Cardiology (PGY-3)

Description of Rotation or Educational Experience

This is a one-month, primarily outpatient, experience taught by Henry Ford Medical Group Cardiologists. Residents will participate in outpatient cardiology clinics, inpatient consults, will observe the performance and interpretation of cardiac caths, stress tests (including stress, echo, stress thallium and persantine stress testing, and echocardiogram).

Patient Care

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

Competencies:

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Be able to perform a complete focused history and physical of the cardiovascular system
• Be able to perform a competent evaluation of a cardiac patient undergoing non-cardiac surgery

Medical Knowledge

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

• This rotation fulfills family medicine-specific training and educational requirements for Intensive Care and the Care of the Surgical Patient, with special emphasis on the diagnosis and management of surgical disorders and emergencies and the appropriate and timely referral of surgical cases for specialized care.

Objectives

By the end of the rotation the resident is expected to be able to:

• Understand the functional anatomy of the heart
• Understand the management of heart failure, syncope, valvular heart disease, hypertension, myocardial ischemia and infarction, and hypertension
• Understand the indications, contraindications, and complications of cardiac testing including exercise testing, long-term electrocardiographic testing, catheterization, echocardiogram, and exercise echocardiography
• Recognize the indications and contraindications of cardioversion
• Understand the use of cardiology consultation
• Discuss the role of the cardiology specialist in the evaluation of the above

Practice- Based Learning and Improvement

Goal

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to :

Competencies

• Identify strengths, deficiencies and limits in one’s knowledge and expertise;
• Participate in the education of patients, families, students, residents and other health professionals, as documented by evaluations of a resident’s teaching abilities by faculty and/or learners

Objectives

By the end of the rotation the resident is expected to be able to:

• Perform basic interpretation of electrocardiogram

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:

Competencies

• Coordinate patient care within the health care system relevant to their clinical specialty
• Work in interprofessional teams to enhance patient safety and improve patient care quality

Objectives

By the end of the rotation the resident is expected to be able to:

• Schedule an emergency cardiac test, multiple varieties of stress tests, as well as cardiac diagnostic imaging.

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Responsiveness to patient needs that supersedes self-interest.
• Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation.

Objectives

By the end of the rotation the resident is expected to be able to:

• Demonstrate awareness of and an ability to evaluate the validity of for-profit vendor-provided information (pharmaceutical and device representatives).

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:

Competencies

• Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
• Act in a consultative role to other physicians and health professionals

Objectives

By the end of the rotation the resident is expected to be able to:

• Explain findings on echo cardiogram/stress-echo cardiogram in language patients can understand.

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Didactic lecture
• Direct role-modeling and observation

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Faculty evaluations of the rotator’s performance
• Real-time feedback during direct observation
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

· Directly by attending physicians

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.

Resources and people residents have identified as useful, and encourage new rotators to become familiar with:

• Review EKG interpretation
• Review NYS/CHF class
• Review A-fib & aspirin tx.
• Review lipid classifications