Cardiac Catheterization: The cardiac catherization rotation involves all aspects of diagnostic and interventional angiography, along with structural heart interventions. Fellows develop graded responsibility, and often independently perform diagnostic angiograms with attending supervision by their third year of fellowship. Pre and post cath patient management, case selection for interventional or surgical treatment for coronary disease, fundamentals of access and coronary interventions, hemodynamics and percutaneous ventricular support devices are some of the topics covered during the cardiology training program. Aside from the clinical work, fellows participate and lead weekly interventional and hemodynamic conferences and didactic lectures. AMC routinely performs the latest structural inventions, including TAVR procedures, MitraClip percutaneous mitral valve repair, and left atrial appendage occlusion (Watchman procedure).