David Gowman, D.O.
32754 Grand River Avenue
Farmington, MI 48336
Number of Cardiologists on Staff: 15
Fellow Call Schedule: 7
Board Pass Rate: 100%
The Cardiology Fellowship Program at Botsford Hospital is a three-year fellowship designed to coordinate the expertise of an osteopathic acute care hospital with the benefits of training in tertiary institutions. There is a significant emphasis on cardiovascular and osteopathic research. The program consists of two years at Botsford Hospital and one year in outside tertiary rotations (Providence Medical Center, William Beaumont Medical Center, St. John's Medical Center, Henry Ford Hospital, Sinai-Grace Hospital and Oakwood Hospital).
The program is designed to teach clinical, invasive and noninvasive cardiology. The trainees are expected to develop expertise in left heart cardiac catheterization, right heart catheterization, cardiac biopsies, intra-aortic balloon pump placement, permanent pacing and cardiac electrophysiology. In addition, there is comprehensive training in noninvasive cardiology which includes cardiac EKG analysis, echocardiography, transesophageal echocardiography, stress testing including stress echo and nuclear stress testing. Also trainees develop expertise in specific management of heart failure and are exposed to cardiac transplant patients.
Noninvasive peripheral vascular testing is available as an outside elective. The didactic educational portion of nuclear cardiology for NRC licensing in nuclear cardiology is available as an outside rotation. Certification in nuclear cardiology follows recommended standard guidelines. The option to become certified in peripheral vascular disease can be pursued as an elective. Added certification in noninvasive cardiology can be obtained through in hospital rotations. CT angiography is also available as an elective.
There is a heavy emphasis on physical examination, bedside cardiology quality assessment and patient care. Trainees have the opportunity to understand appropriate coding guidelines, evaluation and management guidelines and attend lectures in these areas. An evidence-based approach to cardiology is emphasized with understanding of critical pathways, guideline development, algorithm and national guidelines.
There is specific emphasis on osteopathic structural exam and osteopathic manipulative therapy and its relationship to cardiovascular disease. Active research projects are developed to determine how osteopathic manipulative therapy can decrease length of stay and improve the quality of health care for patients with cardiovascular disease.