Electrophysiology Fellowship

The Emory Electrophysiology fellowship is a rigorous two-year training program committed to the development of electrophysiologists with superb technical, clinical, and academic ability.

Faculty include:

Among our Emory EP faculty are pioneers and thought-leaders in the development of radiofrequency ablation, transcatheter pacing, left atrial appendage management and cardiac resynchronization. Emory remains one of the highest-volume Electrophysiology centers in the nation.

Emory is participating in ERAS for the 2019 interview cycle.  Please refer to the ERAS site for application submission.

Program philosophy

We believe that a broad, high-volume clinical experience is critical for the development of an excellent electrophysiologist. Our fellows are exposed to the entire range of approaches and technologies used for atrial fibrillation ablative therapy. As a major heart transplant center referral center for the southeast, our fellows have a large heart failure device exposure. In collaboration with the Adult Congenital Heart Disease program, fellows have a generous experience in complex device implantation and complex ablation in patients with complex anatomy. As an extraction referral center, fellows are trained in manual, laser, mechanical, and femoral extraction techniques. Emory EP was in the forefront of many ground-breaking technologies, including left atrial appendage occlusion, subcutaneous ICD implantation, and transcatheter pacing.  As a consequence, our trainees perform a vast amount of newer generation procedures allowing them to be certified for these skills prior to graduation.

In addition to our efficient busy clinical service, we continue a tradition of strong academic performance. In the last academic year alone, our program has produced more than 20 publications and presentations at national scientific meetings. Fellows are offered ample research opportunity and are expected to have produced at least one manuscript or national meeting research presentation by the end of their training.

Areas of research interest

  • Transcatheter pacing
  • Subcutaneous ICD
  • Magnetic resonance determined scar burden and its relation to cryoablation
  • Animal models of atrial fibrillation
  • Outcomes of lead extraction

The Clinical Electrophysiology (CCEP) curriculum for fellows is designed around proficiency-based goals that are directly tied to the current Accreditation Council for Graduate Medical Education (ACGME) competencies for medical education. These competencies are:

  • Patient Care
  • Medical Knowledge & Skills
  • Interpersonal & Communication Skills
  • Professionalism, System-Based Practice
  • Practice-Based Learning and Improvement

CCEP fellows will be expected to develop expert proficiency in the management of both inpatients and outpatients with dysrhythmias. Proficiency will be measured to include demonstrated performance in procedures, and the ability to communicate, accurately and compassionately, the risks and benefits of procedures to their patients and patients' families.

Patient-Centered Care Knowledge

 Fellows must demonstrate knowledge, proficiency and patienct centered care in:

  • Obtaining vascular access from all appropriate sites as well as techniques for hemostasis at the conculsion of procedures
  • Implantation of temporary and permanent pacemakers; defibrillators, cardiac resynchronization devices; and loop recorders
  • Performance of non-invasive, programmed stimulation and defibrillation threshold testing; chemical and electrical cardioversion
  • Performance of catheter ablation of sinus tachycardia, atrial tachycardia, atrial flutter, atrial fibrillation, AV nodal reentry, accessory pathways, AV junction, bundle branch reentry, idiopathic VT and VT in the setting of structural heart disease
  • Interpretation of tilt table tests; Holter and Event Monitor recordings; and Signal-averaged ECGs and T-wave alternans tests
  • Interpretation of intracardiac recordings during diagnostic electrophysiologic study and catheter ablation

Cardiac Rhythm Disorders Knowledge

  • Sinus node dysfunction
  • Atrioventricular nodal and infranodal block
  • Supraventricular and ventricular tachyarrhythmias
  • Atrial fibrillation and flutter
  • Arrhythmias in the setting of adult congenital heart disease
  • Wolf Parkinson-White syndrome
  • Long QT Syndrome and related channelopathies, including Brugada Syndrome and Short QT Syndrom

Arrhythmia Disorders Knowledge

  • Neurally mediated syncope
  • Aborted sudden cardiac death
  • Atrial fibrillation and flutter
  • Arrhythmias in the setting of adult congenital heart disease
  • Unexplained syncope

Teaching Methods

  • Didactic conferences
  • Clinical teaching
  • Role modeling
  • Mentoring
  • Case-based teaching
  • Journal club
  • Research projects

Scholarly Activities and Research

CCEP fellows will gain proficiency in hypothesis generation to address pertinent research questions in cardiac Electrophysiology. They will gain sufficient experience with experimental design, implementation, analyses and manuscript completion to be capable of continuing in an academic career.

Fellows will:

  • Complete CITI (Collaborative IRB Training Initiative) human subject education program (HSEP)
  • HIPAA training
  • Design research protocol and methodology utilizing Emory University IRB/IACUC recommendations and conforming to published scientific medical standards
  • Submit and obtain Emory University IRB/IACUC approval for research protocol
  • Demonstrate effort and understanding of process to obtain funding for research, including utilization of appropriate sponsor and institutional documents
  • Direct or perform clinical data extraction and management, including proper informed consent, when appropriate, and data analysis
 

Contact Information

Fellowship Program Coordinator

Janci A. Demyun, MPH
Emory University School of Medicine, Division of Cardiology
101 Woodruff Circle, 3004 WMB
Atlanta, GA 30322
Office 404-727-6149 Fax 404-712-8335
djanci@emory.edu