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Curriculum

Mayo's three-year Pediatric Cardiology Fellowship Program is designed to prepare individuals for a full-time academic career in pediatric cardiology. Graduates of this program can function independently as program directors, supporting staff, or laboratory investigators in university medical schools or medical centers.

Since 1960, 73 physicians have completed training in pediatric cardiology at the Mayo Clinic. Many of these are division chairpersons in academic institutions. In addition to these physicians, many others now active in the field of pediatric cardiology internationally have received part of their training at the Mayo Clinic.

The training program fulfills the requirements (three years) for training as stated by the Sub Board of Pediatric Cardiology of the American Board of Pediatrics and is accredited by the Liaison Committee on Graduate Medical Education. Prerequisites for admission typically include successful completion of training in a fully accredited residency program in general pediatrics in the United States.

This fellowship includes two years of intensive clinical training and one year of clinical or laboratory-based research.

Clinical Training

Two of the three years of the program are designed primarily for the trainee to develop the clinical skills necessary for the practice of pediatric cardiology. Exposure to clinical and laboratory research techniques is included in the two core years to help develop a scholarly approach to patient care and to introduce the trainee to disciplines in which he or she may have a particular interest or ability. During these two years the trainee works in the pediatric cardiology clinic where approximately over 3500 pediatric cardiology patient visits take place yearly. Of these, more than 500 are new patients, assuring the trainee extensive experience in the assessment of patients with congenital or acquired heart disease and utilization of clinical examination in addition to radiography, electrocardiography, and echocardiography under direct supervision of the full-time faculty. Pediatric cardiology fellows will also participate in a regular continuity clinic experience during the 3-year training program. Each fellow will be responsible for evaluation and management of a panel of patients, with increasing levels of responsibility, designed to maintain a continuity relationship during the entire 3-year program. Time is devoted to the inpatient services at Mayo Clinic Hospital, Saint Marys Campus, where over 500 pediatric cardiology patients are admitted annually. Approximately 400-500 congenital cardiac operations are performed yearly; 325 being "open heart" procedures. Approximately 325 cardiac catheterizations are performed each year upon patients with congenital heart disease; many of which are interventional procedures. Each trainee performs about 200 cardiac catheterizations, with increasing degrees of responsibility and the opportunity to be involved in interventional cases. With an annual congenital echo volume of over 4500 studies, the fellows will enjoy ample exposure to all aspects of congenital echocardiography, including transthoracic, transesophageal (including intraoperative) and fetal echocardiography. On average, a fellow completing the training program at Mayo will be involved in well over 500 echocardiograms.

During the three-year program the trainee assumes increasing responsibility in care of patients and supervision of junior fellows, pediatric residents, and medical student clerks. The trainee is expected to complete one or more projects in clinical or cardiovascular laboratory research in collaboration with members of the faculty. Each trainee will have opportunity to provide training lectures for the pediatric residents and medical students, and will participate in the annual congenital echocardiography course at Mayo.

Rotations
A typical rotation schedule includes:

Rotation Length
Inpatient Cardiology 3 months
Outpatient Cardiology 3 months
Cardiac Catheterization 6 months
Echocardiography 6 months
Electrophysiology/Pacing 1 month
MRI/Pathology 1 month
Pediatric Cardiac Surgery 1 month
Cardiovascular ICU 1 month
Adult Congenital Heart Clinic 1 month
Research 12 months

Electives
Elective time is available for additional training in any of these areas, or related fields such as:

  • Transplantation medicine
  • Basic cardiovascular research
  • Computer tomography scanning/magnetic resonance imaging
  • Nuclear cardiology

Didactic Training
Mayo Clinic's Pediatric Cardiology Fellowship Program has an extensive didactic training program that includes:

Weekly Conferences

  • Basic and applied cardiac pathophysiology
  • Cardiac catheterization
  • Echocardiography
  • Electrocardiography and electrophysiology
  • Surgery

Monthly Conferences

  • Angiocardiography
  • Exercise testing

Quarterly Conferences

  • Morbidity and Mortality Conference
  • Journal Club

In addition, informal clinical conferences are held with pediatric residents, interns and medical students serving clerkships in pediatric cardiology.

Fellows will present reports on current research projects for critical review annually. In addition, pediatric cardiology fellows attend one national cardiology meeting for educational purposes during their program, and any other national cardiology meeting for which they have an abstract accepted for presentation.

Research Training
Research experience is an integral part of the training of an academic pediatric cardiologist. During one of the three years of training, the trainee will pursue a basic science research project or advanced training in a clinical subspecialty area of Pediatric Cardiology combined with a well designed clinical research project. Our trainees have been uniformly successful in research, either basic science and clinical, with all trainees successfully submitting and presenting abstracts for poster or oral presentation, and all of our trainees have had more than one first author publication by the conclusion of their program.

Each fellow will be expected to take required research courses within Mayo Graduate School (to fulfill the American Board of Pediatrics Sub-board requirement for research curriculum). Typical course work will begin with introduction to clinical research and statistics, and will include a course in aspects of research in pediatrics and adolescent medicine. These courses will aid in the development of a scholarly approach to patient care.

This will qualify you to sit for the Pediatric Cardiology Sub-board Examinations. The Scholarship Oversight Committee will monitor your research progress and a mentor will be provided.

Weekly conferences are devoted to cardiac catheterization and angiocardiography, echocardiography, surgery, electrocardiography and electrophysiology, exercise testing, and basic and applied cardiac physiology. Pathology conferences and morbidity and mortality conferences are held quarterly.

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  • ART682767