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Cardiology Fellowship, Royal Oak

Curriculum

A letter from the Director of Education



Photo of Dr. Goldstein
James Goldstein, MD, FACC, FSCAI
Director, Research & Education
Beaumont Hospital, Royal Oak

I have had the honor of being faculty at this fantastic institution for almost 30 years. One of my goals as director of research and education was to develop a curriculum that was thoughtful, hands-on, and comprehensive. We have recruited our most experienced faculty to provide daily noon lectures to our fellows, encompassing the broad range of topics in the field of cardiology. In addition to our superb Beaumont faculty, the noon conference series includes regular contributions from local and regional experts in congenital cardiology, lipidology, and cardiac transplant who augment our state-of-the-art lectures. One of the program highlights is a monthly world-class visiting professor who delivers a formal grand rounds lecture, together with two separate one-on-one interactive didactic sessions with the fellows. Personally, I provide interactive didactic sessions on hemodynamics, and weekly physical exam rounds to sharpen bedside diagnostic skills. I hope you enjoy our educational curriculum.


Rotation Schedule

Inpatient RotationsFirst YearSecond YearThird YearTotals
Cardiac ICU3 months  3 months
Inpatient Consults1 month1 month1 month3 months
Catheterization Lab3 months2 months1 month6 months
Echo Lab2 months2 months2 months6 months
Electrophysiology1 month2 months
3 months
Nuclear Cardiology1 month2 months*
3 months
Heart Station1 month

1 month
Advanced Imaging (CT/MRI)
2 months1 month3 months
Heart Failure/Transplant
1 month
1 month
Cardiothoracic Surgery

1 month1 month
Elective  6 months6 months

Fellow Rotations


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.


Catheterization Laboratory

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.


Echocardiography Laboratory

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.


Heart Station

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.

Fellow Rotations


Conference Schedule

 1st Monday of the MonthMondayTuesdayWednesday
ThursdayFriday
7 a.m.M&MStructural ConferenceCathetrization ConferenceEP Conference Interventional Conference
8 a.m.Grand Rounds     
11 a.m.Professor Rounds     
12 p.m. Noon ConferenceNoon ConferenceNoon ConferenceNoon ConferenceECHO ConferenceNoon Conference
4 p.m. Angiography Review    
5 p.m.   "Goldstein Rounds" (Physical Exam Rounds)  

Recent Visiting Professors

2019

2020

January  - David G. Rizik
Chief Scientific Officer
Director of Structural and Coronary Interventions
HonorHealth Heart Group - Scottsdale, AZ
January - Douglas Packer
Professor of Medicine, Department of Cardiovascular Medicine
Mayo Clinic – Rochester, MN
February – Phillippe Pibarot
Canada Research Chair in Valvular Heart Diseases 
Québec Heart & Lung Institute - Quebec, Canada
February – Blair Grubb 
Director of Clinical Cardiac Electrophysiology  
University of Toledo – Toledo, OH
March – Larry A. Allen
Director, Heart Failure Program
University of Colorado - Aurora, CO
March – Robert Rosenson 
Director of Cardiometabolic Disorders 
Icahn School of Medicine at Mount Sinai – New York, NY
April - Charles Antzelevitch
Professor and Executive Director of Cardiology Research
Lankenau Heart Institute - Wynnewood, PA
April – Alfred Buxton
Director of the Clinical Electrophysiology 
Harvard Medical School, Beth Israel Deaconess Medical Center – Boston, MA
May - Robert Safian
Director, Center for Innovation and Research in Cardiovascular Disease
Beaumont Health, Royal Oak, MI
May – Gregory Schwartz
Chief, Cardiology Section – VA Medical Center
University of Colorado, Aurora, CO
June - Alexander Truesdell
Co-Director, Multidisciplinary Cardiac Shock Team
Co-Director, Interventional Cardiology Research
Virginia Heart / INOVA Heart and Vascular Institute – Alexandria, VA
June – Leslee Shaw 
Professor of Medicine
Weil Cornell Medical College – New York, NY
July- William A. Gray
System Chief, Division of Cardiovascular Diseases
President, Lankenau Heart Institute - Wynnewood, PA
July – David Lanfear 
Section Head, Advanced Heart Failure and Transplant Cardiology
Henry Ford Health System – Detroit, MI
August- Edward M. Geltman
Medical Director, Cardiac Diagnostic Lab
Director, Heart Failure Program
Washington University – St. Louis, MO
August – Sana Al-Khatib
Professor of Medicine
Duke University – Durham, NC
September- Michael Mooney
Director, Interventional Cardiology
Minneapolis Heart Institute – Minneapolis, MN
September – Christopher Kramer
Medical Director, Cardiovascular Imaging Center
University of Virginia – Charlottesville, VA
October - Hesham Sadek
Director, Interventional Cardiology
UT Southwestern – Dallas, TX
October – Michael Givertz
Medical Director, Heart Transplant and Mechanical Circulatory Support
Harvard Medical School, Brigham and Women's Hospital – Boston, MA
November - Nadia Sutton
Clinical Lecturer, Division of Cardiovascular Medicine
University of Michigan – Ann Arbor, MI
November – Jeffery Goldberger
Chief, Cardiovascular Division 
University of Miami - Miami, FL
December - William O’Neill
Medical Director, Center for Structural Heart Disease
Henry Ford Hospital - Detroit, MI
December – Eric Peterson
Distinguished Professor of Medicine
Past Executive Director of the Duke Clinical Research Institute
Duke University – Durham, NC

Residency Programs

Fellowship Programs

Fellowship Programs
(no ACGME Accreditation)


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