The CCEP fellow helps the EP attending teach cardiovascular disease fellows rotating on the EP service, as well as internal medicine residents who occasionally rotate through EP. The CCEP fellow may independently conduct small didactic sessions depending on his or her interest and time constraints.

The outpatient experience for CCEP fellows includes two half-days per week while on the Arrhythmia Service rotation.

One half-day is spent in the Pacemaker/Defibrillator Clinic where 15-20 patients are seen and evaluated. This includes a brief clinical history followed by interrogation of the pacemaker or defibrillator generator, with the appropriate troubleshooting and adjustment, as indicated. This provides an intensive experience and familiarity with different types of devices and the clinical issues that are specific to patients with implanted devices.

The other half-day is spent with one of the EP attendings seeing outpatient consultations and follow-up patients. The outpatient experience is augmented by active participation in our arrhythmia device clinic. The clinical electrophysiology laboratory has state-of-the-art systems for intracardiac electrogram recording, non-fluoroscopic mapping, laser lead extraction, and intracardiac ultrasound imaging.

CCEP fellows prepare for three different types of conferences:

1. A monthly journal club that focuses on articles of EP interest from the previous three months
   
   
2. A morning meeting, held three times per week. All EP attendings, fellows and nurses discuss the status of each patient on the service, as well as the results of any clinical studies done the day before, and plan for clinical studies for that day.
   
   
3. A formal, departmental clinical conference held once per week.

The inpatient CCEP service (including subspecialty consultation) rounds daily with an attending physician. Fellows:

• have first contact with patients
• obtain their own history and physical
• review and analyze other pertinent clinical data (with an emphasis on systematic analysis of cardiographic, telemetry, and stored electrogram recordings)
• formulate a differential diagnosis
• recommend a diagnostic and/or therapeutic plan, and
• review the management plan with the attending physican.