2022-2023 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 03 16
TITLE:
GEN CARDIOLOGY JH -ICE
Students learn to accurately identify and describe acute manifestations of cardiac disease in patients. They will formulate diagnostic and therapeutic plans for short term and long term management.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must be a fourth year medical student.  AI in medicine preferred, but not essential.
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 weeks
DIRECTOR:
Imran Naqvi
naqvimd@gmail.com
686-5474
Jewish Hospital
ADMINISTRATIVE SUPPORT PERSON:
Jessica Bailey
baileyj7@uc.edu
558-2592
MSB, 6055
SITE(S):
Jewish Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 06/06/2022 - 07/01/2022 0
2 07/04/2022 - 07/29/2022 0
3 08/01/2022 - 08/26/2022 0
4 08/29/2022 - 09/23/2022 0
5 09/26/2022 - 10/21/2022 0
6 10/24/2022 - 11/18/2022 0
7 11/21/2022 - 12/16/2022 0
8 01/02/2023 - 01/27/2023 0
9 01/30/2023 - 02/24/2023 1
10 02/27/2023 - 03/24/2023 1
11 03/27/2023 - 04/21/2023 1
12 04/24/2023 - 05/19/2023 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 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Meet Jackie Tribble at 9:00 am at her office on the first day (GME office, 1st Floor of Jewish Hospital). Please enter the main entrance of the hospital on the 2nd floor. Someone at the information desk will direct you to the GME office.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • 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.
TEACHING:
100% Attending Physician
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :

  1. Brunwald: Textbook of Cardiology
  2. Hearst: The Heart
  3. Electrocardiology by Dr. Chou
  4. Electrocardiography by M.L. Marriott
  5. A Bibliography from the American College of Cardiology is also available for general purposes.
Instructional Methods:
Clinical Experience - Inpatient
Clinical Experience--Ambulatory
Independent Learning
Patient Presentation--Learner
Self-Directed Learning
Knowledge/Skills:
  Intermediate Objectives:

  1. Identify and describe a systematic approach to the patient with suspect or definite acute myocardial infarction
  2. Understand the clinical approach to the patient with congestive heart failure from a variety of etiologies
  3. Identify selected arrhythmias and their pharmacologic therapy
  4. Utilize ancillary diagnostic tools (serum enzymes, exercise testing, echocardiography, nuclear cardiology testing, and cardiac catheterization)
  5. Assist in the long term management of these patients

  Enabling Objectives:

  1. Take a concise history to identify the major causes of chest pain and its differential diagnosis and formulate a diagnostic and therapeutic plan for patients with this complaint.
  2. Identify and describe the major physical findings of ischemic heart disease and its major complications, infarction, congestive heart failure, and cardiogenic shock, and formulate a treatment plan.
  3. Advance one's skills in the interpretation of the 12-lead electrocardiogram, with particular attention to the diagnostic power of sequential electrocardiograms.
  4. Advance one's skills in the interpretation of simple and complex cardiac arrhythmias.
  5. Understand the pharmacologic action, pharmacokinetics, short and long term side effects, and indications for the major anti-arrhythmic drugs.
  6. Understand the role of hemodynamic monitoring of the acutely ill cardiac patient.
  7. Be familiar with the major parenteral and oral anti-coagulants and the use of laboratory studies to minimize their side effects.
  8. Describe the natural history of ischemic heart disease and its complications, and to understand the role of cardiac re-vascularization in altering the natural history.
  9. Understand the indications for and methods of temporary and permanent cardiac pacing.

  10. Demonstrate the ability to review the literature from journals and identify key articles.
  11. Understand the basic principles of pre-load and afterload reduction, the drugs used to achieve each, and their side effects.
  12. Become proficient in the acute management of malignant arrhythmias.
  13. Learn the indications for non-invasive testing and review interpretation of these studies (electrocardiography, exercise testing and exercise nuclear cardiologic studies) in this population.
  14. Understand basics of interventional therapeutic efforts (percutaneous transluminal angioplasty, thrombolytic therapy, etc.) in treatment of ischemic heart disease.
  15. Have a basic understanding of the role of major risk factors for ischemic heart disease and the role of primary and secondary prevention.
  16. Understand the role of cardiac rehabilitation, educational techniques for behavior modification in diet, smoking, exercise, and medication compliance.
  17. Develop an understanding of the role of non-invasive testing in patient assessment (nuclear testing, echocardiographic interpretation, exercise testing, and radiographic assessment).
  18. Develop a more complete understanding of the role of enzyme testing in the assessment of chest pain syndromes.
  19. Enhance understanding of cholesterol metabolism and the current treatment of lipid disorders.
Main Course Topics :
  Thermodynamics
  Angiograms
  CHF
  Angina
  Arrythmias
  Cardiac drugs
  Lipid disorders
Procedures:
1.  Become proficient in cardiopulmonary resuscitation

SAMPLE WEEK

Monday:
8:00AM 11:00AM Hospital Rounds
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Private Office
Tuesday:
8:00AM 9:00AM Grand Rounds
9:00AM 11:00AM Hospital Rounds
12:00PM 1:00PM Noon Conference
1:00PM 3:00PM CCU Rounds
3:00PM 5:00PM Private Office
Wednesday:
8:00AM 11:00AM Hospital Rounds
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Private Office
Thursday:
8:00AM 11:00AM Hospital Rounds
12:00PM 1:00PM Noon Conference
1:00PM 2:30PM CCU Rounds
2:30PM 3:30PM EKG Rounds
3:30PM 5:00PM CCU Rounds
Friday:
8:00AM 11:00AM Hospital Rounds
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Private Office
SCHEDULE NOTE:

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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