Clinical Component

Navigating the Clinical Component

The cardiology service at National Jewish Health combines outpatient clinic on the Denver campus with optional inpatient and procedural work at Intermountain Saint Joseph Hospital. The clinical environment is built around a multidisciplinary team that includes electrophysiology, heart failure, cardiac surgery, intensivists, and pulmonary specialists. The incoming cardiologist will see a mix of general cardiology and high-complexity referrals, with room to grow into a focused subspecialty area over time.

Patient Population

National Jewish Health draws patients who often present with more complexity than a typical community cardiology referral base. Common referral categories include:

  • General adult cardiology
  • Pulmonary hypertension
  • Cardio-rheumatology and autoimmune cardiovascular disease
  • Cardiac sarcoidosis
  • Long COVID and post-COVID cardiac syndromes
  • Cardio-oncology
  • Women's cardiovascular health and prevention
  • Heart failure

Roughly 30 percent of cardiology patients have historically come from outside Colorado for tertiary or second-opinion care. New patient wait times across the division currently run six weeks or longer.

Outpatient Services and Diagnostics on Campus

The Denver campus supports a full outpatient cardiology workup with on-site imaging and procedural capability:

  • Echocardiography
  • Transesophageal echocardiogram (TEE)
  • Cardiac CT
  • Cardiac MRI
  • Exercise and pharmacologic stress testing
  • Cardioversions
  • Implantable cardiac monitor placement and management

Procedural Services Through Intermountain Saint Joseph Hospital

Interventional cardiology, electrophysiology, and cardiac surgery are physically housed at the Intermountain Saint Joseph Hospital campus, with care delivered through a joint operating agreement. Available services include:

  • Cardiac catheterization and percutaneous coronary intervention
  • Structural heart procedures including TAVR, MitraClip, and Watchman
  • Transcatheter tricuspid valve replacement
  • EP studies, ablations, and device implantation
  • Cardiac surgery

Specialty Programs

The division runs several focused programs that the incoming cardiologist may participate in or help grow:

  • Pulmonary hypertension
  • Cardiac sarcoidosis
  • Cardio-oncology
  • Women's cardiovascular health
  • Preventive cardiology
  • Heart failure (active program build underway)
  • Cardio-rheumatology (open for development)
  • Electrophysiology

Call Structure

Call Type Frequency Compensation
National Jewish on-campus Daytime and overnight rotation Built into base salary
Intermountain Saint Joseph weekday About 1 weekday per month Paid additionally
Intermountain Saint Joseph weekend 4 to 6 weekends per year Paid additionally
Holiday About 1 holiday per year Paid additionally

Call is light in practice. National Jewish call rarely results in overnight contact; most queries are handled through Epic messaging by the in-house nursing supervisor. At Intermountain Saint Joseph, a separate interventional call team handles cath lab emergencies and STEMIs, so the general cardiologist on call is rarely required to come in overnight.

Inpatient Service

The inpatient cardiology service at Intermountain Saint Joseph operates as a consultative service rather than a primary admitting service, with hospitalist or critical care teams retaining primary management. Census typically runs 8 to 20 patients. The CCU is a multidisciplinary unit run jointly by ICU, cardiology, cardiac surgery, pharmacy, and palliative care, with 24/7 attending coverage.

Support on inpatient rounds includes:

  • Internal medicine residents
  • Physician assistants on weekend rounds
  • Heart failure nurse practitioner support
  • Pharmacist and palliative care presence at CCU rounds

Use of Advanced Practice Providers

The division uses advanced practice providers across both clinic and inpatient services:

  • General cardiology nurse practitioners in outpatient clinic
  • Electrophysiology nurse practitioners and a device technician
  • Pulmonary hypertension APP support
  • Heart failure nurse practitioner
  • Weekend physician assistants on the inpatient service at Intermountain Saint Joseph

EMR

Epic across National Jewish Health and Intermountain Saint Joseph Hospital, allowing shared records and reduced cross-system handoff calls.

Teaching and Research

National Jewish Health is the academic affiliate of the University of Colorado School of Medicine. The division supports cardiology fellow interaction, internal medicine resident rounding, and an academic-style clinical environment. Research opportunities are open to incoming physicians:

  • Active institutional clinical trials infrastructure
  • Support for physicians who want to lead or expand cardiology clinical research
  • Collaboration with the broader pulmonary, immunology, and cardio-oncology research programs

© Copyright 2023 Pacific Companies. All Rights Reserved.