Fellowship in Pediatric Cardiology at Cohen Children’s Medical Center
The pediatric cardiology fellowship program at Cohen Children's Medical Center is an ACGME-accredited, three-year training program. The program utilizes the clinical and research resources of North Shore-LIJ Health System and its many affiliated tertiary and primary care hospitals, including the Feinstein Institute of Research.
The clinical exposure to pediatric cardiology encompasses a broad spectrum of practice involving primary care pediatric cardiology to complex congenital and acquired heart disease in patients ranging in age from the fetus through adulthood. With hospitals on Long Island, Queens, Brooklyn, Staten Island, Manhattan, and Westchester, fellows provide care to a large and diverse population. They have the opportunity to rotate through all health system hospitals, which accounts for more than 20,000 live births per year. Trainees participate in:.
- 200 pediatric cardiothoracic surgery cases
- more than 200 pediatric cardiac catheterizations
- 100 cardiac electrophysiology procedures
- 9500 pediatric transthoracic echocardiograms
- 1700 fetal echocardiograms, and
- proportionate numbers of invasive and noninvasive procedures annually
Fifteen pediatric cardiology faculty members provide fellows with the clinical, didactic, and research guidance necessary for comprehensive training in all aspects of pediatric.
Cardiac Catheterization Laboratory
The pediatric cardiac catheterization laboratory is a state-of-the-art, biplane, digital facility dedicated to bring cutting edge care with minimal radiation exposure to children and patients with congenital heart disease. The lab is staffed with dedicated pediatric cardiac nurses, cardiovascular technologists and special procedure technologists. Fellows participate in all diagnostic as well as interventional and electrophysiology procedures under the supervision of three full-time pediatric interventional/EP faculty members.
Fellows have the opportunity to participate in a wide variety of interventional procedures, including transcatheter valve placement, valve and vascular angioplasty, endovascular stent implantation, transcatheter atrial septal closure, ductal occlusion, and endomyocardial biopsies. They will also be involved in the performance of a variety of diagnostic electrophysiology studies for arrhythmia diagnosis and sudden death risk stratification, as well as curative interventions including radiofrequency and cryocatheter ablation aided by conventional and three-dimensional non-fluoroscopic mapping units.
Approximately 11,000 echocardiograms are performed annually in the pediatric echocardiography laboratory. Our echocardiography laboratory is fully accredited by ICAEL for pediatric echocardiography. It is staffed by 11 pediatric cardiac sonographers with 11 dedicated digital echocardiography imaging systems. Our laboratory has the most up to date hardware and software, including 3-dimensional echocardiography and the recent addition of 3-dimensional transesophageal echocardiography. Over 1700 fetal echocardiograms are performed annually within the Division of Pediatric Cardiology. Care of at risk fetuses is coordinated with the Divisions of Maternal-Fetal Medicine and Neonatology.
The pediatric cardiology fellows and faculty provide all intraoperative transesophageal echocardiography services as well as echocardiographic guidance for interventional procedures in the cardiac catheterization laboratory. All echocardiographic exams are recorded in digital format with review stations that permit point and click reporting and facilitate didactic instruction. Fellows acquire and interpret echocardiographic studies, under faculty supervision, during "non-invasive" rotations and when on call.
Noninvasive Electrophysiology Laboratory
Three full-time technologists and one pediatric nurse practitioner staff the non-invasive pediatric electrophysiology laboratory. The laboratory includes Marquette digital Holter monitor processor/analyzer, transtelephonic event and remote pacemaker follow-up units, as well as pacemaker programmers from the major pacemaker manufacturers. Fellows review ECGs, Holters, event monitors, and perform pacemaker evaluations during their "non-invasive" rotation.
The pediatric exercise laboratory, staffed by a dedicated pediatric cardiovascular technologist, contains a Welch Allyn unit for real-time ECG analysis, MedGraphic system for breath by breath gas analysis for quantification of oxygen consumption and carbon dioxide production, and a bicycle ergometry unit. Fellows perform and report on exercise tests during their "non-invasive" rotation.
More than 11,000 ambulatory pediatric cardiology visits are conducted annually at Cohen Children's, in addition to multiple dedicated pediatric cardiology satellite offices. Fellows' weekly ambulatory office hours provide continuity of care of a cadre of patients throughout the fellowship under the supervision of a mentoring attending.
Cardiac Intensive Care
The 24-bed pediatric intensive care unit and newly renovated 57-bed neonatal intensive care unit at Cohen Children's Medical Center provide state-of-the-art nursing and medical resources, including ECMO and PRISMA therapy, for the critically ill pediatric cardiac medical and surgical patients. Fellows participate in the preoperative and postoperative care of all cardiothoracic surgical cases under the supervision of a pediatric cardiology attending.
Regular didactic and clinical educational conferences include:
- Pediatric Cardiology Patient Management Conference (twice weekly)
- Pediatric Cardiology – Cardiothoracic Surgical Conference (weekly)
- Cardiology Core Curriculum Conference (weekly)
- Echocardiography Conference (weekly)
- Cardiac Catheterization Case Conference (weekly)
- Cardiology Case Review Conference (weekly)
- Electrophysiology Case Conference (monthly)
- Cardiothoracic Surgical Conference (twice monthly)
- Pediatric Cardiology Textbook Chapter Review (monthly)
- Electrophysiology Textbook Chapter Review (monthly)
- Pediatric Cardiology Morbidity and Mortality Conference (monthly)
- Pediatric Cardiology Pathology Conference (monthly)
- Pediatric Cardiology Journal Club (monthly)
- Pediatric Cardiac Critical Care Journal Club (monthly)
- Pediatric Grand Rounds (weekly)
- GEMINI Pediatric Case Presentation Conference (weekly)
- Adult Congenital Heart Disease conference (monthly)
- Multidisciplinary Journal Club (monthly)
- Fellowship Research Course (weekly during first year)