SMH, Toronto – Canada

2-year Fellowship in Cardiac Electrophysiology – St Michaels Hospital, Toronto, Canada

Contact

Kamran Ahmad, MD, FRCP

Details

Entry requirements: Completion of training (or eligibility for completion) in Cardiology. Some EP exposure beyond that which is encountered in general cardiology training is helpful but not required.

NUMBER OF FELLOWS

3-4 at a time (junior and senior)

START TIME

Flexible – typically January or July

Application deadline

Suggest having all application materials sent a minimum of 18 months before planned start of fellowship. This is to accommodate the often lengthy period required for credentialing of non-Canadian medical school and post graduate medical training by our provincial college of medicine (www.cpso.on.ca). Note, that for the fellowship only an educational licence is required (we will coordinate all of the licensing/regulatory requirements).

Training Content

Clinical

EP lab: Approximately 350-450 procedures are performed annually including diagnostic EP studies, catheter ablation of all types of SVT. Ablation of atrial fibrillation and other atrial arrhythmias using three dimensional mapping (currently ESI/St. Jude). VT ablation (Outflow tract, idiopathic, some ischemic).

Operating room/Devices: Implantation of all varieties of pacemakers and ICDs including biventricular ICDs. Clinical follow up and management of all devices.

Consultative EP: Inpatient and outpatient consultations for arrhythmia problems. Device clinics. Call coverage is by telephone for arrhythmia problems only that are out of the scope of management of the general cardiology staff. No general cardiology call.

Research

Approximately 15% of a fellow’s time is estimated to be available longitudinally for research. Areas of investigation include topics in both the clinical and basic sciences. Particular strengths include research in the areas of atrial fibrillation (animal models, pharmacology, fibrosis, remodelling, quality of life), resuscitation (animal models of CPR, clinical investigations of cooling), defibrillation, quality of life in ICD/pacemaker patients. We participate in a large provincial database of ICD implantation and follow up and are developing clinical research projects related to this.