University of California, Riverside

Graduate Medical Education

Curriculum Overview & Rotation Schedule

cardiovascular curriculum

About the Program Curriculum

The cardiology training program will be based on new Core Cardiology Training Symposium (COCATS4) guidelines and takes into consideration the core missions of UCR School of Medicine which includes serving the healthcare needs of Inland Southern California. There will be emphasis on:

  • The 15 content areas delineated by COCATS4 plus population health as the 16th content area with achievement of competence in all these areas.
  • The six core competencies delineated by ACGME with addition of scholarship and population and community health additional areas of competencies.
  • Milestone monitoring, evaluation and declaration of independence.
  • Continuity of care emphasis combined with training in specific specialized areas.

Education and training of our post-doctoral cardiology trainees is an important mission of this division, the department, institution and the medical school. It is anticipated that each cardiology trainee at the end of his/her training will be a competent cardiologist with superior bedside, interpersonal and communication skills as well as excellent procedural skills and medical knowledge in most major aspects of cardiology. We expect the fellows to be cognizant in research methods and population health and be competent to apply these tools in their practice when the graduate.

Principal Goals and Philosophy

Education is bidirectional, and benefits both the trainee and the faculty. This leads to superior patient care and outcomes. Each cardiology trainee must assume a major role in his/her own education through participation in clinical care under supervision and through active presentations and discussions in the teaching conferences.

Our program will strive to deliver the best possible training and endeavors to improve continually to produce the best possible cardiologists suited both to clinical practice and academic medicine, preferably serving the Inland Southern California.

Areas of Training

Sixteen areas of training (15 from the COCATS4 document) that will be covered in various rotations

  1. Training in ambulatory, consultative, and longitudinal cardiovascular care
    In outpatient continuity clinics (longitudinal care in chronic setting), specialized clinics. The ER consult /cath rotation would provide ER to cardiac catheterization lab to admission to discharge continuity (longitudinal care in acute setting) with possibility of f/u with same fellow if patient has no primary cardiologist.
  2. Training in preventive cardiovascular medicine
    Occurs in both inpatient and outpatient settings (plus conferences) covering primordial, primary and secondary prevention of CAD, heart failure, smoking, hypertension, diabetes, obesity etc.
  3. Training in electrocardiography, ambulatory electrocardiography, and exercise testing
    ECG and Holter reading during consult rotation, Stress testing during consult, echolab, nuclear and CMR rotations, loop recorders during EP rotation; plus fellow conferences for all.
  4. Training in multimodality imaging
    During echo, CT and CMR rotations plus during multidisciplinary conferences (cath, valve, HF) incorporating these into clinical decision-making.
  5. Training in echocardiography
    During echo rotations, didactics and multidisciplinary meetings.
  6. Training in nuclear cardiology
    During nuclear rotations, didactics and multidisciplinary meetings.
  7. Training in cardiovascular computed tomographic imaging
    During CCT rotation, didactics and multidisciplinary meetings.
  8. Training in cardiovascular magnetic resonance imaging
    During CMR rotation, didactics and multidisciplinary meetings.
  9. Training in vascular medicine
    In outpatient setting (clinical evaluation, vascular ultrasound, venous ablation and medical therapy), ER and IP (acute limb ischemia) and cath lab (peripheral angiography and stenting, EVAR).
  10. Training in cardiac catheterization
    During ER-consult and dedicated cath lab rotation.
  11. Training in arrhythmia diagnosis and management, cardiac pacing, and electrophysiology
    Through inpatient and outpatient EP consults during dedicated EP rotation, EP lab, device clinics and didactics.
  12. Training in heart failure
    Through inpatient management, OP consult and f/u, didactics and multidisciplinary meetings. Optional elective (in heart transplant and LVAD) at UCLA or Cedars Sinai Hospital will be provided.
  13. Training in critical care cardiology
    During consult/critical care rotation, during on call and ER consult rotation.
  14. Training in care of adult patients with congenital heart disease
    Through care of patients in IP and OP settings, cardiac imaging, didactics, multidisciplinary conferences and elective rotation at UCLA adult congenital heart center.
  15. Training in cardiovascular research and scholarly activity
    Through didactics, research meetings, dedicated rotation and activity spread out throughout the 3 years of training.
  16. Population health
    Through didactics and involvement in regional population based studies, preferably with an emphasis on prevention and enhancing population health.

Eight ACGME and UCR Core Competencies

Reproduced from COCATS4 document with addition of UCR Core Competencies.

  1. Patient care that is compassionate, appropriate, and effective for treating health problems and promoting health.
  2. Medical knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
  3. Practice-based learning and improvement that involve investigation and evaluation of a fellow’s patient care, self-appraisal, and assimilation of scientific evidence, and improvements in patient care.
  4. Interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
  5. Professionalism as manifested by a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
  6. Systems-based practice as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.
  7. Scholarship judged by involvement in original research leading to preparation of a manuscript ready for submission for publication
  8. Community and population health: Understanding of cardiovascular epidemiology, epidemiological aspects of cardiovascular disease and its risk factors in Inland Southern California and thoughts on how these can be addressed to reduce disease burden in this population

Entrustable Professional Activities for Subspecialists in Cardiovascular Disease

From COACTS4 document.

  1. Cardiovascular consultation
    Evaluate, diagnose, and develop treatment plans for patients with known, with suspected, or at risk of developing cardiovascular disease: Both in IP and OP settings.
  2. Acute cardiac care
    Manage patients with acute cardiac conditions: In ER, CCU, ICU and cath lab.
  3. Chronic cardiovascular disease management
    Manage patients with chronic cardiovascular diseases: In continuity and specialized clinics.
  4. Cardiovascular testing
    appropriately utilize cardiovascular testing: Use of appropriateness criteria in echo lab, CCCT, CMR, nuclear testing, cath lab and EP lab.
  5. Disease prevention and risk factor control
    Implement disease prevention and risk factor control measures, addressing comorbidities: Primordial, primary and secondary prevention in inpatients, outpatients and at population level in Inland Southern California.
  6. Team-based care
    Work effectively to promote patient-centered interdisciplinary team-based care: inpatient and outpatient consults working with other physician and nonphysician providers, ER consults and multidisciplinary patient management conferences.
  7. Lifelong learning
    Engage in lifelong learning: Critical analysis of articles during journal clubs, guidelines during various rotations and conferences and research training.

More Information 

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

Department Information

Graduate Medical Education
2608 School of Medicine Education Building

Tel: (951) 827-7669