Cardiology Curriculum 

The experience will include cardiology clinic time with the preceptor, inpatient consults, telemetry/CCU admissions, assisting in the cath lab, and EKG interpretation. Residents will gain knowledge and confidence with the spectrum of acute and chronic cardiovascular conditions. Emphasis should be on diagnosis and management of artherosclerotic diseases of the coronary arteries, EKG interpretation, hypertension management, congestive heart failure, valvular disease, and outpatient management of angina and arrhythmias. Each resident will be expected to provide care under the supervision of the preceptor in the ICU, CCU, and telemetry unit as well as the general medical units. The resident should be able to assist in the cath lab between the hours of 0800 and 2200 on weekdays and should participate in the administration of treadmill stress tests.

Medical Knowledge

 

General  Web resources  Text

Risk factors

   
American Heart Association     
Cardiovascular physical examination Heart sounds tutorial  
Noninvasive examinations (EKG, CXR, Stress testing, Echo, Radioisotope imaging)    
Invasive examination (angiography, electrophysiologic studies)    
Indications and contraindications of therapeutic interventions (CABG, Angioplasty, Pacemaker,Valve, Ablation) replacement/repair, percutaneous balloon valvotomy    
Relevant laboratory interpretation, including serum enzymes, isoenzymes and lipids    

 

Specific diseases/conditions Web resources  Text

Coronary artery disease

   

Myocardial infarction

Management of acute S-T segment MI - Up-To-Date  

Syncope

   

Dysrhythmias

   

Congestive heart failure

   

Valvular heart disease

   

Congenital heart disease

   

Dissecting aneurysm

   

Innocent heart murmurs

   

Peripheral vascular disease

   

Cardiomyopathies

   

Pericardial disease

   

Evaluation of cardiac patient for noncardiac surgery

   

Antibiotic prophylaxis for valvular disease

   

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Patient Care

 

 

Diagnostic Web resources  Text
Mechanics and interpretation of ECG ECG Learning Center    
Interpretation of chest radiographs    

 

 

Therapeutic  Web resources  Text
Cardiopulmonary resuscitation (CPR), both basic life support (BLS) and advanced cardiac life support (ACLS)    

Treating dysrhythmias and conduction disturbances

   

Use of external temporary pacemakers

   

Management of patients after an intervention (lifestyle adjustments)

   

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Interpersonal and Communications Skills

Demonstrate clear communication with patient regarding their medical issues in a culturally sensitive manner

Demonstrate team oriented communication and foster working relationships with other member of the care team or specialist colleagues

 

Professionalism

Demonstrate a high degree of professional responsibility in managing patients with Cardiology-related problems by referral coordination, direct management and follow up.

Demonstrate professional demeanor, attire and appearance in all settings.

 

The resident should develop attitudes that encompass:

A.  Awareness of the importance of physician and patient working as partners to   promote optimal cardiovascular health.
B. 
A compassionate approach to the care of patients with cardiac disease.
C. 
Recognition of the psychosocial and economic impact of cardiovascular disease on the individual and family.
D. 
Support of individual and family through consultation, evaluation, treatment and rehabilitation.

E. 
Recognition of the importance of lifestyle factors on the development and exacerbation of cardiovascular disease.

 

Practice-Based Learning

Assess the practice models on this rotations for evidence of practice-based learning and identify opportunities that would be appropriate for the this medical area.

Identify a learning opportunity within your clinic practice that could be studied to improve the care for patient with Cardiology-related problems.

 

Systems-Based Practice

Learn how to access the appropriate services for patients with Cardiology-related problems and the impact of utilization management for these patients.

Demonstrate understanding of the role of the PCP in the immediate and after-care of patients with Cardiology-related diagnoses.

 

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Behavior