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Rotations & Tracks

Photo of medical students in surgery room

What to expect

  • 20 days vacation and 5 days educational leave
  • $3,500 housing stipend annually
  • $1,000 relocation stipend (one time)
  • $1,500 educational stipend
  • $720 Health and Wellness stipend
  • An iPhone to facilitate taking calls (there is a pager as a backup)
  • Laptop with token that allows remote access to the electronic medical record and imaging
  • Dedicated fellows work room located in the outpatient clinic building

Below we have included an example of what a schedule looks like over the three years on average. First and second year fellows are on call approximately one weekday a week and one weekend a month. After each weekend call, fellows have the following Monday off from clinical duties. Call in the third year is reduced to allow greater flexibility and exploration of career interests. Clinic runs throughout the year and you will get that time off from your clinical rotation.

Most of your clinical duties will be based at our main campus (2425 Geary Boulevard in the center of San Francisco). The heart failure/transplant and electrophysiology rotations are based at our Santa Clara campus that is approximately 45 minutes south of San Francisco. During rotations at Santa Clara, you will not take week day call at San Francisco.

The fellows run a weekly case conference that is broadcast to the cardiology departments across the Kaiser facilities in Northern California. This a lively and interactive event with fascinating cases with numerous learning opportunities.

All fellows are expected to participate in research and quality improvement projects. The research is largely retrospective in nature, although prospective trials are also in progress. We have a huge database with over 4.5 million patients in the Northern California region, many of whom who have spent their medical life within the Kaiser Permanente system. This makes for one of the strongest research databases in North America. Additionally, we have a strong Division of Research with graduate medical education funding for programmers and statisticians to facilitate in research projects. We have great mentorship from our faculty, under the leadership of Dr. Drew Ambrosy who works two days per week at the Kaiser Permanente Northern California Division of Research.

Rotation/Activity Year 1 Year 2 Year 3
Adult Congenital Heart Disease 1 month
Advanced Imaging / CT, MR 1 month 1 month
Nuclear Cardiology  1 month 1 month
Cardiac Catheterization Laboratory 2 months 2 months 1 month
Cardiovascular Surgery / CVICU  1 month
Congestive Heart Failure at Santa Clara 1 month
Echocardiography 2 months 2 months
Electives 2 months 2 months
Advanced Echocardiography (optional) 1-2 months
Cardiovascular Implantable Electronic Device (CIED) (optional) 0.5-1 month
Electrocardiogrphy (ETT / Holter / EKG / Pacers)/ Res 1 month
Electrophysiology at Santa Clara 1 month 1 month
Intensive Care / A-Call 2 months 1 month 1 month
Research 1 month 1 month 1 month
Structural Heart Disease 1 month
Vascular Medicine/ Prevention/ Rehabilitation/ Res 1 month
Wards / B-Call 2 months 1 month 1 month
Total 12 months 12 months 12 months

Specialized Tracks

Advanced Imaging
For fellows who aim to become non-invasive Cardiologists with advanced imaging skills in one or more modalities, our program offers the opportunity to modify the third-year training schedule in order to develop advanced skills and acquire larger volume experiences in:

  • Advanced Echocardiography
    Though all graduates of our program acquire COCATS level 2 proficiency in Echocardiography (and are eligible for National Board of Echocardiography certification), third year fellows may opt to do one or more months of advanced ECHO training. These months will focus on complex TTE interpretation (valve/structural, Impella/VAD) and increasing their experience with complex TEE cases (valve/structural).
  • Interventional Echocardiography
    For fellows who wish to perform TEE and TTE in support of transcatheter interventions, one or month months of dedicated time are available. Fellows seeking advanced training in interventional echo will obtain primary operator experience in TTE for TAVR and TEE for transcatheter mitral and tricuspid valve interventions, ASD/PFO closures, and left atrial appendage occlusion device procedures.
  • Cardiac CT
    All fellows experience two dedicated months of advanced imaging training and much of this time (plus elective time if desired) can be used for cardiac CT training. Comprehensive experiences in CT coronary angiography and structural cardiac CT (prior to transcatheter interventional procedures) are provided in order to prepare the fellow to achieve certification with the Board of Cardiovascular Computed Tomography.
  • Cardiac MRI
    All fellows receive basic exposure to CMRI protocols for image acquisition and gain experience in study interpretation. For fellows wishing to achieve level 2 CMR training and certification with the Society for Cardiovascular Magnetic Resonance, it is possible to prioritize the advanced imaging and elective months to support the required training requirements.
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