The Zoll Cardiology Firm (Intermediate Care Unit)
This rotation provides fellows with experience in the diagnosis and management of cardiac hospital patients. The cardiac fellow admits and follows all service patients of the attending cardiologist. He/she supervises and advises the interns and general medicine residents. The fellow makes rounds with the attending cardiologist and is present during clinical conferences when he/she may present relevant literature reviews. During this rotation, the fellow obtains experience in the management of cardiac patients who have been discharged from the CCU as well as newly admitted patients with cardiac problems that do not require CCU care.
The Cardiology Consult Service
In this experience, requests for cardiac consultation come from all services of the hospital including the emergency ward. The consult team is led by the attending and fellow but may include medical residents and students. The consultations are evaluated by the fellow who later presents them to the attending physician; he or she then reviews patient history and physical exam results and joins in a consultative opinion. Cases are then followed by the fellow and attending until specialized cardiac opinion is no longer necessary.
The Cardiac Intensive Care Unit
During this rotation, the cardiology fellow is responsible for supervising the medical resident team under the direction of the cardiology attending. Critically ill patients who require circulatory assist devices, invasive monitoring, and temporary pacemakers are cared for in this unit. Consultative services are provided for the Cardiothoracic Intensive Care Unit, Surgical Intensive Care Unit, and Medical Intensive Care Unit.
Fellows spend approximately six months of their first year and two months of their second year on these services.