2020-2021 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 03 31
TITLE:
Inpatient Cardiology -IM -ICE
The students will work and learn as part of an interdisciplinary team caring for patients admitted with a primary diagnosis of CV disease. Students will function with the responsibility of an acting intern on an Internal Medicine service – workup and admit patients, follow the clinical course, communicate with patients and families and provide safe discharge planning all under the supervision of junior, senior residents and faculty physicians. Students will be encouraged to follow their patients and the patients of the team to procedures such as the cardiac catheterization lab, echocardiography, electrophysiology studies, cardiac stress lab, cardiac imaging, etc.
PREREQUISITES:
Must have passed the IM Clerkship
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
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: NO
COURSE LENGTH:
4 wks
DIRECTOR:
David Harris, MD
HARRI2DI@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Jessica Bailey
baileyj7@uc.edu
558-2592
MSB, 6055
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 0
2 08/03/2020 - 08/28/2020 0
3 08/31/2020 - 09/25/2020 0
4 09/28/2020 - 10/23/2020 0
5 10/26/2020 - 11/20/2020 1
6 11/23/2020 - 12/18/2020 1
7 01/04/2021 - 01/29/2021 0
8 02/01/2021 - 02/26/2021 0
9 03/01/2021 - 03/26/2021 0
10 03/29/2021 - 04/23/2021 0
11 04/26/2021 - 05/21/2021 0
12 06/01/2021 - 06/25/2021 1

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:
Variable shift work (includes weekend call shifts and overnight)
REPORT 1ST DAY:
You will receive an email with detailed information prior to the first day.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
  • Research
  • Ward Rounds
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.
TEACHING:
30% Attending Physician
30% Senior Resident
40% Junior Resident
FEEDBACK:
Senior Resident
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
1.Chou, T.C.: Electrocardiography in Clinical Practice

2.Marriott, Henry J.L.: Practical Electrocardiography

3.Braunwald, E: Heart Disease; 8th Edition
Knowledge/Skills:
1.       Demonstrate basic EKG reading skills

2.       Refer patients for appropriate cardiac imaging  

3.       Counsel patient on lifestyle modifications for aggressive risk factor modifications  

4.       Differentiate cardiac versus non-cardiac chest discomfort  

5.       Diagnose acute coronary syndrome (unstable Angina, NSTEMI, STEMI)  

6.       Manage heart failure (acute, chronic, systolic and diastolic)  

7.       Begin initial management plan for basic arrhythmias, NSTEMI and decompensated heart failure.
Main Course Topics :
Coronary artery disease

Acute Coronary Syndrome

Atrial Fibrillation/Atrial Flutter

Supraventricular Tachycardia

Ventricular Tachycardia

Valvular heart disease (focus on Aortic and Mitral pathologies)

Cardiomyopathy

Pericardial disease

Hypertension

Hypertensive heart disease

Congenital heart disease
Procedures:
N/A

SAMPLE WEEK

Monday:
6:00AM 8:00AM PreRounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Noon Report
1:00PM 5:00PM Patient Care
Tuesday:
6:00AM 8:00AM PreRounds
8:00AM 9:00AM Attending Rounds
9:00AM 10:00AM Cardiology Grand Rounds
10:00AM 12:00PM Patient Care
12:00PM 1:00PM Noon Report
1:00PM 5:00PM Patient Care
Wednesday:
6:00AM 8:00AM PreRounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Internal Medicine Grand Rounds
1:00PM 5:00PM Patient Care
Thursday:
6:00AM 8:00AM PreRounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Patient Care
1:00PM 3:30PM Academic Half Day - Stetson #2108
3:30PM 5:00PM Patient Care
Friday:
6:00AM 8:00AM PreRounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Noon Report
1:00PM 5:00PM Patient Care
SCHEDULE NOTE:
Schedule varies depending on call schedule.  Will be on call until approx. 8 PM with residents every 4th night and includes weekends. 

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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