ROTATIONS

A typical fellow’s schedule will consist of variety of core and elective rotations in the following categories.

First Year Non-Invasive @ CRMC (3 months) Non-Invasive @ VA (1 month) Invasive @ CRMC (3 months) CCU/Consultative @ CRMC (2 months) CCU/Consultative @ VA (1 month) Clinical /Heart Failure @ VA (2 months) Ambulatory @ CRMC (1 month) Second Year Non-Invasive @ VA (1 month) Invasive Cardiology @ CRMC (1 month) CCU/Consultative @ CRMC (2 months) CCU/Consultative @ VA (1 month) Electrophysiology @ CRMC (2 months) Congenital Heart Disease @ CHCC (1 month) Nuclear Cardiology @ CRMC/VA (2 months) Research (3 months) Third Year Invasive Cardiology @ CRMC (3 months) Cardiac Surgery @ CRMC (1 month) Non-Invasive Cardiology @ VA (1 month) Clinical/Consultative Cardiology @ VA (2 months) Peripheral Artery  Disease @ CRMC (1 month) Cardiac Transplant / Cardiac MR (1 month) Research (3 months) Elective (1 month)   ON CALL The UCSF Fresno Cardiology division provides ER coverage for Community Regional Medical 3 days per week.  All calls will be in house for the first and second year fellows while home call for third year fellow. When on call, fellow is expected to manage patients with acute coronary syndromes at the VACCHCS.  First Year: 5-6 in-house calls per month Second Year: 3-4 in-house calls per month Third Year:  No in-house calls Number of days off per 4 weeks: 4 or more 3 weeks of vacation and 1 week of educational leave.

 

TRAINING SITES

Community Regional Medical Center (CRMC)

A majority of the cardiology fellowship rotations are situated at the CRMC campus. The UCSF Fresno training programs and clinical services were transferred from the old University Medical Center to the new state of the art CRMC building in 2007. CRMC has 626 licensed inpatient beds, making it the 5th largest and 3rd busiest hospital in California and the only level 1 Trauma Center between Los Angeles and San Francisco. The emergency department has a 10-bed cardiac/critical care pod and the hospital has recently added a new 50-bed cardiovascular care unit. CRMC is a primary PCI center with   a busy 24 hour cardiac catheterization lab adequately  equipped      for a variety of diagnostic, interventional, peripheral and electrophysiologic procedures. The cardiac non-invasive lab accommodates a high volume of procedures with a fully staffed echo lab and is equipped with nuclear imaging and cardiac CT capabilities.  CRMC also hosts the cardiology fellowship program’s Outpatient, Heart Failure, Adult Congenital and Pacemaker clinics.

Veterans Affairs Central California Health Care  Center (VACCHCS)

Cardiology fellows spend several rotations at the Fresno VA Medical Center, an important partner of the UCSF Fresno Medical Education Program since 1975.  The VA campus is a major research site for numerous landmark clinical trials in cardiology. Some of the cardiology fellows conduct their continuity clinics at the VA campus.

Children’s Hospital Central California (CHCC)

The CHCC is a 297-bed, state of the art pediatric facility situated on a 50 acre campus. The pediatric center hosts the Congenital Heart Disease rotation of the cardiology fellowship. Specialized procedures are performed by the cardiology faculty of CHCC, including percutaneous valvuloplasty, device septal defect closure, and vessel embolization, among many others.  The faculty group at CHCC also participates in the Adult Congenital Clinic at CRMC.

UCSF Medical Center (San Francisco)

Cardiology fellows have a mandatory rotation in Cardiac Transplantation and Cardiac MRI at UCSF Medical Center in San Francisco, consistently named as one of the top 10 hospitals in the nation.  During this rotation fellows stay at the “Fresno House,” a furnished apartment near the San Francisco campus rented for the housestaff by the Medical Education Program.