Current Training in Critical Care Cardiology
November 30, 2016

November 30, 2016 | Bram Geller, MD
Education

Critical care cardiology is a developing and evolving subspecialty within cardiology. The coronary care unit has evolved from a place where patients with an acute myocardial infarction could complete their infarct under medical supervision, to a complex intensive care unit supporting patients with mixed shock, respiratory failure and dependence on mechanical circulatory support devices.

Kim Allan Williams Sr., MD, MACC
Conversations With Cardiologists: Kim Allan Williams Sr., MD, MACC
November 16, 2016

November 16, 2016 | Kim Allan Williams Sr., MD, MACC
Education

In an interview with Akhil Narang, MD, chair of the FIT Section, and an FIT at the University of Chicago, and Hena Patel, MD, an FIT at Rush University, Kim Allan Williams Sr., MD, MACC, immediate past-president of the ACC and chief of cardiology at Rush University Medical Center, discusses his involvement in the ACC, career challenges and accomplishments, and his advice for FITs.

Tushar Tuliani
Fitness For the FIT: Practicing What You Preach, Part II
October 27, 2016

October 27, 2016 | Tushar Tuliani, MD
Education

In our quest to master disease processes and achieve academic glory, individual well-being takes a back seat. Medical education teaches us to be selfless and put others first. Can we provide quality care to our patients without taking care of ourselves? Numerous years of medical training kept me away from a daily routine of dedicated physical activity. 

Conversations With Cardiologists: Claire Duvernoy, MD, FACC
October 19, 2016

October 19, 2016 | Claire Duvernoy, MD, FACC
Education

Claire Duvernoy, MD, FACC, chair of ACC's Women in Cardiology (WIC) Section, is a well-known interventional cardiologist at University of Michigan and a nurturing mentor. In an interview with Poonam Velagapudi, MD, MS, an interventional cardiology fellow in training (FIT) at Brown University in Providence, Rhode Island, and a member of the FIT Section Leadership Council, Duvernoy discusses various issues pertinent to women in cardiology.

Balancing ACHD and Other Cardiology Specialties: Part 1 – The Journey
September 29, 2016

September 29, 2016 | Jennifer Gerardin, MD, FAAP
Education

This is the first of a three-part interview with five adult congenital heart disease (ACHD) physicians at Emory University and Texas Children’s Hospital. This article asks why they pursued this career pathway and who influenced their decision.

Multimodality Imaging Training During General Cardiology Fellowships: Re-Evaluating Our Approach
September 29, 2016

September 29, 2016 | Peter Flueckiger, MD
Education

Multimodality cardiovascular imaging technologies continue to develop and have an increasing role in assessment, diagnosis and management of cardiovascular disease. The combination of echocardiography and cardiac computed tomography for aortic valve stenosis and transcatheter aortic valve replacement (TAVR), multiple methods of assessing myocardial viability, and the myriad of stress testing options to evaluate coronary artery disease are just a few examples of integrative imaging and distinct choices clinicians make. Because of these clinical challenges and situations, it may be time to re-evaluate imaging training for the general cardiology fellow.

Rayji Tsutsui
Conversations With Cardiologists: Mehdi H. Shishehbor, DO, MPH, FACC
August 25, 2016

August 25, 2016 | Rayji Tsutsui, MBChB
Education

Mehdi H. Shishehbor, DO, MPH, FACC, is the director of endovascular services in the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at Cleveland Clinic, Ohio. His interests include coronary and peripheral vascular interventions. He completed his internal medicine, general cardiology and interventional cardiology fellowship at Cleveland Clinic. Dr. Shishehbor is married and has two daughters. In his spare time, he enjoys playing soccer, reading Persian poetry and watching basketball.

Nisha A. Gilotra
From Devices to Donors: What’s New in HF From the 2016 International Society of Heart and Lung Transplantation Meeting
August 25, 2016

August 25, 2016 | Nisha Gilotra, MD
Education

The home of the ACC in the nation’s capital was buzzing this spring with nearly 4000 attendees from all over the world for the 36th Annual International Society of Heart and Lung Transplantation (ISHLT) Scientific Sessions.

Many FITs attended and presented their work via oral or poster presentations. Below are highlights from the meeting addressing the current hot topics of next generation left ventricular assist device (LVAD) therapy and methods of increasing the heart transplant donor pool:

Chapters
Half a Million ECG Interpretations and Still Learning
August 17, 2016

August 17, 2016 | Mary L. Dohrmann, MD, FACC
Education

Many things inspire medicine residents to become cardiologists – a specific patient, a mentor, the science of cardiovascular medicine. In my case, it was the electrocardiogram (ECG). For me, ECG interpretation blended all that is known about the heart for an individual patient after obtaining a thorough history and physical examination.

The Sky is Not Falling, It’s the Limit
August 3, 2016

August 3, 2016 | James Hansen, DO
Education

Right now is a great time to be an interventional cardiologist. The face value of this statement is low, filled with trite optimism and an intolerable sense of idealism. Some senior operators would certainly disagree. To ask them, a career in interventionalism is self-inflicted destitution. I am of the opposite persuasion, and not just because I feel like being contradictory.

LeBude
Conversations with Cardiologists: Gaby Weissman, MD, FACC
July 29, 2016

July 29, 2016 | Bryan LeBude, MD
Education

In addition to serving as program director for the cardiovascular disease fellowship at MedStar Washington Hospital Center (MWHC) and Georgetown University Hospital, Gaby Weissman, MD, FACC is co-director of the advanced cardiac imaging fellowship at MWHC and the National Institutes of Health (NIH).

Chapters
Defining COCATS Level "Zero"
July 20, 2016

July 20, 2016 | Sudarshan Balla, MBBS
Education

I have distinct memories associated with the date July 1. It was on this date that I started my cardiovascular fellowship and three years later became faculty at the University of Missouri. It is a good time to reflect on the past and seek areas of improvement to make a difference for future Fellows in Training (FITs).

Tarek Alsaied
Conversations With Cardiologists: Robert H. Beekman III, MD, FACC
June 22, 2016

June 22, 2016 | Tarek Alsaied, MD
Education

Robert H. Beekman III, MD, FACC, is an interventional pediatric cardiologist and professor of pediatric cardiology at Cincinnati Children’s Hospital. He is currently the chair of ACC’s Adult Congenital and Pediatric Cardiology Section and also is the chair of the National Pediatric Cardiology Quality Improvement Collaborative.

Chapters
ACC.16 Recap: 2016 Merck Research Award
May 18, 2016

May 18, 2016 | Philip S. Hall, MD
Education

ACC's Annual Scientific Session (ACC.16) in Chicago was my first time attending ACC's annual meeting, and it was a great privilege to be there as a recipient of the ACC/Merck Fellowship Award. I arrived on Saturday and at the Merck reception that evening I got to meet Jainy Savla, MD, an FIT from UT Southwestern and Pritha P. Gupta, MD, an FIT from the University of California, Los Angeles, two of my co-awardees, as well as several previous recipients of the award, celebrating the 35th anniversary of the award.

Chapters
ACC.16 Recap: 2016 Young Investigator Award
May 18, 2016

May 18, 2016 | Saurav Chatterjee, MD
Education

Participating in the Young Investigator Awards (YIA) competition at the 65th Annual Scientific Sessions (ACC.16) was an enormous opportunity – previous contestants include some of the luminaries in academic cardiology. So it was indeed with trepidation that I submitted an abstract for the competition. As a prior finalist in 2012 (as an internal medicine resident), I knew that to be selected as a finalist entailed a favorable constellation of hard work, meticulous science and serendipity.

Nicholas Ierovante
Optimal Exercise Dosing: Is There Such a Thing as Too Much?
May 12, 2016

May 13, 2016 | Nick Ierovante, DO
Education

The general consensus amongst physicians is that regular exercise is typically good for overall health and inactivity is typically bad. For many of us, being a FIT has meant several city, state, country or even continent moves over the last several years. While many of us strive to engage in healthy behaviors including regular exercise, these frequent major life changes can make sticking to a routine difficult. As a mean to fight these changes, many fellows choose endurance running.

Sandoval
ACC.16 Recap: 2016 Young Investigator Award
May 12, 2016

May 13, 2016 | Yader Sandoval, MD
Education

Dr. Sandoval is a co-investigator within Fred Apple, PhD’s Cardiac Biomarkers Trials Laboratory at the Minneapolis Medical Research Foundation, where he collaborates with both Dr. Apple, (Laboratory Medicine and Pathology) and Stephen W. Smith, MD (Emergency Medicine). Dr. Sandoval’s research has focused on the use of cardiac troponin in acute myocardial infarction (MI), including the diagnosis, classification, management and risk-stratification of myocardial injury and MI. Dr. Sandoval presented the following results at ACC’s 65th Annual Scientific Sessions (ACC.16) at the Young Investigator Awards Competition session and was honored as one of the five finalists during the Convocation Ceremony:

Chapters
ACC.16 FIT Forum Recap: Scholarship and Education
April 20, 2016

April 20, 2016 | Akhil Narang, MD
Education

The Fellows in Training (FIT) Forum Scholarship and Education session was a tremendous success! Prominent cardiologists, including Clyde Yancy, MD, MACC, chief of cardiology at Northwestern University), Nihar Desai, MD, assistant professor of medicine at Yale University, Jonathan P. Piccini Sr., MD, FACC, associate professor at Duke University, and Michael Broman, MD, clinical instructor at the University of Chicago, spoke eloquently on building a successful research portfolio during fellowship and beyond.

Chapters
ACC.16 FIT Forum Recap: Stump the Professor
April 20, 2016

April 20, 2016 | Michael W. Cullen, MD, FACC
Education

For several years running, the 'Stump the Professor FIT Forum' has provided ACC Annual Scientific Session attendees with a fun, engaging and lively educational opportunity. This year's iteration was no different. Three FITs, Ronnie Ramadan, MD, from Beth Israel Deaconess, Tala K. Al-Talib, MD, from the University of Maryland, and Brandon William Calenda, MD, from Mount Sinai, each presented a unique and perplexing case to our panel of expert "professors," Thomas M. Bashore, MD, FACC, Patrick T. O'Gara, MD, MACC, and Carole A. Warnes, MD, FACC.

Chapters
ACC.16 FIT Jeopardy: A Test of Clinical Knowledge and Reflexes
April 20, 2016

April 20, 2016 | Kavitha Kalvakuri, MD, Adam Oesterle, MD, & Gurpreet Singh, MD
Education

Our experience at ACC.16 was so fascinating, inspirational and full of interesting moments that we don't know where to start. We knew that this meeting would provide a great learning experience, and we were feeling lucky that this event was happening in Chicago.

Chapters
Acing the Transition: What FITs Need to Know to Launch a Successful Career
April 20, 2016

April 20, 2016 | Seth Sheldon, MD
Education

Varsha K. Tanguturi, MD, and I had the pleasure of moderating the FIT session entitled, "Acing the Transition: What FITs Need to Know to Launch A Successful Career". We are grateful to the ACC for hosting this unique session and to our speakers, who shared a wealth of wisdom.

Chapters
Training and Testing Mismatch in CVD: Spotlight on the ABIM CVD Examination
April 20, 2016

April 20, 2016 | Ankur Kalra, MD & Ronnie Ramadan, MD
Education

The American Board of Internal Medicine (ABIM), and its standardized testing for certification and recertification in cardiovascular disease, has been in the news lately, unfortunately for the wrong reasons. Cardiologists nationwide have voiced concerns over the relevance, sanctity and validity of the certification process and maintenance of certification (MOC), forcing the ABIM to revisit its policies and strategies, and hopefully partner with peers nationwide to bring about reforms that are pivotal for both its relevance in the current era, and its sustenance.

Chapters
Making the Most of ACC.16: A Guide For Fellows in Training
March 16, 2016

March 16, 2016 | Akhil Narang, MD & Shashank S. Sinha, MD
Education

Greetings! We hope you are as excited as we are for ACC's Annual Scientific Session (ACC.16), held April 2 – 4 in Chicago! As the conference is just around the corner, we wish to orient you to the vast array of exciting programming for FITs. We recognize that it can be quite overwhelming to navigate the multiple sessions held at the annual meeting. Thus, we hope to highlight several sessions that FITs will find especially high-yield.

LeBude
Reducing Diagnostic Errors: The Next Frontier in Patient Safety
March 8, 2016

March 8, 2016 | Bryan LeBude, MD
Education

Each year approximately 5 percent of U.S. outpatients experience a diagnostic error in their care. The numbers are staggering. Diagnostic errors contribute to about 10 percent of patient deaths and account for up to 17 percent of adverse events in hospitals. Diagnostic errors lead to patient harm by delaying necessary treatment, propagating unnecessary and sometimes detrimental therapies, and culminating in both psychological damage and financial turmoil. They are the leading category of paid medical malpractice claim, and compared with other types, are twice as likely to have contributed to the patient’s death.

Avoiding the Oculostenotic Reflex
February 12, 2016

February 12, 2016 | James W. Hansen, DO
Education

Reflexes are an unconscious motor response to an outward stimulus, hard-wired into our neurologic system. The oculostenotic reflex is the stent deployment upon visualization of coronary disease. As cardiologists, the urge to fix things is to be understood and expected. We have gone through many years of training, seen many patients, seen many of them die, and now find ourselves in a unique position of making a difference. Or are we? Our nature implores us to fix what we know to be broken, to help one of our fellow humans. How can we not be saving someone’s life? And yet, the data tells us that we may not be.

Nicholas Ierovante
Fitness For the FIT - practicing what you preach
January 19, 2016

Jan 19, 2016 | Nick Ierovante, DO
Education

As I sat there in the office discussing Mr. R’s recent hospitalization, I felt fine discussing his cath findings, percutaneous coronary intervention and new medications. Though soon after, I noticed a familiar apprehensiveness coming from myself. As I was discussing his statin regimen, the little voice in my head started quietly whispering. As I started to discuss his cardiac rehab and diet modifications, it grew louder. By the time I was discussing daily activity recommendations, my inner monologue was screaming “HYPOCRITE!!!”

Mrinal Yadava
Atrial Fibrillation: A Timeline of This Veritable Quandary
December 16, 2015

Dec 16, 2015 | Mrinal Yadava, MD
Education

Atrial fibrillation (AFib) is idiomatically referred to as 'l'arythmie complete', literally meaning 'the complete arrhythmia.' The reference here is to the fact that all known arrhythmia mechanisms including triggered activity, enhanced automaticity, and re-entry have been implicated in its pathophysiology. Over the last 20 years as our understanding of the clinical significance of AFib has evolved, there has been a massive surge in efforts to delineate underlying mechanisms of the arrhythmia. This paroxysm of interest has greatly advanced our understanding of the condition and has revolutionized treatment paradigms.

LeBude
The Year in Cardiac CT Angiography: Highlights For the General Cardiology Fellow
December 8, 2015

Dec 8, 2015 | Bryan J. LeBude, MD
Education

Since the advent of electron-beam computed tomography (CT) in 1990, great technical advances have enabled the development of various applications useful in evaluating the cardiovascular patient. In the current era, coronary computed tomography angiography (CCTA) provides excellent image quality at continually decreasing doses of radiation. Research in the field has shifted away from confirming diagnostic accuracy towards demonstrating incremental benefit over existing approaches.

Nisha A. Gilotra
Running After a Scarce Commodity: Is it Time to Think Outside the Box?
November 3, 2015

Nov 3, 2015 | Nisha A. Gilotra, MD
Education

It’s 3:30 in the morning. The crew slowly gathers on the hospital lobby couches, sleepy-eyed and clad in matching cobalt blue pajamas. It’s too early even for coffee, much less conversation. A black SUV pulls up and everyone knows to stand. I follow, eager and anxious – eager for my patient who has been living in the hospital for the last three months, yet anxious about the upcoming experience.

Tarek Alsaied
3-D Printing in Pediatric Cardiology: Are We Witnessing a Revolution?
October 21, 2015

Oct 21, 2015 | Tarek Alsaied, MD
Education

Recently, one of my patients received his fourth surgery for congenital heart disease (CHD). He was born with tricuspid atresia, was treated through the single ventricle repair pathway and underwent an atrio-pulmonary Fontan procedure in the 1980s. He had a very large atrium with refractory intra-atrial re-entry tachycardia and an intracardiac thrombus that was growing in size. This put him at a high risk for stroke and pulmonary edema given his single ventricle physiology.

Mrinal Yadava
The Rhythm Section: An Overview of HRS 2015 Scientific Sessions
September 22, 2015

Sept 22, 2015 | Mrinal Yadava, MD
Education

In keeping with triennial tradition, the city of Boston played host to the 36th Annual Scientific Sessions of the Heart Rhythm Society from May 13 – 16. As electrophysiologists from across the globe congregated to share their science and interface with industry, there was a palpable excitement for the potentially practice-changing results that lay in prospect. As expected, atrial fibrillation (AFib) related research dominated the landscape, bearing testimony to the fact that AFib indeed lies at the epicenter of the current electrophysiology milieu.

Tarek Alsaied
Emerging Advances in Pediatric Cardiology Echocardiography
September 22, 2015

Sept 22, 2015 | Tarek Alsaied, MD
Education

As a pediatric cardiology fellow in training (FIT), I recently attended the 2015 American Society of Echocardiography Conference (ASE), which was held in Boston from June 12-16. The ASE Council on Pediatric and Congenital Heart Disease put together a program that was full of cutting edge science and case based learning, which included pathology, echocardiography and surgical discussions on transposition of the great arteries and mitral valve abnormalities with a focus on the role of 3D echocardiography prior to surgery.

Fellows in Training
Advances in ACHD
August 11, 2015

Aug 11, 2015 | Jeremy Nicolarsen
Education

With vast improvements in fetal and neonatal diagnosis, surgical techniques and outcomes, and post-operative and long-term care, patients with complex congenital heart defects have been surviving to adulthood at increasing rates.1,2 Currently, there are not enough cardiologists with expertise in adult congenital heart disease (ACHD) to take care of this growing population of patients. To adequately prepare trainees for this task, the field of ACHD has recently undergone three important advances:

Fellows in Training
Exciting New Features Coming to the FIT Section!
July 30, 2015

July 30, 2015 | From the FIT Section
Education

Thank you for checking out this exciting new feature of the Fellows in Training Section! In the coming days you will be see “quick-read” articles from FITs in this space. These articles will be written with your busy lifestyles in mind and we encourage you to check back soon.