No. of fellowships offered
CIMS Advanced Interventional Cardiology Fellowship Program.
- Trainees spend 5 days a week in the Cardiac Catheterization Laboratory performing invasive and interventional catheterization procedures. The procedures will be assigned to fellows on a rotation basis. Each fellow will spend one day per week in the outpatient interventional clinic, Echo lab, which is designed to foster ambulatory education in the evaluation and management of interventional cardiology patients. Also fellows will be given an opportunity to attend on call duties.
- Weekly conferences will be undertaken to enhance interventional trainee education.This include Interventional case reviews, Vascular cases clubbing surgery, radiology and cardiology.
- Ambulatory cardiology care clinic: All cardiology fellows will attend ½ day/week in an outpatient cardiology clinic where they follow patients and attend new patients.
- Didactic lectures
- Morbidity-mortality review
- Attending and presenting at the Conference hosted by CIMS.
Program Policies and Procedures
- CLINICAL ACTIVITIES AND RESPONSIBILITIES
Regular working hours are typically 8 AM to 8 PM during weekdays. The daily schedule is worked out at the beginning of each rotation. Responsibilities, goals and expectations will be reviewed at the beginning of each rotation.
- Duty hour standards
All fellows are expected to abide by the ACGME duty hour standards which include these provisions:
- An 80-hour weekly limit.
- An adequate rest period.
- A 24-hour limit on continuous duty, with up to six added hours for continuity of care and education (the so-called “24+6 hour” rule).
- One day in 14 days free from patient care and educational obligations, averaged over four weeks.
- CCU on-call duties:
- Fellows are expected to make rounds.
- Fellows are expected to make work rounds in CCU every evening of call at an appropriate time to review status of all patients.
- Fellows will also be responsible for reading ECG’s and doing ECHO’s when they are on call.
- Fellows can be expected to be called for various cardiac emergencies throughout the hospital, including STEMI triage and catheterization, emergent echocardiograms, manipulation of pacemakers/ICDs, and many others.
- Clinic/ Indigent patients:
While on call at clinic, fellow will be allowed to evaluate patients and write an admission note in the chart within 4 hours of admission. Fellows will evaluate these patients daily and write notes thereafter.
- Documentation of Procedures:
We require that fellows maintain records of procedures performed during their Fellowship Training. Records should include date, supervising physician, exact procedure performed, any complications and his / her role. Procedure logs are maintained using the same online system used to complete and review evaluations. Every 6 months, the procedure log and total numbers of procedures are reviewed with the Program Director and an electronic and print copy is placed in the file for record. The procedure log is a crucial component in determining the level of competency for each procedure on completion of fellowship. Thus, it is imperative that the procedure log be accurate and up-to-date at all times.
- Vacation policy:
Four weeks of vacation will be allowed during the academic year. Request for vacation must be submitted 12 weeks in advance and approved by the Program Director. Fellows may not take off more than two consecutive weeks from any single rotation unless in case of family emergency and unless authorized by Program Director on an individual basis. Taking time off for attending educational or research conferences or any other business (other than illness) will be considered as vacation time.
- RESEARCH and SCHOLARLY ACTIVITY
Research time will be made available based on interest and merit. Fellows are expected to conduct research during non-laboratory clinical practice rotations such as CHF/transplant, consultation services, etc.Fellows are expected to educate/train medical officers during rounds in the CCU, Consult service and other rotations that have Medical Officer/students. In addition, they are expected to teach ECG/ECHO interpretations to the medical officers and participate in the monthly CCU core lecture series and reporting by the Medical Officer.
- EVALUATION OF CLINICAL PERFORMANCE
- A formal evaluation will be performed by the Director at 6-month intervals. This will be placed as a record in the performance letter.
- At the beginning of each rotation, the “goals and expectations” will be discussed with the fellow. At the end of the rotation, a feedback will be provided.
- At the end of the fellowship, the Program Director will prepare an ‘overall appraisal’ which will be kept in the trainee’s dossier for future reference. In keeping with the major goal of feedback, i.e., to improve performance and contribute to growth and development, overall feedback within a constructive framework is highly recommended in addition to the written evaluations.
- RADIATION SAFETY
Radiation Exposure Badges (superficial and deep), lead aprons and radiation safety measures are to be followed by fellows in the Cath Lab.
Fellows are required to have a physical examination conducted as per the health policy of the organization.
Each fellow should have unrestricted license to practice in India by MCI.
Fellows are required to have completed ACLS training within or from outside CIMS.