MSH Electrophysiology Fellowship | Icahn School of Medicine

RESIDENCIES & FELLOWSHIP PROGRAMS

Clinical Cardiac Electrophysiology Fellowship at The Mount Sinai Hospital

The Clinical Cardiac Electrophysiology Fellowship at The Mount Sinai Hospital trains qualified applicants in diagnosis and management of patients with cardiac arrhythmias. Accredited by the Accreditation Council for Graduate Medical Education (ACGME), the two-year fellowship is ideal for trainees who have completed their fellowship in general cardiology. Our distinguished faculty teach the appropriate invasive and noninvasive methods for evaluation of cardiac arrhythmias, and pharmacologic, device, and ablative forms of therapy. You will have the opportunity to participate in clinical trials at The Mount Sinai Hospital that use the latest, innovative technologies for cardiac arrhythmia management and stroke-prevention strategies.

Clinical education components of our program include the cardiac electrophysiology laboratory, inpatient consultative service, and outpatient cardiac arrhythmia consultation taught by world-renowned faculty with expertise in catheter ablation of ventricular tachycardia and atrial fibrillation as well as percutaneous left atrial appendage occlusion. The program is designed to ensure that fellows acquire the knowledge base and procedural skills required for excellence in cardiac electrophysiology, as well as the interpersonal skills and professionalism required to excel in their future careers. Graduates of our fellowship are expected to be fully proficient in performing standard procedures in cardiac electrophysiology, such as:

Transvenous pacemaker and conduction system pacing
Leadless pacemaker implantation
Transvenous defibrillator implantation
Cardiac resynchronization therapy
Subcutaneous defibrillator implantation
Mapping and ablation of supraventricular tachycardia
Ablation of atrial fibrillation and atypical atrial flutter
Mapping and ablation of idiopathic premature ventricular contractions and ventricular tachycardia
Mapping and ablation of scar-related ventricular tachycardia
Intracardiac imaging technologies, and incorporation of imaging into cardiac mapping

In addition, fellows are trained in more advanced electrophysiology procedures, including:

Epicardial access, mapping and ablation
Extraction of transvenous and leadless implantable cardiac devices
Percutaneous left atrial appendage occlusion
Implantation and removal of percutaneous left ventricular assist devices

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About the Fellowship

In addition to hands-on training, you will engage in regularly scheduled didactic sessions that cover a broad range of topics in basic and clinical cardiac electrophysiology and fundamentals of clinical research. Our academic schedule includes core curriculum lectures, electrophysiology grand rounds, case presentations, mortality and morbidity conference, and board review. Activities in the following environments during the fellowship provide learning and teaching opportunities for the trainee in clinical cardiac electrophysiology:

Inpatient Consultation: One out of every six weeks, you will work with an attending physician at The Mount Sinai Hospital to review and present a variety of cardiac arrhythmia cases.

Outpatient Clinic: One-half day each week, fellows will attend the outpatient clinic with an attending physician.

Electrophysiology Laboratory: For five out of six weeks, fellows will spend time at The Mount Sinai Cardiac Electrophysiology Lab, a tertiary care laboratory with a large volume of referred cases with complex arrhythmias. The lab provides our trainees with vast experience in managing complex clinical scenarios.

Research Rotation: Fellows must participate in at least one research rotation during their fellowship but are encouraged to participate in multiple rotations.

In addition to hands-on training, you will participate in teaching activities including attending monthly cardiac-focused grand rounds, morbidity and mortality conferences, national meetings, and present monthly on a case at the department conference.

Electrophysiology fellows are provided protected research time and are required to participate in one or more research projects during their fellowship. Each fellow is expected to complete at least one research project during their fellowship. The responsibility includes design, execution, and publication in both abstract and final manuscript form of any original research work or as primary or co-investigator. Within the first two months of the fellowship, you should actively pursue research ideas that can be your own or those of a faculty member. Participation in multiple projects is encouraged if feasible in the context of the primary project.

All applications for the fellowship should be submitted via Electronic Residency Application Service (ERAS). Candidates should have completed a three-year ACGME-accredited fellowship in cardiovascular disease and should be American Board of Internal Medicine-certified or eligible by the beginning of the fellowship. Qualified candidates are then invited for interviews.

International applicants with exceptional qualifications can apply through ERAS. All positions are filled through the National Residency Matching Program.