The training program is currently supported in part by a National Heart, Lung and Blood Institute training grant. The purpose of the program is to provide skills necessary for a career in academic pediatric cardiology. The three-year program is to provide skills necessary for a career in academic pediatric cardiology. The three-year program provides integrated clinical and research training. Fellows obtain training in clinical diagnosis and management while assigned to the inpatient and outpatient services. This will also include the management of patients undergoing surgery for congenital heart disease and cardiac transplantation. Fellows interpret noninvasive testing including electrocardiography (resting, exercise, Holter monitoring and event recordings), echocardiography (transthoracic, transesophageal, and fetal) and tilt table testing. Trainees will become familiar with applications of radiology to assess cardiac disease including chest radiography, nuclear medicine, magnetic resonance imaging, and electron beam computed tomography. Trainees will be assigned to the cardiac catheterization laboratory and participate in diagnostic, interventional, and electrophysiologic procedures. A fellow will, with faculty counseling, select an area in cardiovascular medicine that he or she would wish to pursue academically. The fellow selects a sponsor who will be responsible for the research education and will have protected research time to complete projects, write abstracts, present data at meetings and submit manuscripts. Fellows will provide teaching to colleagues, residents, medical students and nurses. We feel such an integrated program is essential to the future success of a pediatric cardiologist at an academic center.