Outpatient Service
The staff physician responsible for the outpatient clinic sees all outpatient consults for the arrhythmia service. In addition, he or she supervises all noninvasive testing (signal averaging and tilt-table testing) as well as the pacemaker and ICD clinics. Pacemaker and defibrillator clinics are held daily, and fellows are expected to attend on a regular basis. Fellows have a dedicated arrhythmia consultation and continuity clinic weekly for one half-day session. Fellows perform interrogation and troubleshooting of all pacemakers and defibrillators using the standard programming and ECG tools available as well as occasional radiography. The findings and management plans are discussed with the outpatient staff physician. Fellows also see urgent consults and perform outpatient preoperative evaluations under the supervision of the staff physician.

Procedure Log and Fellowship Portfolio
The cardiac electrophysiology fellow is responsible for maintaining a personal log of all procedures performed in and out of the laboratory; such procedures should include both invasive and noninvasive testing. Collected data should include patient name and medical record number, date and type of procedure, indication(s), complications, and name of supervising faculty physician. This log should be complete and accurate; it is evaluated by the program director, who certifies its authenticity.

In addition, fellows are responsible for compiling a portfolio of their written material produced during the fellowship. This includes copies of inpatient and outpatient consultation notes and reports of invasive and noninvasive procedures, as well as all teaching materials prepared for departmental and institutional conferences. At the end of the fellowship, this portfolio becomes part of the fellow’s permanent record, from which future credentialing recommendations are made.

See more details:
Sample Schedules
Heart Rhythm Disturbances (Arrhythmias)
Cardiac/EP Syllabus

This information is reposted with thanks to Lahey Clinic.

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