University of Missouri School of Medicine MU Health School of Medicine

Cardiovascular Disease Fellowship

Rotation Descriptions

We recently updated curriculum for our clinical rotations in accordance with the ACMGE milestones model. Each icon represents curricula for individual rotations. Expectations relating to knowledge and performance of procedure are classified as pre-fellowship (PF), early fellowship (EF), mid-fellowship (MF) and late fellowship (LF). Please click on individual icons to peruse the curricula for our rotations.

Our rotation schedule consist of 13 four week blocks per year. Fellows take night and weekend call from home. Second and third year fellows take cardiac catheterization and echocardiography call and proportionately, less general cardiology call.

Our rotations are:

  • University Hospital (UH) Coronary Intensive Care Unit/Cardiology Ward Service
  • UH Cardiology Consultation Service
  • VA Cardiac Intensive Care Unit and Cardiology Consultation Service
  • UH Cardiac Catheterization Laboratory
  • VA Cardiac Catheterization Laboratory
  • Cardiac Electrophysiology and Pacemaker Service
  • UH Graphics and Cardiac Rehabilitation
  • UH Echocardiography Laboratory
  • VA Echocardiography Laboratory
  • Advanced Cardiac Imaging (CT and MRI)
  • Nuclear Cardiology
  • Vascular
  • Adult Congenital Heart Disease (elective)
  • Advanced Heart Failure (elective)
  • Cardiovascular Research

First Year

The first year of fellowship is dedicated primarily to clinical training with the exception of fellows on the Research Track. Fellows rotate on the UH Cardiac Intensive Care Unit/Ward Service, UH and VA Cardiology Consultation Services and on the Cardiac Electrophysiology and Pacemaker Service. In addition, fellows rotate in the UH or VA Cardiac Catheterization Laboratory and in the UH Echocardiography Laboratory.

Second Year

During the second year of fellowship, fellows rotate on the UH Cardiac Intensive Care Unit/Ward rotation and both UH and VA Cardiology Consultation Services. They receive more in-depth training in the UH and VA Cardiac Catheterization and the UH and VA Echocardiography Laboratories. They also rotate on the Cardiac Electrophysiology and Pacemaker Service and on the Nuclear Cardiology Service.

Third Year

During the third fellowship year, fellows receive additional training in the UH and VA Cardiac Catheterization Laboratories. They continue to receive training in Cardiac Electrophysiology and Pacing and in Nuclear Cardiology. In addition, they rotate on the Advanced Cardiac Imaging and Vascular rotations.

Clinical Experiences

The Fellow in Cardiovascular Disease is provided a broad spectrum of opportunities to acquire clinical experience in and knowledge of adult cardiovascular diseases in the inpatient setting, in the outpatient setting and in the clinical laboratories. The subsequent descriptions include the general goals and objectives of rotations in these venues in the form of milestones and summarize the scope of cardiovascular disease and experiences encountered by fellows during various clinical rotations.

Additional Training

Fellows maintain a weekly continuity outpatient clinic one-half day per week throughout their fellowship. They are provided 4-12 months of dedicated research time during their fellowship depending on their level of interest and productivity. They are permitted to take electives in Adult Congenital Heart Disease and Advanced Heart Failure during their second or third fellowship year. Research rotations are interspersed throughout the fellowship except for research track fellows whose research rotations are taken en bloc. Each fellow is provided an educational stipend to attend one national cardiovascular scientific meeting during their fellowship. The Division will provide support for travel, expenses and registration for fellow research presentations at major national cardiovascular meetings in addition to their educational stipend.

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