2026-2027 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 the University of Cincinnati Medical Center. The elective emphasizes ECG interpretation, development of bedside diagnostic skills, and the understanding of the indications for non-invasive and invasive cardiovascular studies. Reading materials include management guidelines for ACS, AF, heart failure, pre-operative risk assessment, valvular heart disease, and ventricular arrhythmias. Elective must be taken in 4-wk block to count toward ICE requirement.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)
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
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
2 weeks or 4 weeks
DIRECTOR:
Richard Becker, MD
BECKERRC@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Gabriela Ionascu
ionascgi@ucmail.uc.edu
513-558-2592
MSB, 6055A
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 04/06/2026 - 05/01/2026 0
2 05/04/2026 - 05/15/2026 2
2 05/04/2026 - 05/29/2026 2
2 05/18/2026 - 05/29/2026 2
3 06/01/2026 - 06/12/2026 2
3 06/01/2026 - 06/26/2026 2
3 06/15/2026 - 06/26/2026 2
4 06/29/2026 - 07/10/2026 2
4 06/29/2026 - 07/24/2026 2
4 07/13/2026 - 07/24/2026 2
5 07/27/2026 - 08/07/2026 2
5 07/27/2026 - 08/21/2026 2
5 08/10/2026 - 08/21/2026 2
6 08/24/2026 - 09/04/2026 2
6 08/24/2026 - 09/18/2026 2
6 09/07/2026 - 09/18/2026 2
7 09/21/2026 - 10/02/2026 2
7 09/21/2026 - 10/16/2026 2
7 10/05/2026 - 10/16/2026 2
8 10/19/2026 - 11/13/2026 2
8 11/02/2026 - 11/13/2026 2
9 11/16/2026 - 12/11/2026 0
10 12/14/2026 - 01/08/2027 0
11 01/11/2027 - 01/22/2027 2
11 01/11/2027 - 02/05/2027 2
11 01/25/2027 - 02/05/2027 2
12 02/08/2027 - 02/19/2027 2
12 02/08/2027 - 03/05/2027 2
12 02/22/2027 - 03/05/2027 2
13 03/08/2027 - 03/19/2027 2
13 03/08/2027 - 04/02/2027 2
13 03/22/2027 - 04/02/2027 2
14 04/05/2027 - 04/30/2027

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)
PT Extended Electives will span the entire year, not just 4 weeks
WORKING HOURS:
8:00 am - 5:00 pm, Monday - Friday
REPORT 1ST DAY:
Will receive an email with directions prior to first day.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Ward Rounds
 
In this course, we may cover complex health issues that often intersect with personal beliefs, societal debate, and evolving science. You will likely encounter information or perspectives that differ from your own. As physicians-in-training, your responsibility is to listen with curiosity, engage with evidence, and communicate respectfully—just as we do in patient care. Syllabi and course materials will be grounded in evidence-based medicine, scientific principles and reflect areas of ongoing scientific inquiry. In courses addressing policy, ethics, or societal issues, materials will be structured to promote evidence-based learning while transparently acknowledging where evidence is evolving or there are multiple viewpoints that may impact patient care.
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:
60% Attending Physician
20% Senior Resident
10% Other Allied Health Professional(s)
10% Fellow Physician
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative 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 Electrocardiograpy                               
  3.  Braunwald, E:  Hear Disease; 12th Edition.


To support these objectives, students are encouraged to study and apply the following ACC/AHA guidelines:

  1. Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., ... & Yancy, C. W. (2022). 2022 AHA/ACC/HFSA guideline for the management of heart failure: Executive summary. Circulation, 145(e876–e894). https://doi.org/10.1161/CIR.0000000000001062
  2. Rao, S. V., O’Donoghue, M. L., Ruel, M., Rab, T., Tamis-Holland, J. E., Alexander, J. H., ... & Williams, M. S. (2025). 2025 ACC/AHA/ACEP/NAEMSP/SCAI guideline for the management of patients with acute coronary syndromes. Circulation. https://doi.org/10.1161/CIR.0000000000001309
  3. Sandau, K. E., Funk, M., Auerbach, A. D., Barsness, G. W., Blum, K., Cvach, M., ... & Wang, P. J. (2020). Update to practice standards for electrocardiographic monitoring in hospital settings: A scientific statement from the American Heart Association. Circulation, 141(e102–e129). https://doi.org/10.1161/CIR.0000000000000527
  4. Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., ... & Ziaeian, B. (2019). 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease. Circulation, 140(e596–e646). https://doi.org/10.1161/CIR.0000000000000678



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).

During a fourth-year clinical cardiology elective, medical students engage deeply in patient care through direct bedside interactions, honing their physical examination and diagnostic skills under the guidance of experienced cardiologists. The rotation emphasizes collaborative learning, with students working closely in small groups to discuss complex cases, share insights, and develop management plans that reflect current best practices. Collegiality is fostered through respectful interdisciplinary teamwork and peer support, creating a professional environment conducive to growth. Students are also expected to critically read and apply major cardiology guidelines such as those from the ACC/AHA to ensure evidence-based decision-making and optimal patient outcomes.





Main Course Topics :
  •    Coronary artery disease
  •    Valvular heart disease
  •    Cardiomyopathy
  •    Pericardial disease
  •    Hypertensive heart disease
  •    Congenital heart disease
Procedures:
During a fourth-year clinical cardiology elective, medical students aim to refine core competencies essential for effective cardiovascular care. Key goals include mastering the interpretation of electrocardiograms (ECGs), performing focused cardiovascular physical examinations, and developing comprehensive differential diagnoses for patients presenting with cardiac symptoms. Students are expected to integrate clinical findings with evidence-based practices by applying guideline-directed medical therapy (GDMT) to optimize patient outcomes. This involves critical engagement with current ACC/AHA guidelines, fostering a deeper understanding of therapeutic strategies for conditions such as heart failure, acute coronary syndromes, and arrhythmias. The rotation also emphasizes collaborative learning through case-based discussions and interdisciplinary teamwork, promoting collegiality and professional growth.
Remediation Plan:
 N/A

SAMPLE WEEK

SCHEDULE NOTE:

Daily didactic session - 30 minutes.

Each student will have a one-on-one discussion with the cardiology faculty coordinator, Dr. Richard C. Becker, MD 1-2 weeks before the elective begins. Topics for discussion will include references and resources, preparatory reading, and options for cardiovascular diagnostic testing exposure during the elective (echocardiography, heart catheterization, and cMRI for example).


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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