The cardiology training program broadly is divided into three areas: Inpatient and consultation Outpatient practice Invasive and non-invasive procedural and diagnostic testing The methods of assessing such procedural competence (cardiac catheterization, invasive procedures, cardioversions, echo/TEE, nuclear, etc.) are done through several mechanisms. Fellows will be supervised in all phases of invasive procedures in the cardiac cath lab, electrophysiology lab, and non-invasive lab for TEE procedures and cardioversions. Assessment is done through direct, daily supervision and instruction and