Non-Invasive

The non-invasive cardiology rotation includes echocardiography, exercise physiology studies, and Holter monitoring. The pediatric cardiology fellow spends the preponderance of time assigned to the Pediatric Echocardiography Laboratory. During the first year rotations, the fellow accompanies a trained echocardiographic technician in performing complete transthoracic echocardiographic studies on infants and children under careful echocardiography faculty supervision. As the fellow becomes experienced in obtaining the basic two-dimensional echocardiographic views and more expert in interpreting the anatomy, s/he is permitted to perform studies of increasing difficulty with greater independence. The assessment of patients with pulsed and continuous wave Doppler, color Doppler, and M-mode echocardiography especially for ventricular function analysis is taught from the onset. The fellows are also taught to perform numerous on-line and off-line measurements from two-dimensional and Doppler studies. During later rotations, senior residents with improved echocardiographic skills are encouraged to participate in fetal and transesophageal echocardiographic studies.

In addition to performing studies on patients in the laboratory and at bedside of newborns and critically ill older children, the fellow spends considerable time interpreting echocardiographic studies with one or more of the echocardiographic faculty members. All aspects of interpreting studies including determining the adequacy of the information presented, the differential diagnoses for anatomical structures, and the hemodynamic significance of the various Doppler studies are regularly discussed.

The pediatric cardiology fellow is expected to participate in all pediatric exercise physiology studies along with a cardiology attending during the non-invasive rotation. The fellow is instructed in the proper administration of these studies including calibrating the equipment, set-up of the monitoring and measuring devices, and proper assessment of the patients during the studies. The fellows review the data obtained from the studies and interpret these data with a faculty member. Through discussion, the fellow is expected to learn about the proper role of exercise study in evaluating pediatric patients with cardiac disease and/or complaints. Moreover, the fellow is taught both standard normal values as well as expected results for patients with a variety of cardiac abnormalities. They also participate in counseling the patients regarding proper level of exercise and rehabilitation when applicable.

Cardiology fellows review all Holter monitoring studies after a technician has scanned the Holter tapes. The fellow is initially taught the methodology for reviewing Holter scans by Ira Parness, MD. This includes parameters to measure normal values, and interpretation of common Holter findings. All studies that have been interpreted by the fellow are reviewed by a faculty member and the findings are discussed.

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Latoya Burgess
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Icahn School of Medicine
One Gustave L. Levy Place
Box 1201
New York, NY 10029

Application Review Deadline:
January 15, 2014

Advanced Imaging Deadline:
September 1, 2013

Interviews:
September 1 - November 12, 2013

Pediatric Cardiology Fellowship Evaluation Form [PDF]