University of North Carolina Hospitals Program

The Clinical Cardiac Electrophysiology (EP) Program at the University of North Carolina in Chapel Hill offers a comprehensive 24-month training fellowship, with 12 months accredited by the ACGME. The program focuses on advanced aspects of electrophysiology, ensuring fellows receive robust hands-on training and do so in a state-of-the-art clinical environment.

Fellows are afforded access to sophisticated technologies and will work in one of the primary referral centers for complex cardiac procedures in the southeastern region of the United States. The program's structure revolves around ACGME core competencies as well as the HRS Clinical Competency Statement, ensuring a thorough grounding in both theoretical knowledge and practical skills. This rigorous training equips fellows to manage patients with diverse and complex arrhythmias effectively.

Curriculum Overview

The curriculum of the EP Fellowship presents a blend of clinical training and research with substantial exposure to various clinical scenarios involving arrhythmias. Fellows will engage deeply in:

• Patient management in arrhythmia contexts.
• Consultative electrophysiology.
• Antiarrhythmic drug therapy.
• Arrhythmia recognition and treatment protocols.
• Invasive electrophysiology studies, including endocardial and epicardial mapping.
• Cath procedure training with a focus on catheter ablation.

Fellows will undergo training in ambulatory, outpatient, and follow-up care for arrhythmia disorders, emphasizing decision-making regarding the risks and benefits of electrophysiology procedures. Additionally, the program incorporates a series of weekly conferences and rounds, such as case conferences and journal clubs, fostering a collaborative learning environment.

Research Opportunities

Research is a critical component of the fellowship, with each fellow expected to conduct at least one mentored research project throughout the duration of the program. This research is intended to culminate in a manuscript or presentation by the end of training. This emphasis on research allows fellows to contribute to the field of electrophysiology significantly and enhances their academic profiles.

Application Process

The application process for the Clinical Cardiac Electrophysiology Fellowship at UNC follows the ERAS online application service and is part of the NRMP Match. Applicants are required to complete an ACGME-accredited training program in Cardiovascular Disease and must submit three letters of recommendation. It is essential that one of these letters comes from the Program Director of the candidate's previous training and one from an electrophysiologist familiar with the applicant's abilities.

Applications open on July 1 and must be completed by August 31. After this date, incomplete applications will not be processed. The program currently only sponsors J-1 visas, providing international medical graduates the necessary support to join the fellowship.

Competitiveness and Applicant Qualifications

The electrophysiology fellowship at UNC is competitive, attracting a diverse pool of applicants, including both U.S. and international medical graduates. Candidates are expected to be board eligible or certified in Internal Medicine (ABIM) and possess a solid background in cardiovascular training. The program welcomes applications from both MDs and DOs, fostering an inclusive environment.

Unique Aspects of the Program

One of the distinguishing features of the Clinical Cardiac Electrophysiology Fellowship at UNC is the extensive training in a high-volume clinical setting. Fellows not only develop procedural skills but also engage with a population of patients across various regions suffering from complex arrhythmias. This exposure sets the stage for comprehensive learning and skill development, preparing fellows for successful careers in electrophysiology.

Additionally, the faculty's pioneering contributions to the field and the growth of electrophysiology services at UNC underlines the program's commitment to excellence in both clinical practice and academic inquiry, ensuring a legacy of leadership in cardiac electrophysiology.