Curriculum

Our cardiology training program provides fellows with a comprehensive clinical experience along with powerful research opportunities. Academic endeavors such as leadership roles in various societies, organizations or journals is also emphasized. Clinical rotations are scheduled to ensure fellows meet ACGME standards for general cardiology fellowship as well as COCATS requirements for board certification in Echocardiography and Nuclear Medicine. The majority of the third year is elective, allowing fellows to round out their clinical experience according to personal goals: fellows may choose to concentrate on research developed in the first two years of training, seek additional expertise in sub-specialty areas of cardiology, or a hybrid of clinical and investigative work.

Cardiac Intensive Care Unit

Director: Matthew Tomey, MD
Co-Director: Amir Ahmadi, MD

The Cardiac Intensive Care Unit (CICU) at Mount Sinai Morningside is truly at the core of the cardiology program, serving as a central place of interaction of all cardiac subspecialties. It is a favorite amongst our trainees. The unit is comprised of 16 beds and is adjacent to the Cardiothoracic Intensive Care Unit (CTICU). Each year the CICU sees approximately 1000 admissions. Fellows gain exposure to a wide range of pathology including acute coronary syndrome, complex structural heart disease, cardiogenic shock, acute decompensated heart failure, arrhythmias, valvular heart disease, and pericardial disease. In addition, Mount Sinai Morningside has a robust cardiovascular surgery program with whom we work closely.

During the CICU rotation, fellows not only learn from our knowledgeable attendings but also take leadership roles in teaching. As our fellows advance in training, they embrace the expectation for greater responsibility in instruction of residents, students, and nursing. During their time in the Unit, fellows perform and become adept at a variety of emergency bedside procedures including transthoracic and transesophageal echocardiograms, Swan-Ganz catheter placement, transcutaneous and transvenous pacemaker placement and emergency cardioversion or defibrillation. Advanced Electrophysiology, Heart Failure, and Interventional cases are managed by our teams in the CICU, as well as palliative care discussions when medical therapies are maximized. In total, our fellows learn the art of critical care cardiology.

Consultation Service

The cardiology consult service provides in-depth clinical experience for managing basic and complex cardiac disease while also developing skills as a consultant.  Fellows will interact with all of our medical and surgical services, outside hospital systems, and primary care doctors to foster competencies such as systems-based practice, interpersonal skills and communication as well as professionalism.  Consults generated from the Emergency Department invoke another side to consultative cardiology with cardiac pathologies often needing more critical care evaluation. Fellows gather information, evaluate the data from imaging and diagnostic modalities and devise treatment plans. Rounds are conducted with the attending to review assessments and recommendations synthesized by the fellow with concurrent review of pertinent literature.

Typical consults include chest pain (ranging from non-anginal pain to acute coronary syndromes), supraventricular and ventricular arrhythmias, valvular heart disease, cardiomyopathy, adult congenital heart disease, hypertension and hypertensive heart disease, heart failure, pericardial diseases, cardiac tamponade, cerebrovascular disease, peripheral vascular disease, lipid and other metabolic disorders, assessment of cardiac issues in pregnancy, and pre-operative assessments for non-cardiac surgeries.  

Electrophysiology

Director, Arrhythmia Institute: Davendra Mehta, MD
Director, Electrophysiology Laboratory: Ranjit Suri, MD

Our Electrophysiology program has long held national and international distinction for its clinical excellence, academic achievement, and its ability to offer a full spectrum of services to patients with known or suspected arrhythmias. The learning experience in Electrophysiology includes the ambulatory settings, inpatient consultation, device management, and invasive diagnostic and therapeutic procedures in our laboratory.

Fellows’ electrophysiology training is provided over a 2-month period during the first two years of cardiology fellowship.  Meeting COCATS requirements, fellows are exposed to the basic principles of anatomy and physiology surrounding arrhythmias, various diagnosis and treatment options, ECG interpretation, management of pacemaker and defibrillator patients, work-up of unexplained syncope, risk stratification of patient at risk for sudden cardiac death, electrical cardioversion, and pharmacology. Graduating cardiology fellow are strong in their basic electrophysiology knowledge to care for patients in their future careers, and for fellows interested in deeper exposure, elective time in Electrophysiology is encouraged in the third year.

Heart Failure

Director: Kiran Mahmood, MD

While on the heart failure service at Mount Sinai Morningside, cardiology fellows participate in our outpatient heart failure clinic experience, perform heart failure consultations and round on hospitalized patients. Renowned heart failure faculty is shared with The Mount Sinai Hospital and many are actively involved with ongoing heart failure research trials. Each fellow will also spend a concentrated month on the heart transplant/left ventricular assist device (LVAD) services at The Mount Sinai Hospital. Further elective time may be spent at The Mount Sinai Hospital for interested fellows.

Objectives for the heart failure rotations include to learn the pathophysiology of heart failure; become masterful in cardiac consultation for new onset heart failure management or acute decompensation of chronic heart failure; understand the roles of diagnostic testing in the decision making processes for heart failure; learn how to manage outpatient heart failure including diuretic titration and timing of advanced therapies; gain experience in integrating the results of clinical trials into the unanswered questions and newer approaches for heart failure; and understand the interplay between heart failure and various disciplines of cardiology as arrhythmia, devices, catheterization, cardiac surgery, imaging, and rehabilitation.

Principle objectives of the fellows experience during the heart transplant/LVAD rotations include selection criteria for heart transplant; UNOS transplant listing; post-transplant patient care with immunosuppressive therapy, infection, arteriopathy, and rejection; and experience with LVAD management.

Interventional Cardiology

Director: Nitin Barman, MD

For over two decades, Mount Sinai Morningside has offered formal cardiac catheterization rotations in interventional cardiology. We believe this training is an essential foundation on which technical and clinical experience of treating patients with coronary heart disease is derived. Our curriculum is designed to provide fellows with a comprehensive and extensive understanding of atherosclerotic heart disease including pathophysiology at the basic science level, medical therapies, and finally indications and technical aspects of invasive therapies. Further, an emphasis is placed on the understanding of hemodynamics, especially in shock states where mechanical support is considered.

We benefit from a high volume program that emphasizes hands-on training in a variety of complex coronary, peripheral, and structural cases. Our mission is to provide exceptional and diverse clinical training in all aspects of interventional cardiology such that the fellows are ready to excel as general cardiologists or go on to subspecialty training from the moment they finish our program. Our highly accomplished and dedicated faculty are committed to teaching the art of interventional cardiology. Teaching by our faculty extends beyond the cardiac catheterization laboratory as we emphasize evidence based medicine and guideline directed medical care with careful attention to appropriate use of catheterization and percutaneous coronary intervention. Before the procedure, cases are discussed in detail with the general and interventional cardiology fellows, including the indications for the procedure, and various approaches to treating the patient. Following the case, complications or difficulties encountered during the case are reviewed, and the attending and fellows will review post-procedure management. Further instruction is provided during outpatient clinics, journal club, and weekly conferences.

Echocardiography

Director: Edgar Argulian, MD

The echocardiography laboratory at Mount Sinai Morningside is a unique high-volume center with over 9000 transthoracic echocardiograms (TTE) performed and interpreted annually.  The lab participates in all aspects of clinical cardiology and engages in a variety of high-level research activities.  During their time in the lab, fellows with perform and interpret TTEs as well as stress echocardiography, transesophageal echocardiography (TEE), intracardiac echocardiography, contrast echocardiography, 3-D echocardiography, intraoperative TEE, and carotid and other types of vascular imaging. Fellows are encouraged to pre-read studies, commit to an interpretation, and then review and learn with the attending. We have a unique experience within our lab, where for 2 weeks blocks during 1^st and 2^nd years, fellows have hands-on scanning training to develop their skills. A new program to enhance echocardiography training is intraoperative TEE under the instruction of our excellent cardiac anesthesiologists. All of our cardiology fellows achieve COCATS level II training in echocardiography, and for fellows with imaging career goals, the third year is scheduled to align with completion of level III training.

Nuclear Cardiology

Director: Alan Rozanski, MD

Nuclear Cardiology at Mount Sinai Morningside is jointly run by the Department of Cardiology and Division of Nuclear Medicine. The section is supervised by Dr. Alan Rozanski, an internationally recognized Nuclear Cardiologist who has overseen this section for the last 30 years. Dr. Gordon Depuey, another leader in the field, is a Nuclear Medicine member of this section. In addition, we have highly seasoned technical staff who create an excellent learning environment. With a wide spectrum of patient pathologies and strong academic research opportunities, fellows enjoy their experience in nuclear cardiology.

Our nuclear procedures include stress-rest single photon emission computed tomography (SPECT), rest-redistribution thallium studies (to assess myocardial viability or resting myocardial ischemia), pyrophosphate imaging to assess patients for cardiac amyloid, and equilibrium gated blood pool radionuclide angiography (“MUGA” studies) to assess resting left ventricular function.

During the nuclear cardiology rotation, cardiology fellows perform daily stress testing (exercise, regadenoson, and dobutamine stress) followed by afternoon reading sessions. Training in nuclear cardiology is essential for the general fellow and can be tailored to suit individual needs. All fellows achieve COCATS level II as part of their clinical training, and interested fellows can pursue level III during their third year or through additional post-fellowship training.

Cardiac Computed Tomography

Swaminatha Gurudevan, MD

The cardiac computed tomography (CCT) and coronary computed tomography angiography (CCTA) program see a high volume of cases. Mount Sinai Morningside currently uses a 256-slice CT scanner to perform inpatient and outpatient cardiac studies to evaluate coronary artery disease, vascular anatomy, and planning for transcatheter aortic valve replacement (TAVR). During their CCT training, fellows are expected to learn to interpret calcium scans and evaluate coronary anatomy. Fellows will learn to perform a calcium score, recognize calcified and non-calcified plaques, and assess the degree of coronary stenosis on CCTA. Fractional flow reserve calculated from resting coronary CTA is a recently added feature. CCT didactic talks are included in our core curriculum and journal club is held regularly while on the CCT rotation.

Cardiac Magnetic Resonance Imaging

Director: Vikram Agarwal, MD

In our newly established cardiac magnetic resonance imaging (MRI) program, fellows now gain on-site exposure to cardiac MRI. Fellows learn utilization and interpretation of this imaging modality, focusing on pathologies of ventricular structure and function, valve disease, myocardial scar, and myocardial ischemia. Fellows see the full spectrum of evaluation for non-ischemic cardiomyopathies, pericardial diseases, and cardiac masses. This has been an invaluable addition to our Mount Sinai Morningside Cardiology Fellowship program, leaving behind the tutorials needed to enrich this aspect in years past, and now rounding out our Fellows’ general cardiology clinical understanding with robust cardiac imaging. 

Vascular Medicine/Endovascular Interventions

Director: Vishal Kapur, MD

Being the newest member of Division of Cardiology, the Vascular Medicine/Endovascular Intervention program aims to provide comprehensive care to patients presenting with vascular disease. We have a fully equipped IAC certified laboratory where fellows get hands on training on ultrasound use and interpretation of various vascular imaging including peripheral arterial, venous, carotid, abdominal, aortic, subclavian and renal. Fellows become eligible to sit for RPVI examination if they complete the necessary requirements. From an endovascular intervention standpoint, during the catheterization laboratory rotation, fellows observe the latest interventional techniques used to manage simple and complex vascular disease. The goal of this service is a robust “cardiology and vascular” experience for the fellows in training.

Adult Congenital Heart Disease 

All 3^rd year cardiology fellows rotate on the adult congenital heart disease service at The Mount Sinai Hospital with Dr. Ali Zaidi, an exceptional physician uniquely boarded in Pediatric Cardiology, and Adult Cardiovascular Disease, Echocardiography, and Adult Congenital Heart Disease.  Dr. Barry Love, interventional pediatric cardiologist, is also actively involved in the Fellows’ didactics and laboratory exposure. Fellows will have the opportunity to see both inpatients and outpatients, interpret pediatric echocardiograms, and partake in interventional cases for simple and complex congenital heart disease.  There are regular teaching didactics included in the rotation, and one-on-one learning time with such leaders in the field of adult congenital heart disease. 

Cardiology Clinic

A central component of our cardiology fellows’ experience is their weekly cardiology clinic, taking place one afternoon per week. Fellows attend clinic at either our newly renovated Cardiovascular Institute (CVI) at Mount Sinai Morningside or at Mount Sinai West on 59^th street between 9^th and 10^th Avenue. Each fellow manages approximately 8 new or follow-up patients each clinic session under the supervision of clinical faculty. Fellows’ growth is nurtured through one faculty mentor assigned to each fellow in the ambulatory setting, enabling direct clinical teaching. The goal of the ambulatory setting is to learn continuity and synthesis. Fellows take ownership as the principle cardiologist for the patient and enjoy following their “practice” closely throughout the three years of training. Additionally, fellows learn to apply their growing fund of knowledge, intermixed with evidence based literature, to create effective plans that fits the unique needs of each patient.

James J. Peters Veterans Hospital

Site Directors: Calvin Eng, MD; Lawrence Baruch, MD

The Bronx Veterans Affairs Medical Center is a multilevel healthcare Center of Excellence for Veterans Affairs (VA) and a renowned research center. The cardiology fellow experience at the VA is unique, and as such, particularly rewarding. Rather than discrete clinical rotations, the fellows are integrated into the day to day cardiology activities: stress testing, echocardiography, telemetry inpatient, cardiac consultation, and cardiology ambulatory clinics.  The cardiac intensive care unit sees a range of advanced cardiac pathology including unstable angina or myocardial infarction, decompensated heart failure, and uncontrolled arrhythmia. Cardiac imaging with CCT and MRI is also robust, with studies including calcium scores, non-invasive coronary angiography, myocardial function and scarring, and cardiac tumor or thrombus localization.  Our cardiology fellows rotating at the VA work side by side with the cardiology attendings, resulting in a well-rounded personalized educational experience.

The time allotments for each rotation are estimates only and may vary slightly between fellows. Hospitals: Mount Sinai Morningside (MSM), Mount Sinai West (MSW), Mount Sinai Hospital (MSH), James J Peters Veterans Affairs Medical Center (VA).

ACADEMIC TRACK

First year fellowship rotations:

• 1 month CCU
• 1.5 months Cardiac Catheterization Lab
• 1 month General Consult Service
• 1 month Electrophysiology Consult Service
• 1 month Heart Failure Service
• 1 months Echocardiography (MSM or MSW)
• 1 month Nuclear Cardiology
• 0.5 month Echocardiography Scanning
• 0.5 months Cardiac MRI and CT
• 1 month Post-Call Coverage
• 1 month clinical/imaging (VA)
• 0.5 months Elective
• 1 month Vacation

Second year fellowship rotations:

• 1 month CCU
• 1.5 months Cardiac Catheterization Lab
• 1 month General Consult Service
• 1 month Electrophysiology Consult Service
• 1 month VAD and Transplant Service (MSH)
• 1.5 months Echocardiography
• 1 month Nuclear Cardiology
• 0.5 months Echocardiography Scanning
• 0.5 months Intraoperative TEE
• 0.5 months Cardiac MRI and CT
• 1 month Post-Call Coverage
• 0.5 months elective
• 1 month Vacation

Third year fellowship rotations:

• 0.5 months General Consult Service
• 0.5 months Electrophysiology Consult Service
• 2 months Echocardiography
• 0.5 months Congenital Heart Disease (MSH)
• 0.5 months Preventative Medicine
• 0.5 months Intraoperative TEE or Vascular Imaging
• 0.5 months Post Call Coverage
• 6 months Electives/Research
• 1 month Vacation

VETERANS AFFAIRS TRACK

The first year rotations are detailed below, with each subsequent year removing 1 month of time from the VA and replacing it with more clinical time at MSM. Second year fellows will spend a total of 5 months at the VA and 6 months at MSM and in the third year, the ratio is 4 months VA to 7 months at MSM or MSH, accounting for the additional month of vacation.

• 6 months at the VA (hybrid time of cardiac imaging, general consult, CICU, ambulatory)
• 1 month CCU (MSM)
• 1.5 months Cardiac Catheterization Lab (MSM)
• 1 month Electrophysiology (MSM)
• 1 month Heart Failure (MSM)
• 0.5 month General Consult (MSM)
• 1 month vacation

Daily conferences are a highlight of our program. Our lecture schedule begins each year with the core curriculum which is comprised of high yield topics such as management of acute coronary syndrome and atrial fibrillation. Later in the year, we incorporate case-based conferences and topic-driven journal clubs. A particularly special aspect of daily conferences is our weekly Grand Rounds where we invite leading clinical experts and nationally and internationally acclaimed academicians from across the globe to provide our faculty, fellows and housestaff with exposure to the latest research and clinical developments in Cardiology. In addition, we often make arrangements for visiting faculty to stay for an additional lecture, thus allowing our fellows and faculty to interact at a more intimate level with leading experts.

Grand Rounds
A list of our most recent speakers, affiliated institutions and lecture titles

On-call training is a crucial component of cardiology fellowship. Our call structure provides invaluable exposure to all levels of acute cardiology to sharpen decision-making and management skills by the fellows. Common on-call issues include the handling of myocardial infarction, unstable angina, hypotension and cardiogenic shock, aortic dissection, atrial and ventricular arrhythmias, heart block requiring pacemaker, mechanical complications of myocardial infarction such as papillary muscle or free wall rupture, suspected cardiac tamponade, and hypertensive emergencies. During the night call experience, our fellows perform or assist in a significant number of emergent cardiac procedures such as transthoracic or transesophageal echocardiography or temporary pacemaker insertions. A designated cardiology fellow is on-call to cover Mount Sinai Morningside from 5:00 p.m. to 8:00 a.m. on weekdays and from 8:00 a.m. to the following day 8:00 a.m. on Saturdays and Sundays. The fellow on weekend call is also responsible to make rounds with the CICU team on call. The post-call day is scheduled to keep the overnight fellows free of responsibility from their respective service and covered by the “post call” block fellow. A back-up fellow is always designated for potential coverage or assistance throughout the year, to field questions of junior fellows and/or be available in the case of multiple unexpected emergencies.

We employ a wide variety of teaching methods to train our cardiology fellows. Each days starts with morning didactics which are given by core faculty, fellows or invited guests. We have regular board review sessions and journal clubs. An informal group session is held weekly to discuss ongoing interesting cases for real-time sharing of key teaching points from the imaging lab, interventional suites, consult services or cardiac care unit. Each fellow has access to online sources including ECG Source and ACC SAP as well as wealth of educational texts through the Mount Sinai Levy Library website.

Clinically, our program balances fellow autonomy with attending support to ensure patient safety and quality of clinical care. We maintain a true team approach, with residents and fellows equally available as are the supervising and teaching attendings. In our ambulatory rotations, fellows are matched with a preceptor with whom she/he will consistently work for the year. This approach facilitates mentorship between the attending and fellow, with a platform to build medical knowledge and the art of patient care with each successive session. Finally, each fellow has at least one national academic conference fully paid with additional conference funds available to those presenting research.

Academic Track:

Our cardiology training program provides fellows with a comprehensive clinical experience along with solid research opportunities. The academic track focuses on clinical excellence, leadership roles within and outside of the program, and advancements in the field through clinical or basic research. The majority of the third year is elective, allowing fellows to round out their training experience according to personal goals: fellows may choose to concentrate on research developed in the first two years, seek additional expertise in sub-specialty areas of cardiology, or a hybrid of clinical and investigative work.

Veterans Affairs Track:

The Veterans Affairs (VA) track is a combined program where foundational knowledge is built primary at the James J Peters Medical Center in the first year, with layers of sub-specialized cardiology added through training at Mount Sinai Morningside. The cardiology fellow experience at the VA is unique, where rather than discrete clinical rotations, fellows are integrated into the day to day cardiology activities: stress testing, echocardiography, telemetry inpatient, cardiac consultation, imaging, and cardiology ambulatory clinics. When rotating at Mount Sinai Morningside, fellows have the same schedules and responsibilities as the Academic Track fellows.

Clinical Cardiac Electrophysiology Fellowship

The Department of Cardiology at Mount Sinai Morningside and Mount Sinai West offers an ACGME-accredited 2-year Clinical Cardiac Electrophysiology Fellowship. The hospitals serve a large and growing community consisting of a culturally diverse patient population, drawn not only from the West Side of New York City but also from the greater metropolitan region. Such reach enables outstanding exposure for our fellows to consultative electrophysiology both inpatient and ambulatory, device clinics, and the full range of advanced electrophysiology invasive procedures.  We have 3 state of the art electrophysiology laboratories with biplane fluoroscopy, contact and non-contact three-dimensional mapping systems, intracardiac echocardiography, cryoablation and open-irrigated ablation systems, remote magnetic navigation ablation, and a laser lead extraction system.  Our program is especially known for skillful atrial fibrillation ablation, ventricular tachycardia ablation, cardiac resynchronization therapies and lead extractions.

Fellows are encouraged to engage in clinical research. Areas of research interest in our laboratory include the following: the short and long-term outcomes following pulmonary vein isolation in patients with atrial fibrillation, the management of atrial fibrillation in patients with congestive heart failure, the short and long-term outcomes of patients admitted with unexplained syncope, and the use of remote monitoring technologies in patients with atrial arrhythmias. In addition, at all times, the electrophysiology section participates in numerous multi-center clinical ablation and device trials. Fellows are expected to present their findings at national meetings and publish in high impact, peer-reviewed, journals.

Finally, a wide variety of clinical conferences are available throughout the week to supplement the fellows' training. These include ECG conference, a weekly electrophysiology meeting, Cardiology Grand Rounds, journal club, Morbidity and Mortality conference, and a formalized Board Review program. Graduates of the program are universally board certified and recognized amongst their peers for delivering outstanding electrophysiology care within their practice communities.

Interventional Cardiology Fellowship

We offer a one year ACGME accredited Interventional Cardiology Fellowship sponsored by the Icahn School of Medicine at Mount Sinai.

Rooted in two decades of history, our training program in interventional cardiology is exceptional. We benefit from a high volume program that emphasizes hands-on training in a variety of complex coronary, peripheral, and structural cases. Our mission is to provide exceptional and diverse clinical training in all aspects of interventional cardiology and endovascular medicine such that the fellows are ready to excel in their career from the moment they finish the program.  Our highly accomplished and dedicated faculty members are committed to teaching the art of interventional cardiology and are actively involved in the interventional cardiology training program.  Furthermore, the dual site structure (rotations through two cath labs – Mount Sinai Morningside and Mount Sinai Beth Israel) gives the fellows access to learn from a variety of operators and learn different techniques.

Graduates of our training program become fully proficient in performing all aspects of interventional coronary and endovascular techniques such as radial access for coronary artery interventions, complex percutaneous coronary intervention, atherectomy (orbital, directional, laser), distal embolic protection devices and LV Assist devices including intra-aortic balloon pump (IABP) and Impella. The majority of our coronary interventions are guided with the assistance of intravascular imaging including IVUS, FFR, and OCT.  Furthermore, the diverse experience includes learning endovascular techniques such as alternate access sites (radial, pedal) for the treatment of PAD as well as various venous interventions such as thrombectomy and iliac vein stenting.  Finally, our fellows receive experience in aortic and structural heart techniques such as EVAR, Balloon Aortic Valvuloplasty (BAV), Transcatheter Aortic Valve Replacement (TAVR), MitraClip, and PFO closures. 

Teaching by our faculty extends beyond the cardiac catheterization laboratory as we emphasize evidence based medicine and guideline directed medical care with careful attention to appropriate use of catheterization and percutaneous coronary intervention. Before the procedure, cases are discussed in detail with the interventional cardiology fellow, including the indications for the procedure, and various approaches to treating the patient. Following the case, complications, or difficulties encountered during the case are reviewed, and the attending and fellow will review post-procedure management. Further instruction is provided during outpatient clinics, journal club, and weekly conferences. By the completion of fellowship, our interventional cardiology fellows are well positioned to surpass educational and procedural milestones and qualify for certification by the American Board of Internal Medicine in this subspecialty.

Advanced Multimodality Cardiovascular Imaging Fellowship

The Department of Cardiology at Mount Sinai Morningside offers one to three years of training in advanced multimodality cardiovascular imaging. Offering three fellowship positions annually, we follow a standard GME academic calendar (July 1 through June 30). The program is fully funded for salary and research activities. Based on level(s) of prior training achieved, our program will offer one or two of the following modalities: cardiac MRI, cardiac PET/CT, cardiac SPECT, and/or echocardiography. Fellows will be expected to take part in the performance and interpretation of studies as well as participate in research activities alongside our dedicated full time faculty.

The integrated nature of our program, coupled with our outstanding and clinically renowned faculty, will provide our fellowship applicants with an ideal opportunity to become leaders in the field of cardiac imaging. The program will provide fellows with robust clinical experience within an environment of excellent academic activity, where fellows become involved in impactful research projects while developing clinical acumen in cardiac imaging. Our program is supported by state of the art imaging equipment, excellent technical staff, and a high volume of clinical cases. We are committed to and inspired by a diverse and inclusive work environment that allows each trainee to achieve personal goals. Fueled by prior experience of each candidate and academic interest, our fellows are well positioned to surpass educational and procedural milestones by the completion of fellowship and qualify for certification of level III echocardiography, cardiac MRI and cardiac CT board certification.