Victor Dugue

Victor Dugue enjoys playing music. He'd never spent a night in a hospital before his heart attack. NYM's doctors performed surgery and helped him make changes in his life. He was back to playing the organ in his church within weeks.

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Cardiovascular Fellowship Conferences

The fellows are required to attend daily CME credited conferences which include arrhythmia management and electrophysiology, interventional cardiology, ECG conference, journal club, cardiac catheterization, non-invasive imaging and board review conferences. Each conference includes a powerpoint slide presentation on basic science and clinical aspects of the topic. Conference time is protected from interruption for clinical services barring patient emergencies.

Electrophysiology Conference
A weekly EP conference is held on Tuesdays at 7am. The scope of this conference includes a core curriculum series on basic and clinical electrophysiology, case presentations by cardiology and EP Fellows, morbidity and mortality reviews, and Journal Club.
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ECG Conference
ECG conference is held every other Monday at 5pm. This conference is usually proctored by the key EP faculty attending and geared toward becoming familiar with the format and coding of surface ECGs as required by ABIM Cardiovascular Boards. Fundamentals of ECG interpretation and arrhythmia evaluation covered over the course of the academic year. In addition, fellows present interesting and challenging surface ECGs or intracardiac recording for the group discussion.
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Interventional Cardiology Conference
The interventional cardiology conference is held every other Monday at 5pm. Although the content of this conference is geared toward interventional fellows, all general cardiology fellows are strongly encouraged to attend. All technical aspects of cardiac catheterization, various interventional procedures, as well as advanced topics in interventional cardiology are discussed during this conference.
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Tuesday Afternoon Conferences
Tuesday afternoon conference is usually held on a weekly basis at 5pm and consists of four formats:

Journal Club: The fellow is responsible for the critical review and presentation of a recent landmark article in the field of cardiovascular medicine.

Clinical Question Discussion: A controversial or poorly understood clinical question is selected by either a fellow or an attending and an extensive literature search using various search engines (Ovid, Pubmed, Cochrane database, Google Scholar, etc) is performed by all the fellows and attendings. The effectiveness of the search and the results addressing a clinical question are discussed with the rest of the participants and a unified decision is usually achieved answering a posed question.

Clinical-Pathological Conference: A fellow rotating through CCU and telemetry is responsible for selecting and presenting an interesting case that was encountered during the month. The presentation should consist of a challenging clinical case and an extensive review of diagnostic work-up (laboratory data, pertinent noninvasive and invasive imaging, as well as hemodynamics) and therapeutic strategies. The fellows are encouraged to select clinical cases for the clinical-pathologic conference that contain unusual patient presentations, involve controversial diagnostic methods or management, or result in a significant morbidity or mortality. Appropriate reference to medical literature is recommended.

The Debate: It is a one-on-one debate between the two fellows in Lincoln-Douglas Debate of 1858 format focused mainly on applying evidence-based knowledge (through extensive literature search) to real world cardiovascular clinical questions. Debaters normally take opposite sides as either the "affirmative", which upholds the resolution, or "negative", which attacks it.
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Cardiac Catheterization Conference
The Cardiac Catheterization conference is held every Wednesday at 7am. A clinical cardiology fellow rotating through the cardiac catheterization laboratory is responsible for the preparation of 2 out 4 weekly conferences. The conferences are usually in powerpoint format and cover important topics in pathophysiology of heart disease, basic and advanced principles of hemodynamic monitoring, various aspects of pharmacotherapy in interventional cardiology and many more essential topics that any cardiologist should be familiar with. Once a month a session dedicated to review of interesting angiograms and interventional cases is proctored by one of the faculty interventional cardiologists. In addition, an interventional cardiology fellow prepares a monthly joint interventional cardiology-cardiothoracic surgery conference during which the most challenging coronary or valvular disease cases are shared with our cardiothoracic surgeons.
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Noninvasive Conference
Noninvasive conference is held every Thursday at noon. It usually is on the same topic as the preceding board review. The emphasis of this conference is on supplementing previously discussed cardiovascular topic during the board review with various diagnostic noninvasive imaging (chest radiography, echocardiography, vascular Duplex imaging, nuclear imaging, cardiac magnetic resonance imaging and cardiac computed tomographic angiography).
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Board Review
Board review is held every Friday at noon and is a comprehensive review of all aspects of cardiovascular disease and is designed specifically to prepare fellows for the ABIM Cardiovascular Boards. The topics include, but are not limited to adult congenital heart diseases, acute coronary syndromes, valvular heart diseases, congestive heart failure due to ischemic and infiltrative cardiomyopathies, multitude of topics in preventive cardiology, and in depth review of noninvasive and interventional imaging and treatment.
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