The CCEP Fellowship at Rush University Medical Center is a high volume training program that trains fellows to be well versed in the fundamentals of clinical cardiac electrophysiology as well as the newest technologies and the procedures. The fellowship is structured to provide valuable procedural, inpatient and outpatient experiences. In addition to clinical training, research projects are encouraged to provide trainees with a foundation for critical thinking and manuscript preparation.
The outpatient experience for CCEP fellows includes two half-days per week while on the Arrhythmia Service rotation.
One half-day is spent in the Pacemaker/Defibrillator Clinic where 15-20 patients are seen and evaluated. This includes a brief clinical history followed by interrogation of the pacemaker or defibrillator generator, with the appropriate troubleshooting and adjustment, as indicated. This provides an intensive experience and familiarity with different types of devices and the clinical issues that are specific to patients with implanted devices.
The other half-day is spent with one of the EP attendings seeing outpatient consultations and follow-up patients. The outpatient experience is augmented by active participation in our arrhythmia device clinic. The clinical electrophysiology laboratory has state-of-the-art systems for intracardiac electrogram recording, non-fluoroscopic mapping, laser lead extraction, intracardiac ultrasound imaging and robotic catheter navigation.
CCEP fellows prepare for three different types of conferences:
- A monthly journal club that focuses on articles of EP interest from the previous three months.
- A morning meeting, held at 7:45 a.m. daily. All EP attendings, fellows and nurses discuss the status of each patient on the service, as well as the results of any clinical studies done the day before, and plan for clinical studies for that day.
- A formal, departmental clinical conference held twice per week.
The inpatient CCEP service (including subspecialty consultation) rounds daily with an attending physician. Fellows:
- Have first contact with patients
- Obtain their own history and physical
- Review and analyze other pertinent clinical data (with an emphasis on systematic analysis of cardiographic, telemetry, and stored electrogram recordings)
- Formulate a differential diagnosis
- Recommend a diagnostic and/or therapeutic plan
- Review the management plan with the attending physican