Second year fellows will continue to build upon the knowledge and skills gained during the first year of training and will begin to focus on their particular area of interest. Second year fellows will be given greater latitude in patient management decisions in the continuity of care clinic. During the second year, the fellow’s research project should be well established, and each second year fellow should be able to present his/her activities at the dedicated research conference. Depending upon the outcome of their research work, some second year fellows may be positioned to submit their findings in abstract form to national or regional scientific meetings.
Clinical Judgment and Skills:
Second year fellows will improve upon the clinical judgment and skills acquired during their first year of training by continued participation in patient care in a variety of settings and will work to master the development of acute and chronic management plans for patients with cardiovascular diseases. Second year fellows will be expected to understand the pathophysiologic basis of common cardiovascular diseases and will use this knowledge to help guide clinical management decisions. Fellows will gain a better understanding of how best to utilize cardiac procedures in the care of patients, will demonstrate continued improvement in test result interpretation, and will continue to refine their understanding of the risks and benefits of the various cardiac procedures. During the second year, fellows will continue to improve their ability to synthesize the cardiology literature and apply it in an evidence-based manner to the care of their patients.
Second year fellows will continue to advance their knowledge base by critically reviewing the cardiology literature and continuing to read standard cardiology texts. They are expected to regularly attend the core curriculum conference, journal club, work in progress, and the weekly clinical cardiology conference.
Second year fellows will be skilled in determining the appropriateness of planned procedures. The development of procedural skills will be limited by the number of research months during the second year of training.
In addition to teaching medical students ECG ‘s, second year fellows are expected to help introduce first year fellows to the program and to assist with bedside procedures (e.g., PA catheter placement, temporary pacemaker placement, transthoracic echocardiography, etc) especially when the second year fellows are on weeknight or weekend call for the intensive care unit.
Second year fellows will continue to perform their duties with utmost professionalism utilizing the highest of ethical standards.
Second year fellows will work to improve their written and verbal communication skills relative to direct patient care reporting. Second year fellows will continue to gain experience in interacting with patients, family members, and all members of the health care team especially in the continuity of care clinic. Second year fellows will understand the importance of maintaining complete and accurate medical records easily accessible to referring providers.
Second year fellows will be expected to be role models for first year fellows and to set the highest professional and ethical standards for them to follow.
Second year fellows will continue to update their cardiovascular knowledge base via critical review of the literature and continued reading of standard cardiology texts. Second year fellows will be expected to be able to interpret the cardiology literature correctly and to apply it appropriately in an evidenced-based manner to the care of individual patients. Second year fellows will be expected to formulate a meaningful research experience in conjunction with an appropriate mentor. Second year fellows will present their research project at the start and at the end of the research rotation blocks. Second year fellows may apply for research grant funding after discussion with their research mentors and gathering preliminary data.