|
Cardiology |
| Goal & Educational Purpose |
Prepare
residents to assess, diagnose and care for patients with cardiac problems
in the outpatient, emergency room and inpatient settings; to distinguish
between cardiac and non-cardiac problems that present with cardiac type
symptoms; to differentially diagnose cardiac and non-cardiac problems; to
care for cardiac and life-threatening emergencies; and to evaluate cardiac
status of patients with non-cardiac problems. |
| Objectives |
- Emergency room (ER)
evaluation and treatment of chest pain, MI, hypotension, syncope,
arrhythmia’s, pulmonary edema, CHF and arrest
- Emergency room
observation care (EMOC) evaluation of the same as for ER
- Inpatient evaluation
and treatment of the same as for ER
- Outpatient
evaluation and treatment for the same as for ER
- Knowledge, diagnosis and treatment of:
Valvular heart disease
Ischemic heart disease
arrhythmias
peripheral vascular disease
hyperlipidemia
congenital heart disease
syncope
pericardial diseases
hypertension
infiltrative cardiac disease
cardiomyopathies
infective endocarditis; endocarditis
cardiovascular epidemiology and biostatistics
cartoid disease
stroke associated with cardiac disease
|
| Responsibilities |
- Rotate with
cardiologist and evaluate patients under cardiologists direction
- Every fourth night
in-hospital call
- Call-
-full dictated evaluation of new patients admitted
through emergency department of to CCU, MICU, SICU
directly with full orders
-brief holding note and brief orders for elective
admissions to telemetry or for elective invasive cardiac
procedure
-brief note and assessment for patients already in
hospital who require acute evaluation or intervention
|
| Educational Content |
- Rotate with a cardiology attending for 1
month
- on call on cardiac service
- evaluate patients in
ER, admitted, consultation requests as outpatients
- observe and assist
in cardiac catheterization laboratory
- read
electrocardiograms, perform stress tests, nuclear and chemical echos,
place central lines, place arterial lines as appropriate
- attend cardiac cath
conference, ECG conference
- practice bedside
clinical diagnosis
- ACLS certification
- ATLS optional
- participate in
cardiac arrest codes
- participate in
non-invasive arena and read ECG’s, Holter’s, echo’s with attendings
- observe
electrophysiology and tilt table studies
- follow in-patients
including post-care and prepare discharge summary in selected cases
- 8:00 AM cardiology
conferences throughout residency
- cardiology section
lectures as scheduled when on rotation
|
| Evaluation |
- resident evaluation
of rotation, attending
- attending evaluation
of resident
- cardiology quiz on
the web at the end of the rotation
- in-training
examination results
- certifying
examination results
- feedback for
cardiology section
- consensus evaluation
of cardiology rotation at residents meetings
- EMOC quality
assurance
- procedures reported
- Score on Cardiology
WebCT quiz
|
| Reading List |
- cardiology articles
compendium
- MKSAP
- consult standard
cardiology text
- cardiology section
of standard medicine text
-
UpToDate®
|
|
Principle Educational Goals
by Relevant Competency |
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