The University of Iowa Hospitals and Clinics Fellowship Program in Cardiovascular Disease is a three year program designed to train clinical and academic cardiologists. We are committed to training fellows to assume a leadership role in cardiovascular medicine in basic and clinical research and clinical cardiology. The curriculum is organized to provide increasing levels of responsibility for trainees with respect to patient care and procedure performance. Adequate progression through the curriculum is assessed by evaluating each fellow’s clinical judgment, clinical skills, medical knowledge, procedural skills, professionalism, communication skills, leadership ability, and continuing scholarship. At all times during their training, fellows are expected to conduct themselves with the highest of ethical standards and are expected to display integrity, honesty, compassion, and respect to all members of the health care team, patients, and patient family members. Fellows should always be strong advocates for all patients under their care and should utilize the health care system to maximize the benefit to each individual patient while respecting the patient’s expressed wishes. In the end, the welfare of the patient should be the fellow’s primary concern.