Cardiology Fellowship Training

WE ARE... a fully-accredited 3-year program with opportunity for advanced subspecialty training in Interventional Cardiology.   Marshall is a strong clinical program, designed to provide fellows with expert clinical skills in all areas of cardiovascular medicine and to offer significant experience in research. Our environment is collegial and friendly, teamwork among fellows is a long-standing priority.

Located in the "Cardiovascular Disease Capital" of the US, our fellows benefit from a large clinical volume and exposure to a wide range of cardiovascular diseases.
Our program strives to provide the best educational experience in an environment that assures a balance between academic and clinical activities. As Sir William Osler said "He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all." We take great pride in our success in preparing residents to become the next generation of expert cardiologists.

Goals

To train all fellows in a broad-based clinical practice and laboratory skills:

  • Independent diagnostic cardiac catheterization (Level II)
  • Nuclear cardiology training, meeting criteria for NRC licensure (Level II), with a goal of Board Certification in Nuclear Cardiology for interested fellows.
  • Echocardiographic techniques, including TEE and stress echo, (Level II), with a goal of Board Certification in Echocardiography for interested fellows.
  • Academic and research experience for  a career commitment to life-long learning

Call

We utilize a night float system, call is taken at-home. We fully comply with work-hour limits.

Rotation Structure

First year (12 Core monthly rotations)

  • Clinical inpatient cardiology (including coronary care unit, step-down telemetry unit and general cardiology ward) [9 months]
  • Echocardiography ( 1 months)
  • Research (1 month)
  • Cardiovascular consultation [1 month]

Second year (12 monthly rotations)

  • Cardiac catheterization (2 months)  
  • Echocardiography (3 months)
  • Noninvasive rotation  (including EKG, ambulatory monitoring, tilt, stress, and echo) [1 month]
  • Electrophysiology (2 months)
  • Nuclear Cardiology (2 months)
  • Research (2 months)

Third year (12 monthly rotations)

  • Cardiac catheterization (2 months)
  • Echocardiography (3 months)
  • Research (2 months)
  • Nuclear Cardiology ( 2 months)

The third year schedule can be flexible, based on the fellow's interests.

Conferences

Weekly conferences are scheduled Wednesdays and Thursdays. The core lectures are an 18 month cycle of all topics of cardiology, grouped by topic. In each topic block, we try to integrate lectures on basic science, pathophysiology, imaging, clinical aspects, and guidelines. The rough outline is as follows:

  1. Coronary artery disease
  2. Cardiovascular Risk Factors
  3. Valvular Disease
  4. Congenital Heart Disease
  5. Congestive Heart Failure
  6. Arrhythmia/EP
  7. Peripheral Vascular Disease
  8. Special Topics

EKG conference - Monthly
Cath Conference - Bimonthly
Echo conference - Monthly
Journal Club - Monthly
Research Conference - Monthly
Nuclear Conference - Quarterly
Cath M+M - Monthly
Clinical Skills - Quarterly

There are additional conferences as needed and regular get-togethers off-site to informally discuss program issues with the program director and faculty.

Research

Research is a mandatory part of cardiology fellowship training at Marshall and each fellow is provided with at least 5 months of protected time to complete one or more research projects. Each fellow will complete  a mentored, hypothesis-driven research project that will be developed throughout the program, with expectation of at least one publication.  Additional research time is available to fellows seeking a career in clinical investigation.

First-year trainees have one month of research. During this month the fellow identifies an area of interest and begins the process of preparing a protocol for a hypothesis-driven small-scale research project, and an IRB application.

There are 2 research months in the each the second and third year of fellowship. During these months the fellow should have IRB approval for the project and will begin data collection and analysis. Manuscripts should be completed and submitted for publication.

Yearly presentations to Marshall University Research Day and the WV Chapter Meeting of the American College of Cardiology are expected.

Currently Enrolling Pharmaceutical Trials

ABSORB (absorbable stent):

  • Must have evidence of myocardial ischemia suitable for elective PCI
  • Negative enzymes 72 hours prior to procedure
  • Cannot require Coumadin therapy
  • Must meet angiographic inclusion/exclusion criteria

BIOMARKERS IN DIABETIC CARDIOMYOPATHY:

  • 1 lab draw required for participation. Length of study is same day.
  •  Do not have to be fasting
  • Recruiting patients with DM, diastolic CHF, DM and diastolic CHF, Increased BMI and normal control

GLORIA REGISTRY:

  • Newly documented diagnosed  non-valvular AF (< 3 months prior to baseline visit)
  • Must have CHADS score of at least 1
  • Cannot have received more than 60 days of VKA treatment in their lifetime prior to baseline visit

REDUCE-IT:

  • History of CAD and/or DM
  • Fasting Trigycerides of > 200 and < 500 mg/dl
  • Only on statin (stable therapy)
  • 28 day wash-out if on niacin, fibrates and/or omega-3 fatty acids is allowable

TAK-875 306:

  • Diagnosis of T2DM:
  • HbA1c between 7% and 10.5% at screening visit
  • Must have 1 or more: Documented MI (within 2-24mths), documented symptomatic PAD, or documented Cerebrovascular disease.

VASCAZEN:

  • Triglycerides > 150 mg/dl
  • Metabolic Syndrome
  • 10 day wash-out if taking any fish oil or Omega-3 supplements is allowable

Salary & Benefits

Paid Vacation    3 weeks paid vacation   
Insurance   
  • Malpractice: Provided by the State of West Virginia's "Comprehensive Liability Insurance Policy"
  • Group Term Life :  One and one-quarter percent ( 1 1/4 % )of annualized stipend with a minimum of $50,000 plus a $10,000 basic life insurance policy for a total of at least $60,000. Additional life insurance can also be purchased.
  • Health: Variety of plans/costs ranging from $76/month to $524/month depending upon coverage and tobacco use status
  • Flexible Benefits: Dental, Vision, Short Term Disability, Dependent Care and a Medical Flexible Spending Account.  All are pre-tax dollars.
  • Social Security : Employee and Employer pay social security taxes. International medical graduates who provide a copy of his/her J-1 Visa to administration will be exempt from social security taxes
  • Workers' Compensation: Coverage is provided.
  • Disability Insurance: Provided to resident at no charge.
Sick Leave    Fellows accrue 15 days of sick leave annually.   
Parking    Free   
Meals    On - call meals are provided by the hospital   
ATLS/ACLS/PALS Training   

Provided

Salary   

F-1: $54,000 
F-2: $55,000
F-3: $56,000
F-4: $57,000

Moonlighting    Permitted after the first year.   

Facilities

St. Mary's Medical Center
St. Mary's Medical Center is 393 bed level 2 trauma center. It is a teaching hospital associated with Joan C. Edwards Marshall University School of Medicine that teaches residents and fellows in may different specialties.

St. Mary's Centers of Excellence in Cardiac care, Cancer treatment, Emergency/Trauma services, Neuroscience, and Orthopedics feature the exceptional technology and medical expertise that make St. Mary's Medical Center the region's medical leader. Advanced medical care delivered with compassion is the hallmark of St. Mary's reputation.


Marshall University Medical Center
The Marshall University Medical Center provides a technologically advanced focal point for the clinical teaching, outreach and service programs of the Joan C. Edwards School of Medicine.  The 185,000-square-foot center is connected to Cabell Huntington Hospital and the Edwards Comprehensive Cancer Center through a shared atrium and multiple connectors.

The Medical Center is a comprehensive, state of the art center offering both primary and specialty care outpatient services. The center houses the main outpatient clinics and clinical education support facilities for seven of the school's major clinical departments:  Family & Community Health, Neuroscience, Obstetrics & Gynecology, Orthopaedics, Pediatrics, Psychiatry & Behavioral Medicine and Surgery.

For medical students, resident physicians and fellows in advanced training, the Medical Center provides a cohesive clinical education environment, allowing them to cross specialty lines to follow patients through all stages of care. In addition to a modern health science library and learning center, the center houses the academic and administrative offices of the School of Medicine.


Cabell Huntington Hospital
Cabell Huntington Hospital is a regional, 313-bed referral center that serves as the primary teaching hospital for the Joan C. Edwards School of Medicine. Cabell Huntington cares for patients from more than 29 counties throughout West Virginia, eastern Kentucky and southern Ohio. The hospital's emergency/trauma service is a designated Level 2 Adult and Pediatric Trauma Center. It has the highest patient trauma volume of any Level 2 trauma center in West Virginia.  The hospital offers specialized care centers such as the Neonatal Intensive Care Unit, the Burn Intensive Care Unit and the Pediatric Intensive Care Unit. These units offer the latest in medical technology and individual treatment for critically ill newborns, children and adults. Specially equipped air and ground transport services are always ready for patients requiring immediate attention.


Huntington VA Medical Center
The Mission of the VA Medical Center in Huntington, West Virginia is to provide Veterans with the highest quality healthcare services to promote healing, diminish suffering, and encourage a healthy lifestyle.  The VAMC also provides education and training through academic institution affiliations and to further medical research.  Since 1932, VAMC Huntington has been improving the health of the men and women who have so proudly served our nation. We consider it our privilege to serve your health care needs in any way we can. Services are available to veterans living in southwestern West Virginia, southern Ohio, and eastern Kentucky.

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