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Subspecialty Careers: Highlights about Careers in Internal Medicine: Clinical Cardiac Electrophysiology

The Discipline
Clinical Cardiac Electrophysiology is a branch of Cardiology that manages complex cardiac arrhythmias with the use of implantable pacemakers and cardioverter-defibrillators, and also applies other interventional techniques and treatments.

Procedures
Specialization in Clinical Cardiac Electrophysiology requires a physician to perform and interpret a number of noninvasive diagnostic procedures such as ambulatory ECG monitoring, event recording, telephone ECG transmission, signal-averaged electrocardiography, tilt table testing, assessment of heart rate variability, and other tests of the autonomic nervous system. Advanced expertise in temporary cardiac pacing, transesophageal atrial pacing, cardioversion, interpretation of invasive electrophysiologic study data, and complex arrhythmia ECG interpretation is also needed.

Training
Three years of Cardiovascular Disease fellowship training in a program accredited by the ACGME, including 24 months of clinical training, is required before entering a training program in Clinical Cardiac Electrophysiology. Training in Clinical Cardiac Electrophysiology involves an additional year of fellowship training, ideally pursued immediately following the prerequisite Cardiovascular Disease fellowship training.

Certification
Successful Diplomates will be awarded an ABIM Subspecialty Certificate in Clinical Cardiac Electrophysiology. The certificate will bear dates limiting the duration of its validity to ten years, but is renewable upon successful completion of ABIM’s Maintenance of Certification program.

Major Professional Societies
Heart Rhythm Society
1400 K Street NW Ste 500
Washington, DC 20005
Phone: 202-464-3400
Web site: http://www.hrsonline.org/

Major Publications
Heart Rhythm
Pacing and Clinical Electrophysiology

Back to December 2007 Issue of IMpact

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