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Clinical Cardiac Electrophysiology Fellowship at UMMS-Baystate

The Clinical Cardiac Electrophysiology (CCEP) Fellowship Program at Baystate Medical Center has a structured curriculum centered around published guidelines from the ACGME. The curriculum is adapted from the Program Requirements for Residency Programs in Clinical Cardiac Electrophysiology. The curriculum is implemented during the twelve months of CCEP at BMC. A resident must have successfully completed a three year training program in cardiology to be eligible for the CCEP program.

Implementation of the curriculum is the responsibility of the Program Director and the faculty members. The Program Director (or designated substitute) is assigned to scheduling conferences, speakers, and didactic lectures during the CCEP year. These conferences follow the subjects outlines in the curriculum so that the trainee has the opportunity to acquire knowledge in all areas of CCEP.

The CCEP faculty consists of the Program Director, two dedicated specialists in CCEP, and voluntary staff who perform pacemaker implantation. The CCEP program has one trainee and three full-time faculty. The Director of Cardiology Research assists in coordination of research activities.

SUMMARY: The CCEP Program is designed to provide competence in the usual procedures in the EP laboratory. The trainee is directly supervised during all procedures by a faculty member, consistent with HCFA guidelines. The invasive laboratory is equipped with a physiologic recorder, programmable stimulators, MAP catheters, biplane fluoroscopy, and OR sterility airflow. The trainee is evaluated by the faculty members for each procedure. The ABIM form is used for general information, the procedure log for the number of procedures, and the faculty meetings for general discussion. The trainee will participate in 100 diagnostic studies, at least 50 involving patients with SVT; 50 RF procedures for patients with SVT and VT; 50 tilt table studies; 50 primary pacemaker implantations and 20 battery changes or revisions, and 50 primary implantations of ICD. Instruction is by direct supervision by faculty members and/or didactic instruction during monthly conferences devoted to EP subjects. Certification is through faculty members and the Program Director.