These goals are achieved during clinical rotations of the CCEP resident, including rotations in our 2 very active inpatient and outpatient Pacemaker and Device Clinics. The CCEP resident will be directly involved as the primary operator in at least 75 cases and in a minimum of 150 cases performed annually of pacemaker and device (ICD) insertions.
E. Outpatient experience (12 months - 2 afternoons a week throughout entire training period)
In order for the CCEP resident to obtain a meaningful experience, most elective EP cases are interviewed and examined by the CCEP resident and presented to the attending staff. Discussion is carried out on methods of approach and options of treatment. Most elective EP cases are done as outpatients and the CCEP resident has the opportunity to evaluate them at our outpatient facilities. Follow-up visits to the outpatient clinic for antiarrhythmic drug monitoring or device check-up provide on-going exposure and training for the CCEP resident. The CCEP resident enjoys the presence and guidance of an attending staff in all of their clinical settings.
F. Inpatient experience
All patients referred to the clinical electrophysiology section at SLEH are evaluated and managed by the CCEP resident under direct supervision by the faculty. SLEH has 250 cardiology beds, and over 50 active clinical cardiologists. Over 10,000 cardiac catheterizations and 2,000 interventional procedures are performed annually. The abundance of interesting, unusual, and challenging EP cases is remarkable. Unlike most EP programs, the majority of our patients have supraventricular arrhythmias, and offer excellent learning experiences. The wide variety of our cases, including the large numbers of interventional (ablation) cases as well as devices and pacemakers provide a very balanced and complete training program. The attending faculty and especially the Program Director is involved at all times with teaching and training of the CCEP resident.
G. Trainee serves as a Teacher (primarily the last 6 months of training)
The Program Director teaches the CCEP resident, regular cardiology residents, internal medicine residents and the medical students rotating through the EP service daily. In the last 6 months of training, the CCEP resident has teaching opportunities of his/her own. The CCEP resident makes his own teaching rounds one day a week with the housestaff. He also gives monthly conferences and deals on a daily basis with 18 regular cardiology residents with on-going one-on-one teaching.
H. Opportunities for Research in our Program
Opportunities for developing and acquiring experience in research are numerous. Multicenter clinical trials and institutional projects provide opportunities for clinical research. These include NIH, industry, or institutional funded projects. A well equipped research lab, including an extensive animal lab is also available at THI.
In order to provide further opportunity to interested and selected CCEP residents, the basic EP research lab at the University of Texas Medical School at Houston and the EP lab at the Houston VA Hospital will be available to them. Selected trainees will be offered one additional year of basic/clinical research.
Time will be allotted to allow the CCEP resident to allocate 20% of his time to research.
I. Publication opportunity
The CCEP resident is expected to author at least 3 papers during the year of training (not including case reports).