Training Program of Cardiac Electrophysiology program

Program Overview

Fellows train at the Clinical Cardiac Electrophysiology program to attain excellence in every area of arrhythmia management. Trainees develop experience in the diagnosis and management of arrhythmias ailments, such as noninvasive and invasive testing, and all therapeutic methods such as medical direction, device implantation and follow-up, and catheter ablation.

They fulfill arrhythmia patients in both inpatient and outpatient settings to watch, diagnose, manage, and gauge the efficacy of remedies for these patients. Fellows are giving the chance to assume increasing and continuing duty for both acutely and chronically sick patients to understand the history of a vast array of cardiac arrhythmias and how to deal with them.

Fellows are given increasing responsibility in nonsurgical processes in the EP lab. Fellows also take part in non-invasive procedures such as cardioversions, tilt table tests, and apparatus evaluations. They consult patients with arrhythmias and implanted devices to the intensive care units as well as other psychiatric units. Additionally, each man spends a day every week at one of those arrhythmia rehabilitation clinics. The fellows rotate one of each of those EP school clinics in addition to the outpatient apparatus clinic, thereby devoting trainees the chance to observe and handle patients longitudinally, also to acquire experience with apparatus follow-up and direction.

The Majority of the CCEP fellowship training happens from the Johns Hopkins Hospital and Outpatient Center. But, fellows also rotate for a week at a time into the Hopkins Bayview campus to take part in EP processes, inpatient arrhythmia consults, and apparatus clinic there. This expertise broadens the individual foundation for fellowship training, also supplies fellows a chance to strengthen their teaching abilities as they use medication house staff and college less educated than they seeing arrhythmia management. The Bayview experience was made to dovetail seamlessly with all the app on the primary Hopkins campus to achieve common educational targets.

The CCEP Training Program is intending to make sure that fellows acquire not just the cognitive knowledge and procedural skills needed for excellence in clinical cardiac electrophysiology, but they create excellence in social skills, professional attitudes, and humanistic qualities demanded of a professional in this subspecialty. The clinical practice incorporates patients' medical difficulties with health promotion and ethnic, sociological, ethical, occupational, environmental, and behavioral problems to the learning experience, like the significance of humanistic attributes is highlighted during the fellowship.

The fellowship is intended to provide trainees with an educational experience that's deep and broad. Along with this extensive direct clinical vulnerability, many different didactic and investigative opportunities are supplied during the admin. A weekly EP agency assembly, attended with EP faculty, fellows, and staff, is employed for didactic instruction, discussion of current cases and complications, presentations of fellows' research, and journal club on a rotating basis. Every EP fellow is provided a clinical research project to execute throughout the training program and also the chance to present this work at national meetings and in manuscript form. Fellows may also take part in basic mathematics, results, and public health research through their training.

Supervision, and Fellow Assessment

Fellows are supervised by the school in all clinical actions. Each process is closely supervised by a single of those EP faculty. Consults is supervising by the on-service EP attending that week. Each outpatient and apparatus clinic is supervised and staffed by an EP attending. Procedures performed in Bayview are supervised by an EP faculty member or, in ascertain pacemaker insertions, by one of those Bayview cardiologists who's highly experienced in this process.

Fellows are carefully assessing by the school concerning their health care expertise, provision of health care, skills in history taking and physical assessment, clinical judgment, medical decision making, technical proficiency, education and communications skills, humanistic qualities, professional attitudes and behavior, and commitment to scholarship. Faculty base their analysis on direct monitoring of fellows' actions in the hospital center, through inpatients consultations, also through EP lab-based processes. Each individual's performance is assessed by every faculty member quarterly and recorded in E-Value, an online database program. The program director meets with every fellow to go over progress and career plans at least semiannually. Performance is assessed, for example, expectations of technical proficiency and cognitive growth increase as the individual progress throughout the training regime.

In the initial 6 weeks of this training program, fellows will participate mostly in regular pacemaker and ICD implants, diagnostic EP studies, and not as intricate ablation processes, such as AV node ablation, AV node modification, and ablation of accessory pathways along with the normal kind of atrial flutter. Since fellows establish proficiency in these processes, they will then take part in more complicated processes, such as implantation of cardiac resynchronization devices and ablation of irregular atrial flutters, atrial fibrillation, and ventricular tachycardia. Throughout all stages of this 2-year training program, fellows also engage in most non-procedural elements of inpatient and outpatient arrhythmia management.

Facilities

The CCEP training plan takes full advantage of these excellent facilities specializing in the Electrophysiology service at Johns Hopkins. The service also includes a committed non-fluoro laboratory for cardioversions, tilt table tests, and ICD evaluations. The EP service has dedicated space in the Outpatient Center for individual evaluation and apparatus follow-up. In Bayview Medical Center, the EP agency includes a recently built dedicated EP laboratory with a biplane fluoroscopy laboratory. The laboratory is fully equipped with an electronic recording system, ablation gear, and a programmable stimulator.

Curriculum

Methods of evaluation also have been developed to completely address the specified competencies. The six exemptions are:

Patient Care. Fellows are expecting to offer patient care that's compassionate, appropriate, and effective for the promotion of wellness, prevention of illness, treatment of illness, and care at the end of life.

• Make informed recommendations about preventive, diagnostic, and therapeutic choices and interventions that are based on clinical judgment, scientific evidence, and individual preferences.
• Perform efficiently the diagnostic and therapeutic procedures considered necessary to the practice of Clinical Cardiac Electrophysiology.

Medical Knowledge: Fellows are expected to demonstrate knowledge of established and evolving biomedical, clinical, and social sciences, and demonstrate the use of the knowledge to patient education and care of others.

• Create clinically important knowledge of the clinical and basic sciences that underlie the practice of Clinical Cardiac Electrophysiology.
• Apply this understanding in developing critical thinking, technical and clinical problem solving, and clinical decision-making abilities.

Practice-Based Learning and Improvement Access and critically evaluate current medical information and scientific evidence and alter the knowledge base so.

• Identify areas for improvement and implement strategies to increase knowledge, abilities, attitudes, and processes of attention.
• Analyze and evaluate practice experiences and implement strategies to continuously enhance the standard of the custom of Clinical Cardiac Electrophysiology.
• Create and maintain a willingness to learn from errors and use errors to improve the processes or system of maintenance.

Interpersonal Skills and Communication: Fellows are expected to demonstrate interpersonal and communication skills that allow them to establish and maintain professional relationships with individuals, families, and other members of healthcare teams.

• Provide effective and expert specialist consultation to other doctors and healthcare professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and coworkers.
• Interact with consultants respectfully and properly.

Professionalism

• Demonstrate sensitivity and responsiveness to patients and coworkers, such as sex, faith, age, sexual preference, socioeconomic status, beliefs, and disabilities.
• Adhere to principles of confidentiality, scientific/academic ethics, and informed consent.
• Recognize and identify deficiencies in peer-reviewed performance.
• Produce a thorough understanding of the complicated and ambitious connections in Clinical Cardiac Electrophysiology involving clinician/providers, physicians, and business; comprehend the inherent conflicts of interest in several associations with business and its agents, and develop approaches to guarantee clear boundaries which are intended to uncompromisingly prioritize top excellent patient care.

Systems-Based Practice 

• Know, access, and use the tools and services essential to providing optimum care.
• Know the constraints and opportunities inherent in various practice types and delivery methods, and develop strategies to maximize the patient.
• Given the large prices of several remedies, where fellows are expected to employ evidence-based, cost-conscious approaches to prevention, identification, and therapy choice in cardiac electrophysiology.