The first year of the fellowship consists of a very active clinical fellowship with rotations in cardiac catheterization laboratory, echocardiography, inpatient service, and Cardiac Intensive Care.
Fellows have a very active role in the inpatient/outpatient services at Children's Hospital Colorado, the University of Colorado Hospital and Denver Health Medical Center. When possible, fellows accompany the staff to the outlying pediatric cardiology outreach clinics. Second- and third-year fellows spend more than half of their time on research, with continuing clinical involvement for the rest of their time.
Three years of pediatric cardiology fellowship are required for board certification. After the first year's experience, the program is flexible, depending on the goals of the individual trainee. The fellowship is designed to give fellows at least 14 months of research training, and the research training can be expanded up to 19 months if appropriate.
Cardiology outpatient clinics are held daily at Children's Hospital Colorado, with half-day metropolitan Denver clinics held weekly in Broomfield, Littleton, Wheat Ridge, and Parker. In addition, there are approximately 62 out-of-town pediatric cardiology clinics per year, which the fellows will attend on a selected but consistent basis. There are approximately 9,000 outpatient clinic visits per year at Children's Hospital Colorado, approximately 2,500 outpatient visits per year in the metropolitan Denver clinics, and more than 1,000 pediatric cardiology clinics in the tri-state area.
There are approximately 800 pediatric cardiac catheterizations performed per calendar year at Children's Hospital Colorado. The fellows can participate in all cardiac catheterizations.
The cardiac thoracic surgery service performs approximately 500 open and closed heart procedures each year at Children's Colorado. More than 12,000 echocardiograms are performed at annually at Children's Hospital Colorado. In addition, Children's is a regional cardiac transplantation center for children, including newborns.
Inpatient Service (A-team)
One-month rotations. Responsibilities include continuity care of all inpatient cardiology and cardiac surgery patients and all inpatient consultations at Children's Hospital Colorado. Fellows will work with the Advanced Practice Providers and rotating pediatric residents and medical students.
Cardiac Intensive Care Unit
One-month rotations. Responsibilities include continuity care of all cardiac intensive care patients and cardiac surgery patients at Children's Hospital Colorado. Fellows will work with the Advanced Practice Providers providers and rotating pediatric residents or fellows from other specialties.
One-month rotations. Responsibilities include work-up, performance, and post-cath care of patients undergoing routine diagnostic and interventional cardiac catheterizations. Fellows will become proficient in all aspects of invasive cardiovascular procedures. Catheterization conference is held weekly.
One-month rotations. Fellows will perform and interpret two-dimensional, M-Mode, and Doppler studies in inpatients and outpatients, under supervision of technologist and faculty. Included will be transthoracic, fetal, 3-dimensional, and transesophageal echocardiography. Echocardiography conference is held weekly.
- Exercise Physiology
- Cardiovascular Surgery
- Adult Congenital Heart Clinic
- Pulmonary Hypertension
- Cardiac MRI
- Cardiology Clinic
- B Team (consult service)
All calls during fellowship are in-house and include continuity care of all cardiac inpatients and cardiac consultations. The number of calls for first year a fellow is approximately 55, second year averages 45 calls, and third year fellows approximately 35. The fellows are expected to arrange the call schedule for themselves and to submit it for publication prior to July and December of every year.
Three weeks' vacation in blocks of one to two weeks is allowed per year per ACGME policy. Vacation time off must be approved by the Program Director.