Coronary Care Unit
Our CCU has 20 beds and sees a broad variety of pathology including cardiogenic shock, heart failure, pulmonary embolism, myocardial infarction, endocarditis, arrhythmias, and cardiac arrest (all cardiac arrest patients who need targeted temperature management come to the CCU) as well as peri-procedural cases. The team consists of a teaching attending, residents, a pharmacist, and the 1st year cardiology fellow. In addition to a fantastic nursing staff, we also have a portable C-arm for bedside fluoroscopy for placement of Swan-Ganz catheters and transvenous pacemakers. The CCU fellow is also responsible for responding to any STEMIs or emergent MI consults from the emergency room. Fellows find the three months in the CCU challenging and rewarding with high procedural volume and great educational opportunities.
Inpatient Consult Services
The consult rotation is a high-volume service with daily rounding by our academic faculty. The team consists of residents, medical students, and the cardiology fellow. The fellow leads the team and is responsible for organizing rounds and initial decision making. Each fellow rotates on this service once per year.
Our renowned catheterization lab at Beaumont, Royal Oak is a special rotation for fellows at every training level. We have 6 catheterization labs including one hybrid catheterization lab/OR. Not only is there substantial volume (fellows can expect over 50-60 procedures each month), but our fellows get in-depth, one-on-one instruction by our experienced teaching faculty operators. That is to say, we never have two general cardiology fellows in the same lab, even in the first year. By the end of the first year, fellows are competent in obtaining femoral and radial access and performing diagnostic angiograms comfortably. The lab annually ranks in the top 10 nationally among PCI volume and was the site of many “Firsts” including the first TAVR done in North America.
The echo lab at Beaumont performs over 30,000 echocardiograms annually and is a fantastic learning opportunity for both performing and reading transthoracic and transesophageal echocardiograms. Each afternoon, our fellows read with dedicated teaching faculty who provide detailed training in interpretation.
We regard the ability to read EKGs highly and have dedicated 3 months to our Heart Station rotation during which fellows read over 1,000 EKGs monthly with comprehensive feedback. After the first month, the rotation is paired with either nuclear cardiology or cardiac rehabilitation.