources for implantation of pacemakers, implantable cardioverter/defibrillator, and follow-up; and active cardiac surgery. IV. Specific Program Content The goal of the training program is to provide opportunities for the fellows to develop clinical competence in the field of adult cardiovascular disease. A. Clinical Experience 6 1. Specific Clinical Training There are at least 24 months of clinical training, including inpatient and specific clinical experiences: a. Four months in the cardiac catheterization laboratory b. Six months in noninvasive cardiac evaluations, including: 1. three months of surface echo, stress echo, and TEE 2. two months of nuclear cardiology 3. one month of exercise stress testing and formal interpretation of ECG and ambulatory ECG recording c. One month devoted to invasive electrophysiology, pacemaker follow-up and ICDs. 2. Inpatient Experience There are at least 8 months of non-laboratory clinical practice activities including: a. Three months of CCU b. 2 months of clinical consultative electrophysiology c. 3 months of general cardiology inpatient and consultative service B. Technical and Other Skills 1. The program will provide sufficient experience for the fellow to acquire skill in the performance and interpretation of: a. history and physical examination b. basic and advanced cardiac life support c. elective cardioversion and pacemaker implantation d. right heart catheterization e. left heart catheterization and coronary arteriography f. exercise stress testing g. echocardiography (surface and transesophageal studies) h. pericardiocentesis i. programming and follow-up surveillance of permanent pacemakers and ICDs j. cardiovascular rehabilitation 2. The program will provide opportunities for fellows to acquire experience in the performance and interpretation of: a. intracardiac electrophysiologic studies b. intra-aortic balloon counterpulsation c. percutaneous transluminal coronary angioplasty and other PCI 3. The program will provide sufficient experience for fellows to acquire skill in the interpretation of : a. chest x-rays b. a minimum of 3500 electrocardiograms c. a minimum of 75 ambulatory ECG recordings d. radionuclide studies of myocardial function and perfusion e. cardiovascular literature C. Formal Instruction The program provides formal instruction in: 1. Basic science, including a. cardiovascular anatomy 7 b. cardiovascular physiology c. cardiovascular metabolism d. molecular biology of the cardiovascular system e. cardiovascular pharmacology, including drug metabolism, adverse effects, indications, the effects on aging, relative costs of therapy, and the effects of non-cardiovascular drugs upon cardiovascular function f. cardiovascular
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