2017-2018 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 03 01
TITLE:
CLINICAL CARDIOLOGY UH -IM -ICE
The students will work with an attending physician in a consult role caring for patients on all services at University Hospital. The elective emphasizes EKG interpretation, development of bedside diagnostic skills, and the understanding of the indications for non-invasive and invasive cardiovascular studies. Elective must be taken in 4-wk block to count toward ICE requirement.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must have passed the internal medicine clerkship and be a fourth year medical student.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 wks or 4 wks
DIRECTOR:
Richard Becker, MD
BECKERRC@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504
INSTRUCTOR:
Richard Becker, MD
SITE(S):
University Hospital
MAX ENROLL:
3 
ROTATIONS:
Rotation Dates Max
1 07/03/2017 - 07/14/2017 3
1 07/03/2017 - 07/28/2017 3
1 07/17/2017 - 07/28/2017 3
2 07/31/2017 - 08/11/2017 3
2 07/31/2017 - 08/25/2017 3
2 08/14/2017 - 08/25/2017 3
3 08/28/2017 - 09/08/2017 3
3 08/28/2017 - 09/22/2017 3
3 09/11/2017 - 09/22/2017 3
4 09/25/2017 - 10/06/2017 3
4 09/25/2017 - 10/20/2017 3
4 10/09/2017 - 10/20/2017 3
5 10/23/2017 - 11/03/2017 3
5 10/23/2017 - 11/17/2017 3
5 11/06/2017 - 11/17/2017 3
6 11/27/2017 - 12/08/2017 3
6 11/27/2017 - 12/22/2017 3
6 12/11/2017 - 12/22/2017 3
7 01/02/2018 - 01/12/2018 3
7 01/02/2018 - 01/26/2018 3
7 01/16/2018 - 01/26/2018 3
8 01/29/2018 - 02/09/2018 3
8 01/29/2018 - 02/23/2018 3
8 02/12/2018 - 02/23/2018 3
9 02/26/2018 - 03/09/2018 3
9 02/26/2018 - 03/23/2018 3
9 03/12/2018 - 03/23/2018 3
10 03/26/2018 - 04/06/2018 3
10 03/26/2018 - 04/20/2018 3
10 04/09/2018 - 04/20/2018 3
11 04/23/2018 - 05/04/2018 3
11 04/23/2018 - 05/18/2018 3
11 05/07/2018 - 05/18/2018 3
12 05/21/2018 - 06/22/2018 0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 - 5:00, Monday - Friday
REPORT 1ST DAY:
MSB or UH 3452 or 7150A 9:00 a.m. pager 585-9924 1111 (fellow)

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Completion of experience check list and completion of final exam.
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Staff Physician on consults and Resident on consults
TEACHING:
40% Attending Physician
20% Senior Resident
10% Junior Resident
5% Other Faculty
10% Other Allied Health Professional(s)
15% Cardiology Fellow
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
60% Clinical work performance evaluations
20% Attitude, e.g., professionalism, motivation etc
10% Topic presentation
10% Final Exam
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

1.   Professional attitude in dealing with patients, nurses, physicians.

2.   Initiative in maximizing use of computer teaching resource, exposure to clinical learning opportunities in invasive and noninvasive cardiac laboratories, external reading related to diagnoses of consultation service patients, maximizing pre-reading of 12-lead ECG's and associated textbook learning.

Curricular Resources :

  1. Chou, T.C.:  Electrocardiography in Clinical Practice
  2. Marriott, Henry J.L.:  Practical Electrocardiography                                          

  3.  Braunwald, E:  Hear Disease; 8th Edition
Knowledge/Skills:

Overall Objective:  At the completion of the rotation, accurately identify and describe the cardiovascular findings of the patient and interpret the electrocardiogram.

Intermediate Objective:

1.   Detect the physical findings of cardiovascular disease and evaluate their pathophysiologic and diagnostic significance in relation to other clinical data.

2.   Identify the common electrocardiographic findings.

3.   Discuss the indications for and results of noninvasive and invasive testing in patients.

4.   Understand the indications for and limitations of

      a.   echocardiography

      b.   stress testing

      c.   ambulatory ECG monitoring

      d.   cardiac catheterization

Note:  See Enabling Objectives (available in Division Office)

Main Course Topics :
   Coronary artery disease
   Valvular heart disease
   Cardiomyopathy
   Pericardial disease
   Hypertensive heart disease
   Congenital heart disease
Objectives:
See below.
Other Resources - Audiovisuals:

NA

Other Resources - Computer resources:

UMedic heart sounds teaching program.  Located in the medical library.

Other Resources - Other :
EKG Readings
Procedures:
1.   Interpret a 12-lead electrocardiogram.

SAMPLE WEEK

Monday:
8:00AM 9:30AM Inpatient Consults
9:30AM 11:30AM Consultation Rounds
12:00PM 1:00PM Cardiology Conference
1:00PM 5:00PM Inpatient Consults
Tuesday:
8:00AM 9:30AM Inpatient Consults
9:30AM 11:30AM Consultation Rounds
12:00PM 1:00PM Cardiology Conference
1:00PM 5:00PM Inpatient Consults
Wednesday:
8:00AM 9:30AM Inpatient Consults
9:30AM 11:30AM Consultation Rounds
12:00PM 1:00PM Medical Grand Rounds
1:00PM 5:00PM Inpatient Consults
Thursday:
8:00AM 9:30AM Inpatient Consults
9:30AM 11:30AM Consultation Rounds
12:00PM 1:00PM Cardiology Conference
1:00PM 5:00PM Inpatient Consults
Friday:
8:00AM 9:30AM Inpatient Consults
9:30AM 11:30AM Consultation Rounds
12:00PM 1:00PM Cardiopreventive Conference
1:00PM 5:00PM Inpatient Consults
SCHEDULE NOTE:

Daily didactic session - 30 minutes.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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