Cardiovascular Emergency Medicine Fellowship

Mission

The mission of the Stanford Emergency Medicine - Cardiovascular Fellowship is to develop leaders in Academic Emergency Medicine with expertise in the diagnosis and management of cardiovascular emergencies. In accordance with this mission, the Emergency Medicine - Cardiovascular Fellowship program at Stanford University has been developed to offer a wide range of clinical, educational and research opportunities. Upon completion of the year, fellows will have the skills necessary to pursue a career in Emergency Medicine with a special focus on cardiovascular emergencies. Fellows will go on to advance the field through clinical research, education, and serving as a resource for other organizations.

The program was inaugurated in July 2005. Our fellowship is the second Emergency Medicine - Cardiovascular Fellowship to be established in the United States. It combines the clinical experience of a leading academic Emergency Medicine Department and a nationally renowned Cardiovascular Medicine Division at Stanford University Hospital.

Curriculum

In addition to the clinical service requirements outlined below, the fellow will choose to rotate on any of the following cardiology rotations:

Echocardiography

Echocardiography is a powerful bedside imaging tool that can be utilized to diagnosis and guide treatment of acute cardiac emergencies. The Fellow will:

  • Receive exposure to and limited training in the application and interpretation of echocardiography.
  • Rotate in the Echocardiography labs at Stanford University Hospital and/or our sister institution the Palo Alto VA.
  • Learn to perform basic echocardiography using our Emergency Department state of the art Sonosite MicroMaxx ultrasound systems located in our ED.
  • Learn to utilize stress echocardiography in the diagnostic evaluation of patients with suspected acute coronary syndromes.

                  Echo 1: Dissection of the Aorta                         Echo 2: Ruptured Papillary Muscle

Stress Electrocardiography

Stress ECG testing can be an important component of the evaluation of patients with possible acute coronary syndromes. The Fellow will:

  • Learn about different exercise ECG testing protocols.
  • Learn to conduct and interpret a complete exercise ECG stress test.
  • Be eligible to obtain credentialing in ECG stress testing following successful completion of this rotation.
  • Review exercise cardiovascular physiology and participate in the evaluation of athletic endurance in the exercise physiology lab.

Nuclear Cardiology

Nuclear perfusion studies are also an important modality in the evaluation of patients with suspected acute coronary syndromes and in those with known coronary artery disease. The Fellow will:

  • Rotate on the nuclear cardiology service at the Palo Alto VA.
  • Become familiar with the various stress nuclear testing protocols currently utilized.
  • Be exposed to the interpretation of stress nuclear imaging.

Clinical Decision Area

With the opening of the Clinical Decision Area (CDA) in the spring of 2007, the Fellow will attend in the Clinical Decision Area. The Fellow will work closely with the Medical Director of the CDA to learn about treatment protocols, quality improvement measures, as well as financial and administrative issues.

Cardiology Consult Service

CCU

Arrhythmia Service

Pediatric Cardiology

Research/Independent Study 

The Fellow will have ample opportunity to conduct research or concentrate on developing a specific area of clinical expertise within the area of cardiovascular emergencies. 

Participation in existing research projects mentored by our faculty members is encouraged. Clinical projects are active in the Department of Emergency Medicine and the Division of Cardiovascular Medicine. Alternatively, the Fellow can develop his or her own research project with the guidance of the Fellowship Director.

Independent study of a specific clinical topic in order to acquire a special expertise is another potential use of this time period. Any of the clinical or administrative areas within the broad area of cardiovascular emergencies are acceptable fields of study.
The Fellow is expected to produce and submit for publication at least one scholarly article prior to completing the fellowship. 

Service Requirement

Clinical Responsibility

  • The Fellow will be required to work 8 shifts per month (approximately 18 hours per week) as an Attending Physician in the Emergency Department at Stanford University Hospital with an academic appointment of Clinical Instructor at Stanford University. While attending in the Emergency Department, the Fellow will supervise residents and medical students rotating in the ED. All clinical time will be spent at Stanford University Hospital.

Education

  • The Fellow will be expected to participate in the weekly Emergency Medicine resident lecture series.
  • Fellows are expected to give a minimum of two lectures in the academic year on a subject related to cardiovascular emergencies.
  • The Fellow may participate in the Emergency Medicine Student Clerkship program for medical students. 

Research

  • The Fellow is expected to produce and submit for publication at least one scholarly article prior to completing the fellowship.

Prerequisites

  • Candidates must have completed an ACGME-approved residency program in Emergency Medicine and be ABEM board certified/board eligible in Emergency Medicine.
  • Prior to starting, the applicant must be licensed to practice medicine in the State of California.
  • Emphasis is placed on selection of applicants with strong clinical backgrounds with a major interest in teaching and research.

Application Process

Interested candidates should contact Dr. Donald Schreiber, Cardiovascular Fellowship Program Director, prior to submitting an application. A personal letter outlining your goals and objectives for the Fellowship, a current Curriculum Vitae, and 3 letters of reference (including one from your Residency Director and one from your current Departmental Chair) are required.

Contact Us

For any questions regarding the fellowship, please contact:

Donald Schreiber, MD
Associate Professor
Director, Cardiovascular Fellowship
E-Mail: Donald Schreiber


Department of Emergency Medicine
Stanford University School of Medicine
Alway Building, M121
300 Pasteur Drive
Stanford, CA 94305
t: (650) 498-5220
f: (650) 723-0121