The trainees have direct, supervised experience in a general adult cardiac catheterization laboratory that performs catheterizations of both the right and left sides of the heart. This initial experience in the cardiac catheterization laboratory emphasizes the fundamentals of cardiovascular physiology as it relates to clinical disease, the analysis of hemodynamic records and the interpretation of angiographic images.
Such an experience also focuses on the problems in interpretation and analysis of such data and the importance of quality. All fellows have adequate training in the principles of radiation safety. The acquisition of advanced procedural skills is not the primary purpose of the initial exposure of the trainee to the cardiac catheterization laboratory. All trainees understand indications, risks and benefits of interventional therapeutic procedures.