Numerous regularly scheduled pediatric cardiology conferences are held, including didactic clinical and basic science conferences, journal review, pathology conference, research conference, and clinical conferences on echocardiography, cardiac catheterization, electrophysiology, patient management, pediatric cardiology morbidity and mortality, and pediatric cardiology/cardiothoracic surgical case management.
The didactic conferences are held one to two times per week and are mandatory for the fellows. The curriculum is divided between clinical pediatric cardiology and basic science and rotated over a two-year period. The fellows review individual cardiac lesions using the Nadas textbook on pediatric cardiology as the starting point. These reviews include the pathophysiology, presentation, and diagnostic and therapeutic management of each disorder. Other subjects are covered by lectures given by the pediatric cardiology faculty, the pediatric cardiology fellows, and invited speakers from other divisions and departments at Icahn School of Medicine. The clinical cardiology curriculum includes congenital heart defects, various forms of acquired heart disease, surgical and anesthesiology topics, and a host of topics related to pediatric cardiology, such as the genetics of congenital heart disease and pregnancy in women with congenital heart disease. The basic science curriculum draws from diverse topics relevant to pediatric cardiology, such as ventricular function/physiology, embryology of the cardiovascular system, molecular biology, pharmacology of cardiovascular medications, altitude physiology, and radiation biology.
Journal review is held monthly. Each fellow is assigned three different journals to review from the preceding month. The fellows present one or two important articles in summary fashion. All the major cardiology and pediatrics journals are covered each month. This journal review is also attended by other pediatric cardiology faculty members.
Pathology conferences are held monthly. Sessions are devoted to related lesions such as atrioventricular canal defects or left heart obstructive lesions, and they are timed to coincide with the clinical didactic sessions when possible. Alternatively, recent autopsy cases or cardiac transplant explants are reviewed. The pediatric cardiology fellows present synopses of the patient histories and germane clinical studies. The Mount Sinai pediatric pathologist, demonstrates the anatomy of the heart. When relevant, kodachrome slides revealing important histologic findings from the heart and other organs are shown.
The pediatric cardiology research conference is held every three to four months. Two or three pediatric cardiology faculty and/or fellows present proposed or ongoing research studies. Substantial discussion time is provided in order to foster constructive criticism of the research. These conferences also provide a forum for fellows and faculty to practice their oral presentations prior to national or regional meetings.
The clinical conferences include echocardiography and cardiothoracic surgical conferences, held weekly, cardiac catheterization and electrophysiology conferences, held twice monthly, and patient care conferences, held thrice weekly.
The echocardiography conference topics range from basic echocardiography to echocardiography of particular cardiac lesions to recent interesting cases. Relevant technical topics, such as transducer selection and manipulating the Doppler filters, are also discussed.
The cardiac catheterization conference reviews basic hemodynamics, catheterization calculations, and the interpretation of angiography. Recent and unknown cases are reviewed with the fellows for teaching purposes.
The pediatric cardiology/cardiothoracic surgical case presentation conference is a joint conference between the Division of Pediatric Cardiology and the Department of Cardiothoracic Surgery with contributions from the Cardiovascular Institute (Adult Cardiology). Faculty and fellows from these three groups are present along with invited pediatric cardiologists from other institutions. The pediatric cardiology fellow on the Cardiac Catheterization rotation organizes the conference and presents the patients. Pediatric and adult patients with congenital heart disease and pediatric patients with acquired heart disease undergoing cardiothoracic procedures the following week are presented along with cases with difficult management issues. The patient's history, physical examination, ECG, echocardiogram, and cardiac catheterization data are presented, followed by a robust discussion of the therapeutic options. When relevant, presentations and discussions include the use of MRI and CT imaging, as well as nuclear medicine, in evaluating cardiac lesions. Faculty from Radiology, Nuclear Medicine, and Nuclear Cardiology attend the conference in order to interpret studies and to discuss technical feasibility and limitations. After decisions are reached on a therapeutic intervention, potential difficulties and contingency plans are discussed for each planned procedure.
The curriculum for the electrophysiology conference includes basic interpretation of pediatric ECG and interpretation of electrophysiologic studies, as well as diagnostic and therapeutic approaches to electrophysiologic abnormalities in fetuses, infants, and children. Interesting recent ECG, EPS, and Holter studies are reviewed with the fellows.
Patient management conference is held three times weekly and is led by the fellow on the inservice rotation. All inpatients and new consultations are reviewed with the faculty and fellows. Ongoing clinical problems and therapeutic plans are discussed. Attendance of these conferences by a pediatric cardiology nurse clinician, social worker(s), and child life specialist also provides input on related social and psychosocial issues impacting pediatric cardiac patients and their families. When relevant, issues concerning ethical and medical-legal aspects of pediatric cardiology care are also discussed.
Icahn School of Medicine
One Gustave L. Levy Place
New York, NY 10029
Advanced Imaging Fellowship
November 1, 2012
October 1 - December 15, 2012