Veterans Affairs Palo Alto Health Care System
The Veterans Affairs Palo Alto Health Care System, located 4 miles from Stanford Health Care, is one of the newest and most modern VA hospitals in the US. It serves as the referral center for a large catchment area across California and Nevada and is equipped with state-of-the-art facilities for cardiovascular medicine.
Fellows will have an integrated experience in outpatient and inpatient cardiology evaluations with participation in exercise tests, echocardiography, and catheterization. In an average month, 200 patients visit the outpatient clinic, 120 patients receive consultative care on an inpatient basis, 120 patients undergo echocardiography and 45 patients undergo cardiac catheterization procedures.
Inpatient Fellow, Veterans Administration Medical Center:
Senior fellows have the opportunity to take on the role of advanced fellow in a variety of cardiac subspecialties, including interventional cardiology and imaging. Fellows serve as primary operator on percutaneous coronary interventions, assist with TAVR and device implantations, and receive further training in cardiac CT.
Consult Fellow, Veterans Administration Medical Center:
The fellow on this rotation assumes considerable responsibility in overseeing the cardiology consultation team, which is comprised of house staff and medical students, in caring for virtually all cardiology patients throughout the hospital. Fellows gain experience in the management of acute coronary syndrome, heart failure, arrhythmias, and critical care cardiology.
Noninvasive Stress Testing and Nuclear Medicine:
The nuclear medicine department at the Veterans Affairs Medical Center performs up to 7 myocardial perfusion studies per day, including both exercise and pharmacologic perfusion studies as well as viability studies (thallium, PET scans). During this rotation, the fellow supervises exercise treadmill testing and gains proficiency in the supervision and interpretation of nuclear myocardial perfusion studies.