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.
The curriculum includes 13 block rotations per year, including:
- Electrophysiology laboratory: Fellows will spend most of their time performing invasive procedures, including electrophysiology studies, ablation of supraventricular and ventricular arrhythmias, pacemaker and defibrillator placements — including cardiac resynchronization therapy, left atrial appendage occlusion devices, leadless pacemaker placement, cardioversions and implantable loop recorder placements, among other novel procedures.
- Inpatient electrophysiology consult service: Fellows will 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 obstetrics and gynecology.
- Elective rotations: Fellows will have the opportunity to participate in at least two affiliated community hospitals and experience inpatient 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 rotations: Fellows will have longitudinal outpatient electrophysiology and device 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.
- Didactics and research: There will be a mandatory weekly electrophysiology lecture series where fellows present cases; electrophysiology topics, from basic concepts to practical maneuvers in the electrophysiology lab; research projects; and other pertinent fellowship discussions. Fellows will participate as co-investigators in the program’s clinical electrophysiology 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.