The Clinical Cardiac Electrophysiology Fellowship at Dell Medical School is a two-year, Accreditation Council for Graduate Medical Education-accredited program for cardiology-trained fellows pursuing a subspecialty in cardiac electrophysiology.
Block Rotations
The curriculum includes 13 block rotations per year, including:
- Electrophysiology laboratory: Fellows spend most of their time performing invasive procedures, including electrophysiology studies, ablation of supraventricular and ventricular arrhythmias, atrial fibrillation ablations using radiofrequency energy and pulsed field ablation, pacemaker and defibrillator placements — including cardiac resynchronization therapy, conduction system pacing, left atrial appendage occlusion devices, leadless pacemaker placement, cardioversions and implantable loop recorder placements, among other novel procedures such as SQ and EV ICD’s.
- Inpatient electrophysiology consult service: Fellows see patients in intensive care units, emergency rooms, post-cardiac surgical units, cardiology and internal medicine wards, and they will provide consultations to other non-internal medicine specialties as well, such as surgical services, obstetrics and gynecology.
- Elective rotations: Fellows have the opportunity to participate in at least two affiliated community hospitals and experience electrophysiology community service. They will also rotate through Dell Children’s Medical Center of Central Texas and participate in pediatric electrophysiology consultations and invasive procedures. This rotation will expose fellows to patients and families with inherited channelopathies and congenital heart disease. Fellows will also rotate in their mandatory tilt table testing rotation with one of the program’s neurology partners.
- Outpatient electrophysiology clinic rotations: Fellows will have longitudinal outpatient electrophysiology clinic rotations during the entire length of their training. This will allow them to track the progression and/or resolution of multiple cardiac electrophysiology conditions. They will also attend an outpatient device clinic and learn and work alongside our experienced device clinic personnel.
- Didactics and research: There is a mandatory weekly electrophysiology lecture series on Friday mornings where fellows present cases; electrophysiology topics, from basic concepts to practical maneuvers in the electrophysiology laboratory, research projects; and other pertinent fellowship discussions. Every Tuesday, a second year-fellow runs an EP Journal Club. The fellow presents classic and/or novel EP articles to the rest of our EP group. Co-fellows and faculty provide feedback, and discussions of important EP clinical topics take place. Fellows participate as co-investigators in the program’s clinical electrophysiology clinical trials, and they may work on an individual project mentored by one of the program’s faculty members.
- Scientific meetings: Fellows are encouraged to present and/or attend at least one national electrophysiology meeting per year, usually the Heart Rhythm Society’s annual meeting, which traditionally takes place each May. Virtual assistance may be an option as well.