First Year Fellows divide their time between the three hospitals, with a relative balance of time spent at each institution. At all three hospitals, a large full-time and part-time attending cardiology staff closely supervises the Fellows in their clinical evaluation of patients, their performance of diagnostic studies, their critical evaluation of data and their management of patients' illnesses.

Second Year Fellows continue as consultants in cardiology at Bellevue Hospital and Veterans Affairs Medical Center and supervise the Coronary Care Units. Two months of elective time are set aside for the pursuit of individually and independently tailored educational endeavor, clinical or bench research, or out-electives. It is expected that second year Fellows will participate in scholarly activity resulting in publication, presentation at national meetings, and/or development of research projects.

First Two Years

Rotations: A 24 Month Core of Rotations covering all the requisite clinical and course work of ACGME accredited training programs in cardiovascular disease, including:

• Cardiac Catheterization Laboratories
• Electrophysiology Laboratory
• Echocardiography Laboratories
• Stress/Nuclear Laboratories
• Consultation Services
• Coronary Care Units

Vacation: One month of vacation per year (mandatory)

On-Call: Approximately one in seven nights averaged over the initial 2 year period.

Outpatient Experience: Approximately 200 hours per year of supervised outpatient management in 4 hour weekly sessions at the Bellevue Cardiology Clinic and/or the VA Cardiac Clinic.

Conferences: Attendance is required at all the scheduled conferences of the Division of Cardiology. Fellows present at the Clinical Case Conference and Journal Club in rotation.

Monday:	ECG/Electrophysiology Conference, Research Conference
Tuesday:	Core Curriculum Conference
Wednesday:	Outpatient Lecture series, Research Conference
Thursday:	Clinical Case Conference
Friday:	Cardiology Grand Rounds, Journal Club

Scientific Meetings: Attendance at one of these major Scientific Meetings per year:

• American Heart Association
• American College of Cardiology
• Heart Failure Society of America

Third Year and Beyond

Activities for the latter years of fellowship are described in the Pathways section. All Fellows beyond the first two years of training continue their clinical work in general cardiology by participating in on-call schedules, the ambulatory experience, and all the teaching conferences of their area of specialization and those of the Training Program in Cardiovascular Disease in general.

The Outpatient Clinic experience continues. On-call responsibilities comprise backup call for our first year Fellows or first call for the assigned clinical laboratory (catheterization laboratory, electrophysiology service, etc.) Presentations at Journal Club and Clinical Case Conference, in rotation. Presentations of investigational efforts at Cardiology Grand Rounds.

NOTE: The Third Year Fellow must demonstrate continued involvement in Clinical Cardiology (on-call duties, outpatient experience, participation in conferences) in order to satisfy requirements of the American Board of Internal Medicine on Adult Cardiology Training.