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Electrophysiology (EP) Fellows will be qualified Cardiologists performing 12-24 months of fellowship training in clinical electrophysiology. EP Fellows will be responsible for staffing the EP lab on a rotating basis. Over 2 years, it is expected that each fellow will be able to run the stimulator and perform a basic EP study independently, become proficient with the use of electroanatomic mapping systems and be comfortable with catheter manipulation for both simple and complex ablation procedures. The fellow on each case will report studies within 24 hours of the study. The first half of fellowship training will entail mainly SVT ablation to learn fundamentals of electrophysiology and catheter manipulation. The second half will mainly involve complex ablation such as pulmonary vein and ventricular tachycardia ablation. For any given trainee, the transition from simple to complex ablation will be determined by the Program Director and will be decided on an individual basis based on performance.
Fellows are expected to develop proficiency in implantation of pacemakers and defibrillators. This includes implantation of single and dual chamber pacemakers, biventricular devices, ICD implantation, loop recorder implantation as well as programming and troubleshooting of all arrhythmia devices. There will be some exposure to sub-muscular generator implantation. Fellows will also have exposure to lead extraction. During the course of a year, fellows can expect to be the primary implanter in 150 pacemakers, 35 biventricular systems, 75 implantable defibrillators as well as a variable number of lead extractions (depending on interest).
The consultant on call for the service will be available to discuss management issues and back up the fellow on call.
Although the ultimate career goal of fellows is highly variable, all fellows will be expected to participate in research.
Fellows are expected to attend conferences on a rotating basis. During meetings, at least one fellow will remain in London to cover clinical duties. Priority for attendance at meetings will be given to fellows presenting abstracts. Fellows must notify the Program Director if they plan to attend a meeting. Funding to cover presentation of research on behalf of the London Heart Rhythm Program at meetings will be sought from the Department of Medicine, from educational funding within the Division, and from industry. Scientific meetings will be considered to include the CCS, AHA, ACC, HRS, ESC and Cardiostim. Other meetings attended will be considered on a case-by-case basis, but may require use of vacation time.
Fellows are entitled to 4 weeks vacation for each academic year. Fellows must submit their vacation requests to the Program Director at least 4 weeks prior to the desired period of leave.
A senior fellow will be designated to make the schedule for the fellows, who must also be notified of vacation time.