The Electrophysiology Fellowship Program at UAB provides a comprehensive training experience in all aspects of electrophysiology.

 Essential Skills

1. Noninvasive assessment of cardiac arrhythmias:

  • Interpreting Holter monitors
  • Reviewing transtelephonic event recorders
  • Following up patients with transtelephonic pacemakers at The Kirklin Clinic

2. Permanent pacemakers

  • Observe permanent pacemaker implantation
  • Follow up patients with permanent Pacemakers at The Kirklin Clinic
  • Develop a working knowledge of pacemaker management during the peri-operative period

3. Internal Cardioverter Defibrillator (ICD)

  • Observe ICD implantations
  • Evaluate patients before and after ICD implantation
  • Learn the indications, contraindications, complications, and techniques involved with ICD’s
  • Follow- up patients with ICD implantation devices at The Kirklin Clinic

4. ICD management

Develop a working knowledge of ICD management during the peri-operative period (including time in the operating room when electrocautery devices may be used).

5. Invasive EP Procedures

  • Evaluate patients before and after EP procedures
  • Learn the indications, contraindications, and complications of these procedures.

6. Observe EP studies

  • Assist in programmed stimulation with the programmable stimulator.
  • Scrub in on selected cases to gain experience in the placement of pacing catheters.
  • Participate in the interpretation of intracardiac electrograms for proper diagnosis of cardiac arrhythmias.
  • Assist in programmed stimulation using a programmable stimulator.
  • Learn techniques of programmed electrical stimulation for assessment of atrial arrhythmias including:
    • arrhythmias related to accessory pathways
    • AV nodal reentrant tachycardia,
    • atrial flutter
    • atrial fibrillation,
    • atrial tachycardias
  • Learn the interpretation of intracardiac electrograms for the assessment of tachyarrhythmias & bradyarrhythmias.
  • Learn the indications, contraindications, and complications of catheter ablation procedures.
  • Learn the techniques of electrophysiologic recording and stimulation of ventricular arrhythmias (especially ventricular tachycardia).
  • Learn the proper use of invasive EP techniques for the assessment of bradyarrhythmias including:
    • sinus node dysfunction
    • AV conduction disorders
  • Attend all arrhythmia consultations from the inpatient services.
    • See the patient promptly
    • Review the history, physical, electrocardiographic findings, x-rays, and other diagnostic data with the electrophysiology faculty
    • See the patient on the day in which the consult is requested
    • Follow the patients’ course throughout their hospital stay.
  • Know the techniques of history and physical examination relevant to cardiology and cardiac arrhythmias.

7. Outpatient Arrhythmia Consultations

  • Participate in the outpatient arrhythmia clinics with the arrhythmia faculty members.
  • Learn the techniques of
    • taking histories
    • physical examination
    • ECG interpretation
    • pacemaker follow-up & programming
    • ICD follow-up and programming, Holter monitoring,
    • transtelephonic event recording
    • use of antiarrhythmic drugs

8. Pharmacology of Antiarrhythmic Drugs

Understand the basic pharmacology of antiarrhythmic drugs. Specific aims of the training program include:

  • Indications
  • contraindications
  • complications
  • follow-up requirements of antiarrhythmic drug therapy


9. Basic Science of Electrophysiology

  • Attend weekly EP conferences (Thursday morning from 7 to 8 AM), which alternate between:
    • basic science
    • clinical cases
  • Present an interesting clinical case at the EP meetings
    • review the literature
    • accept instruction from the EP faculty members

10. Other Techniques

Learn the basic techniques and indications, contraindications, and complications of:

  • temporary pacemaker insertion
  • electrical and pharmacological cardioversions
  • intracardiac tracings, including those following open-heart surgery

Educational Outcomes

Cardiologists successfully completing this rotation will be able to demonstrate expertise in:

Inpatient and outpatient management of supraventricular tachyarrhythmias

  • Ventricular tachyarrhythmias
  • Bradyarrhythmias
  • permanent pacemaker follow-up & programming
  • ICD follow-up and programming

Interpretation of intracardiac electrograms

  • Temporary pacemaker insertion & programming

Noninvasive assessment of cardiac arrhythmias

  • Holter monitoring
  • Transtelephonic monitoring

Application Process

  • Interviews are scheduled after the first of the year with appointments beginning on July 1.