beatDepartment of Medicine

Division of Cardiovascular Medicine

Electrophysiology Fellowship

 Rosenthal_07 

EP Fellowship Program Director
Lawrence Rosenthal, MD, PhD 

Program Overview 

A one year clinical EP fellowship for qualified candidates who have completed a 3 year cardiology fellowship. Our case pathology is diverse and our volume is generous with over 200 catheter ablations per year, including focal afib pulmonary vein isolation procedures, 400 ICD implants per year, including BiVentricular pacing ICD’s, and 250 pacemaker implants per year. We also perform ICD and pacemaker lead extractions. 

Fellows have a supervised half day each week in clinic, with a focus on arrhythmia patients. There is a weekly EP didactic conference as well as morning rounds. There are also daily cardiac conferences and monthly grand rounds in cardiology. There are quarterly New England EP Society meetings which include fellow case presentations. 

There are many ongoing funded clinical research trials. Fellows are encouraged to produce at least one abstract and one paper during their fellowship year. 

Fellows are supported to attend yearly NASPE meetings. 

Two positions are offered in the one year program. 

Curriculum 

The goal of the inpatient and outpatient EP service experience is to develop the ability to diagnose and manage arrhythmias (bradycardiac and/or tachycardic). The Fellow is expected to know the HRS/AHA/ACC guidelines for brady support and ICD implant, as well as drug therapies for arrhythmias. The fellow’s role on the EP service should not be a repetition of residency, but rather should emulate the responsibilities of the attending for a series of challenging arrhythmia patients. The fellow may perform the initial attending's admission work-up, assembling ALL of the relevant data including phone calls to outside hospitals, referring physicians within or outside UMMHC, generate a differential diagnosis and management plan, and present this to the EP inpatient attending (who will be the attending physician of record for the patient). The fellow will round daily on the patients she/he admits, review diagnostic studies, continuously refine the working diagnosis, devise management plans, and oversee discharge planning, paperwork, and communication. 

Technical skills

Fellows are given ample opportunity to develop a high level of performance in such areas as interpretation of results of noninvasive testing relevant to arrhythmia diagnoses and treatment, performance and interpretation of invasive EP testing, performing therapeutic catheter ablation procedures, and performing implantation of ICDs and pacemakers, as well as cardiac resynchronization devices. 

The program will include formal instruction in: 

• basic electrophysiology
• clinical cardiac electrophysiology
• the genetic basis for cardiac arrhythmias
• epidemiology of arrhythmias

Evaluation Methods 

  • End of rotation verbal evaluation of performance 
  • Evaluations using E*Value by the supervising attending. Low score notices and confidential comments will be screened by the Program Director as they are submitted. 
  • Bi-annual verbal feedback and use of E*Value evaluations on clinical competence and professional development by the Program Director. 
Program Evaluations
  • Quarterly review of rotation by faculty member responsible for rotation 
  • Intermittent review of rotations by Cardiology Advisory Board Committee 
  • Program evaluations provided by the fellows in the on-line evaluation system. Low score notices and confidential comments will be screened by the Program Director as they are submitted. 
  • Review by the Program Director of the on-line program evaluations submitted by the fellows annually. 

Recruitment Information 

Please visit the GME website  for more information on the application process for UMass. 

Interview dates: Arranged between August and December. 

Contact Information

 

Lawrence Rosenthal, MD, PhD, FACC 
Director, Clinical Cardiac Electrophysiology Program
University of Massachusetts Medical School
55 Lake Avenue North
Worcester, MA 01655
Email:
 Rosenthl@ummhc.org 
Ellen Cowan 
Administrative Assistant to Dr. Rosenthal
Division of Cardiology
University of Massachusetts Medical School
55 Lake Avenue North
Worcester, MA 01655
E-mail:
 Cowane@ummhc.org