The outpatient clinical cardiology experience is directed by Dr. Eli Gelfand, Director of Ambulatory Cardiology, and spans the entirety of the Cardiovascular Fellowship.
The majority of outpatients at BIDMC are seen at the main Boston campus with additional off-site clinics on Copley Square in downtown Boston, and several Boston suburbs. At the beginning of the first fellowship year, each fellow is assigned an outpatient faculty preceptor. These are selected faculty members who have large and actively-expanding patient panels, with diagnoses spanning the entire spectrum of cardiovascular medicine. Trainees attend weekly ambulatory sessions with their preceptor, where preference is given to new patient visits and consultations. Each case is reviewed with the preceptor, who then checks the salient portions of the history and physical examination, and provides immediate feedback on the fellow's assessment and plan. The fellow takes leadership in following up on the results of the ordered tests and procedures, as well as in communication with the patient and referring physicians. If a return visit is indicated, the trainees are expected and given the opportunity to follow the same patients longitudinally, thus preparing them for postgraduate experience as independent clinical cardiologists.
Frequent feedback, both informal and formal, is an integral part of the Ambulatory Cardiology experience, and includes evaluations completed by the patients themselves.