Cardiology - Overview
The Division of Cardiology is a large clinical and research division with a mission of patient care, teaching and research excellence. Division faculty staff the 3 major teaching hospitals in Providence: Rhode Island Hospital, Miriam Hospital, and the VA Medical Center. The division also includes the Lifespan Cardiovascular Research Center, a multidisciplinary basic research facility located near the medical school. Clinical activities in the division include all major aspects of cardiology, including general clinical cardiology, advanced cardiac imaging, interventional cardiology, electrophysiology, heart failure, vascular medicine (including peripheral interventions), and preventive cardiology. State-of-the-art clinical facilities are available in all locations, and clinical research is actively pursued at each site. The Division of Cardiology is closely linked to the Lifespan Cardiac Surgery Program (one of the largest in New England), with recently renovated surgical suites and adjacent coronary care and CT surgery intensive care units. Furthermore, Rhode Island and Miriam Hospitals provide the bulk of emergency care in the state of Rhode Island, with approximately 200,000 emergency visits annually, a large number of whom have acute cardiac illnesses.
The Division sponsors several fellowship programs. The main program is the general cardiology fellowship, which is a 3 year (minimum) program with an emphasis on training outstanding clinical cardiologists. Our program is highly respected nationally, and our fellows obtain competitive positions all across the country. Several additional sub-subspecialty fellowship programs are offered: Interventional cardiology, clinical cardiac electrophysiology, preventive cardiology, and peripheral vascular medicine. For candidates with an interest in developing academic careers in clinical or basic research, additional years of training are available, including an NIH T32 training grant with both clinical and basic science tracks. The clinical arm of our T32 may involve selected courses at the School of Public Health. Our cardiology fellows come from the best residency programs across the country, attracted to the unparalleled clinical experience, outstanding faculty, and broad research opportunities at Brown. The large volume of patients with acute cardiac illnesses, driven in part by the busiest emergency department in New England, creates a very unique environment for education and clinical research.
Our full time cardiology faculty represent the foundation of our strong division. Cardiologists from each of our clinical sites are integrated with our basic science faculty into a single, large, diversified faculty. This arrangement provides in-depth teaching exposure for fellows in the full range of clinical and academic cardiology. Our more clinically orientated faculty provide outstanding patient care, are highly experienced, and skilled and devoted clinical educators. Many of our faculty members are leaders in their fields, nationally known for their contributions to research and education.
Research within the division is focused on advancing clinical and basic science related to cardiovascular disorders. Clinical research programs are focused on general cardiology, cardiac imaging, interventional cardiology, and electrophysiology. Basic science programs, focusing on the molecular mechanisms of rhythm disorders of the heart (cardiac arrhythmias), sudden cardiac arrest, heart enlargement (hypertrophy) and heart failure are located within the Cardiovascular Research Center (CVRC). CVRC facilities include a sophisticated invasive animal catheterization and electrophysiology laboratory, and a brand new state-of-the-art research facility that is used for the studying of genetically modified mouse and rabbit models of cardiac diseases. Cardiovascular research areas of interest at Providence VAMC include epidemiology, health services and outcomes (anemia, diabetes and heart failure), clinical imaging research, and preclinical research in areas of pulmonary hypertension and right heart failure. Providence VAMC and Vascular Research Lab include state of art facilities for cellular electrophysiology, molecular biology, small animal imaging, heart and lung physiology lab, and live cell imaging.
The division continues to grow, and remains steadfastly dedicated to providing the best care to our patients, making major contributions to medical research, and educating our patients, community, and the doctors of tomorrow.