This rotation is one of the highlights of training at St. Vincent, with daily teaching rounds that are led by director of the CCU, Dr. Joseph Kirkpatrick and once a week by Dr. Mark Kranis. The CCU fellow also typically takes one day a week as the teaching attending, to help develop teaching and presentation skills. The patients on the service include post-PCI patients (high risk ACS or STEMI), difficult to control arrhythmias, and decompensated heart failure with cardiogenic shock, among others. The CCU fellow also sees cardiology consults for the step down, MICU and SICU services. There are dedicated CCU interns, which provides ample opportunity for teaching, and fellows take an active role in developing the care plan for the CCU patients. The CCU fellow presents a case at the monthly M&M conference and prepares EKGs for the weekly EKG conference.