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On-Call Experience


On-call training is a crucial component of each fellow’s clinical experience, providing our fellows with invaluable growth in the management of all types of acute care cardiology decision-making and management. Common on-call management issues include the handling of myocardial infarction, unstable angina, hypotension and cardiogenic shock, aortic dissection, atrial and ventricular arrhythmias, heart block requiring pacemaker, assessment of patients for evaluation and management of possible myocardial rupture, suspected cardiac tamponade, significant bradycardia and hypertensive emergencies. In addition, whereas the daytime performance of cardiac procedures is essential to each fellow’s growth as a competent expert, the complementary performance of these procedures in the setting of acute emergencies is also essential. During their night call experience, our fellows perform or assist in a significant number of cardiac procedures under emergency conditions, such as the performance of transthoracic or transesophageal echocardiography procedures or temporary pacemaker insertions, and make many critical decisions. A designated cardiology fellow is on-call to cover St. Luke’s and Roosevelt Hospitals between 5:00 p.m. the following to 8:00 a.m. on weekdays and from 8:00 a.m. to the following 8:00 a.m. on Saturdays and Sundays. The fellow on weekend call is also responsible to make management as well as training rounds with the CCU team on call. A back-up fellow is always designated for potential coverage/assistance throughout the year, to field questions of less experienced fellows and/or to be available in case of multiple unexpected emergencies. Clinical coverage, interventional and EP attendings also provide supervisory back-up coverage.  







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St. Luke's-Roosevelt Hospital Cardiovascular Disease Fellowship Training Program
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