The Division of Cardiology offers a three year speciality training program leading to Royal College certification in Adult Cardiology. The program is based primarily at Kingston General Hospital, and additional training in Kingston occurs at Hotel Dieu Hospital and the Kingston Heart Clinic. The Division also provides postgraduate clinical education for Internal Medicine residents, and contributes to the undergraduate medical education program.
|Number of Months||Rotation|
|14||Clinical Practice Activities
|3||Cardiac Catheterization Laboratory|
|3||Electrophysiology and Device Therapy|
|2||Stress Testing, Ambulatory Monitoring|
|1||Advanced Cardiac Imaging|
|4||Elective / Selective Time|
Our program provides an exceptional opportunity for Cardiology residents to obtain significant experience in TEE depending on the residents' desires.
The Division of Cardiology is composed of a mix of general Cardiologist and subspecialists, with strong interventional electrophysciology and echocardiography groups. The members of the Division of Cardiac Surgery work closely with the Division of Cardiology, and the surgeons are involved in the teaching of the Cardiology trainees. We also work closely with Pediatric Cardiology and the Cardiac Radiologists.
|Cardiac Imaging Rounds||Weekly|
|ECG/ Intracardiac Device Rounds||Weekly|
|Cardiac Case Rounds||Weekly|
|Journal Clubs||1-2 times per month in the evening|
|Bedside Teaching||Twice a month in small groups|
|Teaching Opportunities||2 rounds per week delivered by the Cardiology residents for the junior housestaff|
|Retreats||Twice per year|
|CanMEDS Topics||Integrated into half-day curriculum and through PGME sessions|
|Mock written/graphics exams||At least once per year|
|Mock OSCE||Once per year|
|Graphics||Integrated into academic half-day series|
The first year Cardiology residents take part in the ICU summer half-day series as a review of cardiac critical care medicine.
A summer half-day series has also been designed for Cardiology exam preparation for the senior Cardiology residents.
These are resident-driven guideline based sessions which are facilitated by topic experts.
Each resident is expected to complete a research project and submit for presentation and/or publication. The research aspect of the program is supervised by a Clinical Scholar, who will meet with the residents to ensure that projects are progressing as expected, and provide assistance when required.
Royal College AFC-diploma in Adult Echocardiography
We are a high-volume academic Echo Lab and the 1st to be accredited by the CCN in Ontario. We conduct > 1000 stress echocardiograms, 400-500 TEEs, and thousands of TTEs annually.
Training in our lab encompass all aspects of echocardiography including contrast echo, transcatheter aortic valve implantation, echocardiographic guidance of electrophysiology procedures, 3D echo, ASD and PFO closures, as well as opportunities to participate in intraoperative echocardiography.
There will also be opportunities in intraoperative TEE in collaboration with the Cardiac Anesthesia services.
The echo fellow will also develop administrative skills in the quality and improvement strategies required to run a successful laboratory.
Opportunity will also be available to participate in basic science and clinical research studies. POCUS and vascular imaging projects are available, and there are opportunities to
Research and scholarly activity is a mandatory part of our program. The program acknowledges the longitudinal reality of successful research so that if a resident’s project will benefit from a half day per week for a prolonged period of time all efforts will be made to free the resident from clinical duties during lab rotations if it will be a significant benefit to the research. The Research Supervisor makes this decision and recommendation as needed.
Individual Attendings support residents with mentorship and assistance in designing, conducting, analyzing a study and preparing it for publication submission. Financial support is available by application within the university and within the cardiac program. The Research Supervisor is aware of these opportunities and encourages the residents to apply as he sees fit.
Residents are required to complete a project during their training for presentation at a national or international meeting. Residents with a particular interest in research often develop it further through the formal mentorship program and from the informal mentoring that frequently occurs. When this interest is seen, like-minded faculty members make efforts to identify and support the work throughout training and try to direct the resident to the appropriate career training choices.
Primary training site = Kingston Health Sciences Centre (Kingston General Hospital and Hotel Dieu Hospital Sites)
Community site = Kingston Heart Clinic or Belleville (accommodations provided in Belleville)
Nuclear Cardiology = additional rotation in nuclear cardiology for additional number of cases is provided at Toronto Western Hospital.