The Cardiac Electrophysiology Fellowship training is based at the Ohio State University (OSU) Medical Center and Ross Heart Hospital.
There are six dedicated, fully equipped, state-of-the-art clinical cardiac electrophysiology laboratories, all of which have digital fluoroscopy. The laboratories are also equipped with sophisticated three-dimensional mapping systems, CARTO and ESI. Each laboratory has intracardiac echocardiography capabilities (ICE). The labs are fully integrated with the Odyssey system that allows for different configurations depending on the type of procedure that is being performed. All labs can broadcast to anywhere in the world via this Odyssey system. One of the laboratories also is equipped with remote magnetic navigation (Stereotaxis) for the treatment of complex atrial and ventricular ablations. In addition, there is a dedicated laboratory for non-invasive procedures. In this laboratory, Head-up Tilt Table Tests, Electrical Cardioversions and ICD DFTs are performed.
The management of patients receiving heart rhythm care is directed by the clinical cardiac arrhythmia team. Pre-operative evaluation, post-operative care, pre-discharge evaluation, and post hospital discharge follow-up are managed by the electrophysiology team. The Ohio State University Division of Cardiovascular Medicine has several locations for arrhythmia evaluation and device follow-up, including the Ross Heart Hospital as well as 10 additional outpatient sites in the Central Ohio area.
The electrophysiology laboratory at the Ohio State University is one of the busiest electrophysiology laboratories in the United States. We perform all types of procedures, from simple supraventricular tachycardia ablations to complex epicardial ablations. The number of atrial fibrillation ablations exceeds 650 per year. There have been over 3,500 electrophysiological procedures performed at OSU this year including over 900 catheter ablations, over 400 pacemaker implantations, and over 800 ICD implantations. Fellows are intricately involved in all of these procedures as well as lead extraction, epicardial ablations, tilt table tests, and cardioversions.
Our device clinic volume exposes the EP fellows to a large variety of problems. In 2011, we performed over 20,000 ICD and pacer device checks at these various locations (36% remote/telephone checks and 64% in-office checks).
Formal didactic sessions, journal clubs, and research conferences involving electrophysiology topics are held on a weekly basis. In addition, there are ECG conferences twice a month, during which electrophysiology fellows and general cardiology fellows participate in the interpretation of complex electrocardiograms.
The EP fellows are mentored and supervised by faculty members in the conduct of research. Our section is currently involved in 35 clinical electrophysiology trials. Fellows are encouraged and supported in enhancing their scholarly activities through publication of book chapters, manuscripts or abstracts in peer-reviewed journals and/or presented at national specialty meetings such as the Heart Rhythm Society, ACC and AHA meetings.
The philosophy of the Electrophysiology Fellowship Program at The Ohio State University is to provide a broad and high volume exposure to multiple clinical electrophysiology scenarios allowing the fellows to achieve competency in both basic and advanced evaluation and treatment methods. Fellows graduating from our program have a high rate of passing the boards and have very successful academic and private practice careers.
Raul Weiss, M.D.
Director, Electrophysiology Fellowship Training Program
The Ohio State University Medical Center