Cardiovascular Diseases Fellowship Rotations
Fellows rotate between the following clinical sites:
There is a great deal of diversity within these centers, UC San Diego Jacobs Medical CenterC San Diego Jacobs Medical Centerand fellows are exposed to a wide variety of cardiovascular disease.
The CVC is a tertiary and quaternary referral center that also serves as a primary site for local patients. The San Diego VA is just across Freeway I-5 from the CVC, and serves as a referral center for local veterans, as well as those from Orange County and southern Nevada. UC San Diego Hillcrest functions as a county hospital, and serves residents with a variety of cardiovascular diseases from Downtown and the South Bay area.
Procedural volume available to the fellows is exceptionally high. Diagnostic coronary and peripheral angiography cases between the CVC and the VA average over 3000 annually with over 1200 coronary/peripheral/structural interventions performed annually. Transcutaneous aortic valve replacement, PFO/ASD closure, balloon aortic valvuloplasty, left atrial appendage closure, carotid and abdominal aortic stent grafting procedures are performed routinely by the faculty at the CVC, and the volume is growing. Fellows typically graduate having performed 70-80 right heart catheterizations and anywhere from 360 to 450 coronary angiograms/left heart catheterizations.
Approximately 16,500 transthoracic echocardiograms and 2500 stress echocardiograms are performed each year at the three main sites, as well as 550 transesophageal echocardiograms. Additional imaging in cardiac CT and MR is taught by dedicated specialists in those imaging modalities. Fellows are expected to participate in the performance and interpretations of these procedures.
Approximately 740 EP ablation procedures for atrial fibrillation and ventricular arrhythmia are performed at UC San Diego each year. There are also about 300 pacemaker and ICD implantations and 75 ICD laser extractions annually. Fellows interested in electrophysiology are encouraged to participate in as many cases and elective months as possible.
The Advanced Heart Failure Service cares for a large (and growing) population of cardiomyopathy patients, and has a high volume of patients with ventricular assist devices and heart transplants. We perform 30-40 heart transplants and 30-40 ventricular assist devices annually. Investigational protocols in gene and stem cell therapy for advanced heart failure are available.
All fellows are required to participate in research projects during their training, and all fellows will have protected time for research. There are many basic and clinical research opportunities readily available at UC San Diego.