Louisiana State University School of Medicine Program

The Clinical Cardiac Electrophysiology Fellowship at Louisiana State University Health Shreveport offers a robust two-year training program accredited by the ACGME since its inception. The program's accreditation was established to develop future leaders in the field of cardiac electrophysiology, with a focus on cultivating their diagnostic and management skills for patients experiencing cardiac arrhythmias.

The program is the only one of its kind in the northern region of Louisiana, utilizing its strategic location to benefit from a diverse patient population referred from a 150-mile radius, including individuals from states such as Arkansas, Texas, Mississippi, and Oklahoma. This geographical advantage allows fellows to engage with a substantial variety of clinical cases, particularly since the Mississippi delta region reports higher incidences of cardiovascular diseases, rendering expansive learning opportunities in electrophysiological practices 1.

Curriculum

The fellowship encompasses comprehensive training in both adult and pediatric electrophysiology under the guidance of a distinguished faculty. The team comprises recognized experts in electrophysiology who contribute significantly to scientific literature and hold editorial positions in leading journals 1. Fellows will actively participate in over 850 electrophysiology procedures annually, including heart rhythm management and the implantation of cardiac implantable electronic devices.

Training includes diagnostic studies, catheter ablation, and managing complicated arrhythmias such as atrial fibrillation, ventricular tachycardia, and various forms of supraventricular tachycardias 1. Moreover, unique structural electrophysiology procedures such as left atrial appendage closure and thrombectomy are also part of the curriculum, ensuring that fellows gain invaluable hands-on experience.

Rotations and Clinical Experience

The fellowship structure allows fellows to scrub in with pediatric EP faculty, providing exposure to pediatric as well as adult congenital electrophysiology cases. Collaborative efforts occur not just within the cardiology division but also with interventional cardiology and vascular surgery teams, enabling multidisciplinary approaches in patient care and research projects 1.

Fellows benefit from a supportive environment featuring advanced practice providers who enhance patient care delivery in both outpatient and inpatient settings. Structured didactics, including case conferences and EGM discussions, complement the clinical experience, fostering a solid educational foundation 1.

Research Opportunities

Participation in research is a vital component of the fellowship. Faculty are engaged in translational and clinical research focused on significant issues such as molecular mechanisms of arrhythmias and the impact of cancer therapies on heart rhythms. The fellowship encourages scholarly activity, expecting fellows to contribute towards advancements in electrophysiology through formal research 1.

Application and Competitiveness

The Clinical Cardiac Electrophysiology Fellowship is selective, with only one position available annually, making it highly competitive. Applicants are expected to have completed an ACGME-accredited Cardiovascular Disease training program prior to fellowship commencement. The program does not impose a maximum limit on the number of failed STEP exams, but robust performance on these exams is strongly preferred 1.

This fellowship is IM-friendly and is welcoming to DO candidates, enhancing its diversity and inclusivity. The application process is facilitated through ERAS, and interested candidates are encouraged to submit their applications detailing their academic achievements and experiences 1.

Visa Support

The program provides sponsorship for J-1 visas for international medical graduates through the ECFMG. However, it does not offer support for H-1B visa applications, which could be an important consideration for international applicants 1.

Conclusion

The Clinical Cardiac Electrophysiology Fellowship at LSU Health Shreveport presents a dynamic training environment enriched with hands-on procedural training, strong mentorship, and diverse patient interactions. It is dedicated to producing well-rounded electrophysiologists equipped to tackle contemporary challenges in cardiac care while contributing to academic advancements in the field.