The training program in cardiovascular disease at Ochsner Clinic Foundation is a 3-year fellowship program with 8 positions offered each year. The program is based entirely within the Ochsner institutions and offers experience that is comprehensive and balanced in both the hospital and clinical setting. Noninvasive laboratories include advanced echocardiography, exercise testing, nuclear cardiology, cardiac CT, cardiac MRI, and ICD/pacemaker analysis. Invasive laboratory training is available in electrophysiology, cardiac catheterization, and angiography. An advanced therapies clinic for patients with heart failure and a busy cardiac transplantation program provide the trainee with an outstanding experience in managing patients with end-stage heart disease. Elective opportunities are available in congenital heart disease, hypertension management, and cardiovascular surgery. All fellows are expected to participate in one or more research projects, which in most instances will extend throughout the fellowship.