Fletcher Allen, a Vermont university hospital and medical center, serves all of
Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
University of Vermont Cardiac Electrophysiology Fellowship
The training experience includes interventional, diagnostic and consultative electrophysiology. Fellows rotate through the electrophysiology laboratory, the clinical service and the outpatient clinic (including device follow-up clinic).
An electrophysiology lecture series is provided with didactic sessions throughout the year. In addition there is an electrophysiology journal club. Fellows are expected develop a thorough understanding of cardiac anatomy, basic mechanisms of arrhythmias and antiarrhythmic medications as well as a strong understanding of the literature in the field of electrophysiology. Research opportunities are available in clinical and basic electrophysiology.
In the electrophysiology laboratory fellows learn to perform device implantation (single chamber, dual chamber and biventricular pacemakers and defibrillators), electrophysiologic studies and ablation procedures. Our ablation program specializes in complex ablation. Fellows trained to map and ablate complex arrhythmias including atrial fibrillation, macroreentrant atrial tachycardia, atrial flutter, ventricular tachycardia, accessory AV pathways, AV nodal reentry tachycardia and focal atrial tachycardias.
Fellows become proficient in electrogram interpretation and pacing techniques (including paraHisian pacing, determination of accessory pathway slants, mapping and confirmation of accessory pathway potentials and entrainment mapping). In addition fellows learn to perform transseptal punctures, intracardiac ultrasound, pulmonary venous angiography and coronary sinus angiography. Fellows learn to create and interpret 3-D electroanatomic maps.
Mark Capeless, M.D.