The Pediatric Cardiology Fellowship Program at the Schneider Children's
Hospital is fully accredited by the Pediatric Cardiology Residency Review
Committee of the Council for Graduate Medical Education. The three-year
Fellowship Program based at the Schneider Children's Hospital tertiary
campuses utilizes the clinical and research resources of the North Shore
Long Island Jewish Health System and its eleven affiliated tertiary
and primary care Hospitals. The clinical exposure to pediatric cardiology
encompasses a broad spectrum of practice involving primary care pediatric
cardiology to complex congenital and acquired heart disease in patients
ranging in age from the fetus through young adulthood. The clinical
volume from the Health System's more than 20,000 live births per year
and the population catchment of 7,000,000 afforded by the counties of
Brooklyn, Queens, Nassau and Suffolk generate 240- 270 Pediatric Cardiothoracic
Surgery cases, 250 pediatric cardiac catheterizations, 9,000 pediatric
echocardiograms including 860- 900 fetal studies and proportionate numbers
of invasive and noninvasive procedures annually. Ten Pediatric Cardiology
Attendings provide Fellows with the clinical, didactic, and research
guidance necessary for comprehensive training in all aspects of Pediatric
Cardiology.
Cardiac Catheterization Laboratory:
The pediatric cardiac catheterization laboratory is a state of the art
biplane cine-less digital facility, staffed with pediatric cardiac nurses,
cardiovascular technologists and special procedure technologists. Fellows
participate in all diagnostic as well as interventional (valve and vascular
angioplasty, endovascular stent implantation, transcatheter atrial septal
closure, ductal occlusion, endomyocardial biopsy) and electrophysiologic
(intracardiac EPS for sudden death risk stratification, radiofrequency
and cryocatheter ablation) procedures under senior attending supervision.
Cardiac Ultrasound Laboratory:
9,000 echocardiograms are performed annually in the Pediatric Cardiac
Ultrasound Laboratories staffed by 9 pediatric cardiac sonographers
with 11 dedicated echocardiography imaging systems. Fetal cardiac ultrasound
exams are performed within the Division of Pediatric Cardiology. Care
of at risk fetuses is coordinated with the Divisions of Maternal-Fetal
Medicine and Neonatology. The Division of Pediatric Cardiology provides
all intraoperative transesophageal echocardiography services. All echocardiographic
exams are recorded in digital format with review stations that permit
point and click reporting and facilitate didactic instruction. Fellows
acquire and interpret, under faculty supervision, echocardiographic
studies during "non-invasive" rotations and when on call.
Noninvasive Electrophysiology Laboratory:
Three full time technologists and one nurse staff the Noninvasive Pediatric
Electrophysiology Laboratory. The laboratory includes "in-house"
remote rhythm/pulse-oximetry telemetry, Marquette digital Holter monitoring
processing analyzer, and PACEARTTM transtelephonic event and remote
pacemaker follow up units as well as pacemaker programmers from the
major pacemaker manufacturers. Fellows review of ECG's, holters, event
monitors, and perform pacemaker checks during their "non-invasive"
rotation.
Exercise Laboratory:
The Pediatric Exercise Laboratory, staffed by a cardiovascular technologist,
contains a Welch Allyn unit for real-time ECG analysis and a MedGraphic
bicycle ergometry unit modified for pediatric use with integrated gas
analyzers for quantification of oxygen consumption and carbon dioxide
production. Fellows perform and report on exercise tests during their
"non-invasive" rotation.
Ambulatory Services:
7800 ambulatory Pediatric Cardiology visits are conducted at the Schneider
Children's Hospital campuses and dedicated Pediatric Cardiology Satellite
sites. Fellows' weekly ambulatory office hours at the tertiary campuses
provide continuity of care of a cadre of patients throughout the fellowship
under the supervision of a mentoring attending.
Cardiac Intensive Care:
The 20 bed Pediatric and 44 bed Neonatal Intensive Care Units at the
Schneider Children's Hospital campus provide state of the art nursing
and medical resources, including ECMO and PRISMA therapy, for the critically
ill pediatric cardiac medical and surgical patients. Cardiac fellows
participate in the postoperative care of all cardiothoracic surgical
cases as members of the Intensive Care Unit Cardiac Team.
Didactics:
Didactic and clinical management meetings include:
Pediatric Cardiac and Critical Care Patient Management Conference (twice
per week)
Joint Medical-Surgical Conference (weekly)
Cardiology Didactic Conference (weekly)
Chief of Service/Echocardiography Didactic Conference (weekly)
Cardiac Catheterization Pre/Post Review Conference (weekly)
Cardiothoracic Surgical Didactic Conference (twice per month)
Pediatric Cardiology Textbook Chapter Review (monthly)
Morbidity and Mortality Conference (monthly) Pathology Conference (monthly)
Journal Club (monthly)
Pediatric Grand Rounds (weekly)
GEMINI Pediatric Case Presentation Conference (weekly)
Research:
The fellowship program dedicates 11 months to pursue scholarly clinical
and/or basic science research. The resources of the seventeen subspecialty
Divisions of the Schneider Children's Hospitals, the Feinstein Research
Institute, as well as the outreach of the North Shore Long Island Jewish
Health System, provide the requisite volume for meaningful clinical
research collaboration. Research is conducted under the supervision
of a faculty mentor and research committee comprised of experienced
pediatric researchers and faculty members. The Fellows' Research Course
sponsored by the Department of Pediatrics provides an introduction to
clinical research, including lectures on ethics, biostatistics, research
design, and health care economics.
Location:
The Pediatric Cardiology fellowship training program of the Schneider
Children's Hospital is concentrated at the two tertiary campuses of
the North Shore Long Island Jewish Health System in New Hyde Park and
Manhasset, New York. These sites provide an ideal ambiance for training
and proximity to affordable housing, excellent school systems and access
to the cosmopolitan environment of New York City.
Application:
Please download an application at the following website: http://www.schneiderchildrenshospital.org/sch_hcp_resident_fellow.html
and include a personal statement discussing your interest in pediatric
cardiology fellowship training, an updated curriculum vitae, a copy
of your medical school diploma, a copy of your final transcript, and
a copy of your USMLE scores for Tests 1,2 and 3 with your application.
Three letters of recommendation, including one from your current program
director, are required. The deadline for receipt of application is December
1.
International Graduates are required to provide a copy of a valid ECFMG
Certificate as well as Visa or Green Card.
The Pediatric
Cardiology Fellowship Training Program at the Schneider Children's Hospital
participates in the NRMP Specialties Matching Service. Please refer
to the NRMP website for more information:
http://www.nrmp.org/fellow/match_name/ped_card/about.html
Completed
applications and any questions regarding your application to the Pediatric
Cardiology Fellowship Training Program at the Schneider Children's Hospital
are to be forwarded to:
Betty
Grosser
Division of Pediatric Cardiology
Schneider Children's Hospital
269-01 76th Avenue
New Hyde Park, NY 11040
(718) 470-7456 egrosser@nshs.edu
Contact:
Additional information regarding the Pediatric Cardiology Fellowship
Program can be obtained by contacting Howard Seiden, MD, Associate Director
of the Pediatric Cardiology Fellowship Training Program at the Schneider
Children's Hospital at hseiden@lij.edu
or by calling (718) 470-7350.