University of Wisconsin
School of Medicine and Public Health

Curriculum – Clinical Cardiac Electrophysiology Fellowship

Learning Objectives

The goals by the completion of the 2-year training program are: to develop full independence in the performance and interpretation of EP diagnostic studies, as well as in the performance of all procedures expected of an invasive electrophysiologist; equip the fellow with the knowledge, skills and abilities to meet the requirements for certification in clinical cardiac electrophysiology as determined by the Accreditation Council for Graduate Medical Education and the American Board of Internal Medicine. The program also follows guidelines as set forth in the most current specialty Advanced Training Statement; however, successful completion of the program does not alone guarantee board-eligibility. It is ultimately the fellow’s responsibility to review all ABIM requirements to evaluate their overall eligibility status. The program will provide as many resources and opportunities as it can to aid the fellow in the pursuit of board-eligibility.

General Objectives

Trainees will acquire experience in performing diagnostic EP studies and standard ablation procedures, endocardial mapping, procedures requiring trans-septal catheterization, and CIED implantation, as well as the integration of knowledge related to 3-dimensional mapping systems and supporting modalities, such as intracardiac echocardiograms, CMR, and CT scans. Additionally, trainees will become proficient at recognizing potential complications for each procedure performed, managing those complications that can be treated by the electrophysiologist, and develop an understanding of when additional support is needed from cardiothoracic surgery, interventional cardiology, or anesthesiology.

Trainees will have opportunities to develop an advanced skillset through exposure to novel techniques and technologies at the forefront of the rapidly evolving field of electrophysiology, including laser lead extraction and leadless pacing systems.

Schedule

Fellows will spend 12 months in the electrophysiology procedural rotation with approximately one week of each month dedicated to the EP Consult service. Additionally, fellows will attend a weekly half-day outpatient clinic.

Call: fellows are responsible for Home Call covering the EP consult service until 10p weekday evenings, generally on a schedule of alternating weeks. Fellows can also expect to cover weekend call 8a-2p one weekend each month.

Clinics

Fellows are responsible for attending clinic with their faculty clinic mentor one-half day each week. Clinic mentor assignments and locations will switch every six months to maximize experience and education. You can expect to spend at least one six-month block in clinic with a non-invasive electrophysiologist to sharpen your skills in medical arrhythmia management as well as study interpretation.

Conferences

Fellows will attend, and sometimes present at, the following conferences:

  • Cardiovascular Medicine Grand Rounds
  • CVM Quality Assurance Meetings
  • CCEP Core Curriculum
  • Journal Club (integrated into the CCEP Core Curriculum)
  • EP M&M Meetings (integrated into the CCEP Core Curriculum)
  • EGM Conferences
  • EP Operations Meetings

Scholarly Activity

Fellows will complete the DOM Quality Improvement formal curriculum and identify and participate in a quality improvement project. Opportunities for research or other scholarly activities, such as publication of case reports with faculty, abound for the interested fellow—there is sure to be a faculty member who shares your interest and has a related research project underway. The UW EP faculty have a robust research portfolio, from innovative research in ion channels and inherited arrhythmias, to stem cell studies; there is no lack of avenues of inquiry.