Fellows have a supervised half day each week in clinic, with a focus on arrhythmia patients. There is a weekly EP didactic conference as well as morning rounds. There are also daily cardiac conferences and monthly grand rounds in cardiology.
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After the terrorist acts of September 11, 2001, Trump reduced the planned height to 78 stories and 1,073 feet (327 m), to reduce the risk of similar attacks. Time magazine reported that a meeting between Smith and Trump about erecting the tallest building in Chicago was taking place at the actual time of the attacks.