Cardiovascular Emergency Medicine Fellowship
The mission of the year-long 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 program has been developed to offer a wide range of clinical, educational, and research opportunities. Upon completion, 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.
Our program, inaugurated in July 2005, is the second Emergency Medicine - Cardiovascular Fellowship to be established in the United States. The program combines the clinical experience of a leading academic emergency medicine department and a nationally renowned Cardiovascular Medicine division at Stanford University Hospital.
In addition to clinical service requirements, the Fellow will choose to rotate on any of the following cardiology rotations:
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 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-art art Sonosite MicroMaxx ultrasound systems.
- 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 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 rotation.
- Review exercise cardiovascular physiology and participate in the evaluation of athletic endurance in the exercise physiology lab.
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
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
The Fellow will have opportunity to conduct research or concentrate on developing a specific area of clinical expertise within the area of cardiovascular emergencies.
We encourage participation in existing research projects mentored by our faculty members. 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.
Fellows may choose independent study of a specific clinical topic in order to acquire a special expertise. Any of the clinical or administrative areas within 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.
- Fellows combine clinical shifts in an academic teaching hospital with didactics.
- Fellows are required to work 8 shifts per month (approximately 15 hours per week) as Attending Physician in the emergency department (ED) at Stanford University Hospital, with an academic appointment of Clinical Instructor in the Clinician Educator Line at Stanford University.
- While attending in the ED, fellows supervise residents and medical students.
- Clinical time is spent at Stanford University Hospital which is a world-renowned medical center. It is a Level 1 Adult and Pediatric trauma center with aero-medical transport. The diverse and high acuity patient population provides an excellent opportunity to continue to master clinical skills.
- Fellows have the option to work as attendings in the ED of Santa Clara Valley Medical Center (SCVMC). SCVMC is also a level 1 adult and pediatric trauma center, serving the San Jose regional area. SCVMC is part of the County medical system and serves a diverse population of patients.
- All fellows must be ABEM board certified/eligible.
- 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.
- The Fellow is expected to produce and submit for publication at least one scholarly article prior to completing the fellowship.
- 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.
Please submit your CV, letter of interest and 3 letters of reference (including one from your Residency Director and one from your current Department Chair) to:
Donald Schreiber, MD firstname.lastname@example.org
Director, Cardiovascular Fellowship
Stanford University, Department of Emergency Medicine