1. Physics of ultrasound
2. Principles of M-mode, 2D Echocardiography, and Doppler
3. Pericardial effusion and Echo-guided pericardiocentesis
4. Chamber Quantification
5. Assessment of LV systolic function
6. Assessment of LV diastolic function
7. Aortic stenosis
8. Aortic regurgitation
9. Diseases of the aorta
10. Mitral stenosis
11. Mitral regurgitation
12. Assessment of RV and pulmonary hypertension
13. Introduction to TEE
14. Infective Endocarditis and its complications
15. Myocardial infarction and its complications
16. Echocardiographic evaluation of cardiomyopathies
17. Echocardiographic evaluation of prosthetic valves
18. Echocardiographic assessment of pericardial constriction and restrictive cardiomyopathy
19. Acyanotic congenital heart disease
20. Cyanotic congenital heart disease
21. Stress echocardiography
22. Cardiac tumors, masses, and sources of emboli

Teaching format

-Formal presentations to address fundamental topics in cardiac ultrasound
-Presented by faculty and trainees (both cardiology residents and advanced echocardiography fellows) with faculty supervision

Weekly Thursdays

-13:15-14:30 (at HGH sites,videoconferenced to all othersites)
-All trainees will be expected toattend (either in person or viavideo-conferencing which isavailable to all sites). Fellows are protected from all clinical duties during this time.

Teaching format

-Formal review andpresentation of a peer reviewed article
-The trainee will beexpected to critically appraise the paper regarding its methodology and comment if results appropriately support the purported findings
-As a rule, articles will be chosen by the program director/faculty mentor in order to cover a range of the important issues in cardiac ultrasound. However, trainees will been couraged to identify potential articles which maybe chosen if deemed relevant after review with faculty mentor.
-The sessions will be meantto be very interactive. Discussion between the various staff and trainees will highlight recurrent methodological issues in how data is presented and analyzed as well as applicability of findings.

Schedule

-Once monthly Mondays 8-9 AM at HGH site
-All trainees will be expected toattend (protected from clinicalduties)

Teaching format

• Trainees will review their research projects and feedback is provided
• In the early phase of training, the emphasis will be on methodological aspects and project feasibility.
• Later on during training, the emphasis will be on the review of initial data and its interpretation

Schedule

• Once every 3 months, Mondays 8-9 AM at HGH site
• All trainees will be expected to attend (protected from all clinical duties)

Teaching format

• Trainees/faculty will identify and present cases that are felt to warrant further discussion
• Cases will be chosen on the merit that they highlight specific technical nuances, address challenges in interpretation, or illustrate rare pathology.
• Interactive discussion will be expected in “question and answer” format

Schedule

• Once to twice per month Mondays 8-9 AM at HGH site.
• All trainees will be expected to attend in person and are protected from all clinical duties.

1. Echo in Congenital Heart Disease I. Segmental Analysis.
2. Echo in Congenital Heart Disease II. Simplex Defects.
3. Echo in Congenital Heart Disease III. Complex Lesions.
4. TEE in Structural Heart Disease Intervention.
5. Intraoperative Echocardiography
6. Echocardiographic assessment of Dyssynchrony
7. Strain Echocardiography
8. Setting up and managing an Echo lab
9. Contrast Echocardiography
10. 3D Echocardiography
11. Advanced Hemodynamics. Part I.
12. Advanced Hemodynamics. Part II.
13. Advanced Stress Echocardiography.

Teaching format

• Formal presentations to address advanced topics in cardiac ultrasound
• Presented by faculty in a didactic format.
• Copy of slides (PDF format) provided to fellows as part of the curriculum

Schedule

• Once per month Mondays 8-9 AM at HGH site.
• All trainees will be expected to attend in person and are protected from all clinical duties.

Teaching format

Challenging cases in both valvular and nonvalvular heart disease will be presented and discussed formally with cardiovascular surgeons, interventional cardiologists, non-invasive cardiologists, and Echocardiography faculty

Schedule

Fridays 8-9AM

Teaching format

• Formal QA/QI rounds for the HHS echocardiography labs
• Chair of the QA/QI committee presents data from the preceding quarter and 3-4 cases will be discussed in detail to highlight important issues
• During one of these sessions the fellows will present findings of their QA/QI project

Schedule

• Quarterly on Wednesdays 8-9 AM.
• Host site rotates amongst all 3 sites however all rounds are videoconferenced across the 3 sites.
• All trainees will be expected to attend in person and are protected from all clinical duties.

Teaching format

• At the beginning of the Fellowship, the trainee will be provided with an electronic folder containing PDFs of core articles in the field of echocardiography including all appropriate Guidelines. Specific articles that require mandatory reading will be identified.
• The folder also contains lecture series and textbooks on cardiac imaging.
• The list will be updated on a regular basis (annually or more frequently as key literature becomes available).

Schedule

• Throughout the year as per trainee’s own schedule