Clinical Electrophysiologic Laboratories Rotation

Each CCEP fellow will rotate 6-8 months per year through the clinical electrophysiologic laboratories, which offer a broad mix of patient procedures, including:

• Conventional and investigative mapping and ablative procedures
• Conventional and investigative pacemaker and implantable cardioverter-defibrillator implantation
• Diagnostic electrophysiologic studies
• Pacemaker and implantable cardioverter-defibrillator lead extraction via traditional and laser approach

During this rotation, you will have access to two state-of-the art electrophysiology laboratories. One laboratory, with biplane fluoroscopy, is primarily dedicated to ablative procedures and diagnostic electrophysiologic studies, while the other single-plane laboratory is primarily for device implantation and follow-up.

You will play an integral role in the procedures performed here. Initially, you will assist the attending faculty, but in time, you will be encouraged to perform the procedures. At the completion of all of the electrophysiology laboratory rotations, you will have performed approximately:

• 160 diagnostic electrophysiology studies and ablations
• 150 cardioversions
• 60 new pacemaker implantations and programming
• 15 pacemaker lead revisions
• 15 pacemaker generator replacements
• 40 defibrillator implantations (new implants and generator replacements)
• 40 defibrillator tests with programming

The designated clinical cardiac electrophysiologist in the laboratory will provide you with close supervision. Case-by-case feedback, as well as day-by-day feedback, will be given. Along with the written monthly evaluation, you will review your progress with the Director of the CCEP Resident Program in regular, 6-month intervals. Also, you will present a clinical laboratory case and review of the pertinent literature at the weekly electrophysiologic case conference.