Cardiovascular Fellowship Rotations
During the 3 year fellowship, each fellow will spend time in the following rotations as required by the ACGME:
Rotations Heading link
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Director: Sudhir Mungee, MD
During this rotation, fellows learn various invasive procedures, their indications and contraindications, and the correct interpretation of the data obtained. The procedures performed include: right heart catheterization, left heart catheterization, left ventriculography, aortography, coronary angiography, and bypass graft angiography and pericardiocentesis. Fellows may also observe and assist coronary angioplasty procedures.
In addition, in the second and third years, fellows will have an opportunity to become familiar with more advanced cardiac catheterization diagnostic procedures (such as IVUS, fractional flow reserve assessment, and complicated hemodynamic assessments) and with advanced percutaneous coronary interventions (such as rotoblator, and athrectomy, IABP placement, pericardiocentesis, and percutaneous transvalvular replacement-TAVR).
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Director: Timir Baman, MD
Throughout this rotation, fellows learn how to evaluate and treat patients with cardiac arrhythmias and patients with devices (e.g. pacemakers, implantable cardiac defibrillators, cardiac resynchronization therapy, and loop recorders). The fellows will read Holters and event monitor recordings with the faculty. Fellows will also have the opportunity to observe and assist in the ablation of various cardiac arrhythmias, interpret Holter recordings and event monitors, implant and troubleshoot pacemakers and cardiac defibrillators, and perform and interpret simple cardiac electrophysiology studies.
In addition, in the second and third years, fellows will have an opportunity, to become familiar with more advanced electrophysiology procedures such as intracardiac electrograms, intracardiac mapping, radiofrequency ablation and percutaneous lead extraction.
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Director: Tinoy Kizhakekuttu, MD
This rotation allows fellows to acquire the knowledge and skills necessary to provide optimal care for cardiac patients in the CCU, step down unit, and on general cardiology units of OSF Saint Francis Medical Center. The fellow will work with faculty physicians and residents as well as nurses and students. One faculty attending is assigned to work with the fellow for one or two weeks and is responsible for the care of the patients seen with the fellow, medical residents and students.
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Director: Keattiyoat Wattanakit, MD
In this rotation fellows learn to correctly perform various nuclear tests and interpret the results with the faculty members. Studies are commonly compared with data from other diagnostic modalities, such as coronary angiography, CT, or MRI, to enhance the fellow’s educational experience.
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Director not assigned
In this rotation, which occurs at the RiverPlex, fellows will see phase 2 and phase 3 cardiac rehabilitation for post myocardial infarction and cardiac surgery patients, weight reduction program patients, post stroke exercise program patients, etc. Fellows will also learn preventive cardiology, such as lipid and blood pressure management, dieting for weight loss, exercise for cardiology patients, etc.
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Director not assigned
During this rotation fellows work with faculty (including both pediatric and adult cardiologists) with expertise in evaluating adult patients with various congenital heart diseases. Fellows will participate in Adult Congenital Heart Disease Clinic. In addition, the fellow will participate during cardiac catheterizations with the faculty physician to evaluate cardiac anatomy and to learn physiology of cardiac shunts, valvular and other abnormalities in patients.
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Director not assigned
This rotation provides fellows exposure to the patient who has recently undergone various cardiac surgical procedures. This allows fellows to understand the role of the cardiologist in post-operative patients and to acquire the knowledge and skills necessary to provide optimal care for these patients. In addition, fellows will develop an understanding of the thought process with which cardiac surgeons evaluate candidates for CABG and valvular surgeries. Fellows will interact closely with both cardiac surgeons and cardiologists in the CVICU and step down units of OSF Saint Francis Medical Center.
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Ambulatory Clinic: Tinoy Kizhakekuttu, MD
In this one half day per week rotation, fellows will work with cardiology faculty at the offices of OSF HealthCare Cardiovascular Institute on Knoxville Avenue in Peoria. Fellows will provide care to patients with a variety of heart diseases at various stages of their illnesses. In each clinic session, the fellow will see four to eight patients, present the cases to the faculty for further evaluation and management, and write notes that will be co-signed by the faculty. Fellows should be notified of the status of their continuity patients when such patients are hospitalized, to allow both optimal education and to allow the fellow to participate in their patient’s inpatient care.
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Director: Keattiyoat Wattanakit, MD
In this rotation the fellows work with faculty (both cardiologists and vascular surgeons) with expertise in peripheral vascular disease. Fellows will engage in the evaluation and treatment of patients with various peripheral vascular diseases (e.g. femoral artery stenosis, carotid artery stenosis, abdominal aortic aneurysm, etc.) Fellows will observe and interpret various doppler and duplex studies and develop expertise in their interpretation. Fellows will participate in percutaneous vascular interventions such as femoral / iliac stenting, carotid stenting and AAA stenting.
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Director: Rebecca Baumann, MD
Please return for more details.
Electives Heading link
During the three-year fellowship experience, fellows are able to expand their training in areas of specific interest. Elective time may be spent gaining additional experience in the Required Rotations. Several additional options for elective rotations exist including:
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At OSF Saint Francis
This rotation allows fellows who desire additional experience in advanced cardiovascular imaging to gain adequate expertise and experience to fulfill COCATS criteria for Level II certification. Modalities available include 3D echo, cardiac CTA, cardiac MRI, and stress cardiac MRI. OSF HealthCare Saint Francis Medical Center is the only Illinois center outside Chicago that offers stress MRI.
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elective details
Fellows who desire additional expertise in diagnostic and therapeutics techniques utilized in patients with PVD may do so in this elective rotation.
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Elective details
Exposure to the diagnosis and management of hypertrophic cardiomyopathy, and the associated social and genetic implications. The fellow will receive an in depth focus on noninvasive assessment tools unique to this pathology.
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Elective details
Experience in the assessment and management of patients with advanced valvular heart disease, as well as exposure to and interpretation of multi modality imaging techniques utilized in the assessment of this patient population. This rotation will specifically involve exposure to established and emerging percutaneous techniques, namely transfemoral aortic valve replacement (TAVR).
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Elective details
OSF offers a multidisciplinary clinic to evaluate and treat patients with refractory hypertension. The clinic utilizes expertise of both nephrologists and cardiologists and offers a wide range of diagnostic modalities.
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Elective details
For better or worse, success in our current environment requires the practicing cardiologist possess an understanding of business and administrative concepts. Several faculty members have much experience in administrative practices. Also, OSF HealthCare is one of only 32 designated Pioneer Accountable Care Organizations (ACO). During this elective rotation fellows will become familiar with:
- various payor systems such as ACOs
- various physician compensation strategies
- various QA/QI and benchmarking projects
- a variety of management styles and techniques