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The first two years of the UMass fellowship are devoted to training in all aspects of clinical cardiology. During this time, fellows serve as cardiology consultants for acutely ill medical and surgical patients; provide ongoing, outpatient care for their own patients; and perform and interpret both invasive and noninvasive diagnostic procedures. Time is set aside in the second year to enable fellows to initiate a research project under the guidance of a mentor. The third year is designed for completion of research projects; advanced training in such areas as cardiac catheterization, echocardiography, and electrophysiology; and electives.

Fellows participate in many formal didactic conferences with faculty; the number of conferences per week ranges from five to nine, with an average of seven. 

Clinical rotations are described below.



Ambulatory Clinic

Each fellow has a supervised ambulatory clinic one half-day per week at the Ambulatory Care  Center. Some second and third year fellows opt to split their clinic time between UMass and  the Worcester Veterans Administration Outpatient facility. Fellows gain experience in caring  for a wide range of adult patients with cardiac disease and learn to communicate well with  referring physicians. All fellows take turns participating in the monthly Adult Congenital Heart Disease clinic and the bimonthly Pulmonary Hypertension clinic. Additionally, fellows now have the opportunity to participate in a clinic for pregnant patients with heart disease.

Cardiac Care Unit

Fellows rotate in the 16-bed CCU for two or three months during their fellowship. Fellows take primary responsibility for patients with acute MI, shock, heart failure, cardiac arrest and arrhythmias. They are responsible for running rounds and making decisions under the guidance of experienced faculty members. Fellows learn to manage intra-aortic balloon  pumps, temporary pacemakers, pulmonary arterial catheters and peripheral ventricular assist devices. 

Cardiac Catheterization Laboratory

The cardiac catheterization rotation allows for the performance of catheterizations in a supervised setting. Fellows spend several months on this rotation, becoming proficient in obtaining informed consent, gaining radial and femoral access, and performing right and left heart catheterization. Radiation safety is emphasized.

Vascular Medicine

This one month rotation immerses fellows in the care of patients with vascular disease. Fellows attend outpatient clinics, assist in the operating room and catheterization lab, and  learn to perform and interpret noninvasive vascular testing. There is also exposure to cardiac surgery during this rotation.

Echocardiography/ Heart Station

Fellows spend several months on the echocardiography/ heart station rotation. They become proficient in performing and interpreting transthoracic echocardiograms, stress echocardiograms (both treadmill and pharmacologic), treadmill stress tests and electrocardiograms.

Transesophageal Echocardiography

Fellows spend two months on the TEE rotation. They become proficient in the following areas: understanding indications and contraindications for the procedure, managing moderate sedation, and performing and interpreting TEEs in multiple settings (echo lab, OR, ICU, EP lab).


Fellows spend two months on the EP rotation. They perform consultations, program devices, and interpret Holter and event monitors. Those who are interested may implant devices.

Nuclear Cardiology

Fellows spend several months on the nuclear rotation. They become proficient in the performance and interpretation of nuclear stress testing, including dipyridamole, regadenoson  and dobutamine stress. They become familiar with radiation safety and the QA procedures that are necessary for running a nuclear laboratory.


Fellows spend two or three months on the consultation service. Each fellow takes charge of the busy service and supervises medical residents and students. The goal of the rotation is to become an excellent consultant, supervisor and communicator.


Fellows rotate on the inpatient cardiology service for two or three months, evaluating and managing admitted patients. Fellows formulate their own assessments and plans and communicate with house staff, patients, families and referring physicians, under the guidance of the attending.

Heart Failure

Each fellow spends two months on the heart failure service. Fellows care for patients admitted to the service, perform consultations, and spend time in the heart failure clinic. Two to four weeks of the rotation are spent at Tufts Medical Center in Boston, gaining experience with managing ventricular assist devices and patients who have had heart transplantation. 

Night Float

First and second year fellows spend four weeks on the night float rotation. They are responsible for performing emergent consultations and echocardiograms, as well as supervising residents in the care of critically ill patients in the CCU.

Advanced Imaging 

Fellows spend a month during their second year participating in cardiac CT and MR studies. Exposure includes image acquisition and processing as well as interpretation of studies.


Fellows have participated in several types of electives at UMass and other nearby institutions, including - but not limited to - adult congenital heart disease, further advanced imaging or heart failure, cardio-oncology and ambulatory cardiology.