Clinical Cardiac Electrophysiology

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The goal of the Jackson Memorial Hospital (JMH)/University of Miami Miller School of Medicine Fellowship Program in Clinical Cardiac Electrophysiology is the training of fourth year cardiology fellows in the diagnosis and management of patients with cardiac arrhythmias including all appropriate invasive and noninvasive methods for evaluation and drug, device and ablative forms of therapy.

The Clinical Cardiac Electrophysiology Fellowship Program is a one year training program with complex ablation and/or specialized laboratory or animal research and a two year program starting in 2017.  Our fellows are an integral part of the Cardiology Division and assist in all aspects of consultative and interventional electrophysiology.

ACGME Accredited: Yes
Residents or Fellows per year:  2
Duration:  1 Year 2015 & 2016 (2 Years starting in 2017)
Postgraduate Training Required:  Internal Medicine Residency and Cardiovascular Fellowship
U.S. Citizenship Required:  US Citizen, Permanent Residents/Green Card Holder, and J1 Visa

Teaching Hospitals: JMH/UMH/VA

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

2009 Graduate:  Gustavo Morales – University of Kentucky, Div. of Cardiovascular Medicine

Application Process:
Applicants must satisfy the following requirements by the beginning of the program:
• Graduate from an ACGME-accredited internal medicine training program,
• Graduate from an ACGME-accredited Cardiovascular Disease training program,
• US citizen, US permanent resident, or in possession of a J-1 visa,
• ECFMG-certification if a foreign medical graduate,
• Graduate of an LCME accredited Medical School, if completed in the United States or Canada or a Graduate of an AOA accredited Osteopathic Medical School
• Passing scores on Steps 1, 2, and 3 of USMLE or COMLEX-USA.

Your application materials should be received by March 30th.
Please note that our program only accepts J-1 visas for incoming house staff who are either not a citizen or permanent resident of the United States.  No other visa types will be accepted.
Summary of documents required for application:

1. Notarized, signed application—original only (download here)
2. Updated CV, including publications
3. One page personal statement detailing your interest in electrophysiology, as well as career goals
4. Copy of your Medical School transcript-certified or original copy
5. USMLE test scores (Steps 1-3)
6. Three recommendation letters (one from your cardiovascular program director)-originals only
7. Citizenship/Visa card copy
8. ECFMG Certificate, if medical school outside of USA
9. Photo

The above documents are to be emailed together to Jamilee Martinez.  Please make sure to include all required documents in your email, incomplete receipt of all required documents will not be accepted.  The only exclusion accepted are the above required certified original documents and letters of recommendation which are to be mailed to the program coordinator to the below address via Federal Express/UPS.

Jamilee Martinez
Cardiology Fellowship Program Coordinator   
University of Miami Miller School of Medicine
Clinical Research Building
1120 NW 14 Street, (C-205) 11th Floor
Miami, FL 33136
Phone: 305-243-7067
Fax: 305-243-1731
jxy185@miami.edu



Educational Program

The CCEP fellow participates in the evaluation and management of CCEP patients seen in the electrophysiology laboratories, outpatient clinics and in consultations in-hospital.  The fellow is instructed in the indications, contraindications, risks, benefits, diagnostic accuracy and therapeutic efficacy of the various diagnostic procedures and therapeutic procedures involved in the management of patients with cardiac arrhythmias. The fellow participates in the prescription and evaluation of pharmacological, ablation and device-based antiarrhythmic therapy.

Fellows will be exposed to patients with a wide range of cardiovascular disorders and complications of other diseases or procedures at varying degrees of progression (from initial presentation and diagnosis to end-stage disease), as well as to patients referred to the electrophysiology service for diagnostic or therapeutic procedures.  Patients seen by the electrophysiology fellow will include a full range of adults and selected adolescent patients, from a comprehensive mix of ethnic and racial origins.  Cardiac electrical conditions of the heart encountered and managed typically include but are not limited to the following:  atrial fibrillation, atrial Flutter, supraventricular tachycardia, various types of atrial and ventricular Arrhythmias, as well as Wolff-Parkinson-White and other congenital arrhythmias.  Furthermore, pregnant patients with the latter mentioned diseases may be encountered.

The Electrophysiology Fellows are expected to gain proficiencies in all aspects of consultative electrophysiology as well as become adept in cardiac rhythm device implants and complex ablations.  The scope of procedures currently performed at these three institutions includes:
• Comprehensive diagnostic electrophysiologic studies
• Catheter ablation for common and uncommon supraventricular tachycardias
• Catheter ablation for atrial fibrillation and complex left atrial flutters
• Catheter ablation for idiopathic ventricular tachycardia as well as ventricular tachycardia in the setting of structural heart disease
• Device implants (pacers, ICDs, Biventricular pacers/ICDs

Faculty and Fellows
There are four electrophysiologists that comprise the CCEP teaching faculty at JMH, UMH, and VAMC.  Dr. Raul Mitrani, Program Director of the CCEP Fellowship Program, CCEP Site Supervisor at the VAMC, Dr. James Coffey, Dr. Juan Viles-Gonzalez, CCEP site supervisor at UMH, and Dr. Assaf Tzur, CCEP assistant site supervisor at JMH.  As Program Director, Dr. Mitrani is ultimately responsible for the content and conduct of the education activities at all teaching sites. No more than 2 CCEP fellows will be enrolled in the fellowship training program at any one time.

Board Exam Requirements: Internal Medicine Board and Board Eligible in Cardiovascular Disease

Research: Describe opportunities.

Electrophysiology fellows are required to participate in one or more research projects during their fellowship year.  Each fellow is expected to complete at least one research project during his/her fellowship.  The responsibility includes design, execution, and publication in both abstract and final manuscript form of any original research work or as co-investigator on an established project of a faculty member. Within the first two months of fellowship, the fellow should actively pursue research ideas that can be their own or those ideas of faculty member. A list of projects should be discussed with the director of the program who will keep a list in his office.  Once a fellow has made a commitment to an individual faculty member to do research, that commitment should be considered primary and the fellow should consult the faculty member before participating in additional projects.  Participation in multiple projects is encouraged if feasible in the context of the primary project.  

Call: On-call information.
The CCEP Fellow will take call no more than 1 in 3 nights, and 1 in 3 weekends.  The fellow can take call from home and is not required to be “on-site”.  During call, the fellow will be responsible for coverage at JMH, UMH, and VAMC.

Facilities and Resources
As the only ACGME certified Clinical Cardiac Electrophysiology Program in South Florida, our fellows have access to Jackson Memorial Hospital, University of Miami Hospital, and the Veterans Administration Medical Center. These hospitals have diverse patient populations, including patients with primary arrhythmia disorders to patients referred for complex arrhythmias.

Jamilee Martinez  
Program Coordinator
Phone: (305) 243-7067
Fax: (305) 243-1731

Raul Mitrani, MD
Program Director, Clinical Cardiac Electrophysiology Fellowship Program
Associate Professor of Medicine, University of Miami Miller School of Medicine

Juan F. Viles-Gonzalez, MD
Assistant Professor of Medicine, University of Miami Miller School of Medicine

Litsa Lambrakos, M.D.
Assistant Professor of Clinical Medicine

Assaf Tzur, MD
Medical Director, JMH Cardiac Electrophysiology

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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