CARDIOLOGY FELLOWS MUSC CONSULT ROTATION

MUSC, Cardiology Division

GOAL:

To provide an opportunity to develop consultant skillsin recommending appropriate management, diagnostic testing, and preoperative risk assessment of patients with known or suspected cardiac conditions.

EDUCATIONAL PURPOSE:

1)Continue to develop skills in history taking, physical examination and ability to utilize such information in formulating a plan of recommendation

2)Continue to learn clinical and physiologic basic for management of acute cardiac illnesses, including myocardial infarction, arrhythmias, congestive heart failure, pericardial, and valvular heart disease and their complications.

3)Learn the appropriate recommendations for cardiovascular drugs.

4)Continue to develop and demonstrate competence in EKG interpretations.

5)Learn how to risk stratify patients with cardiac conditions for appropriate pre operative consultation

6)Learn how to function effectively as a member of a multi-disciplinary Cardiology team.

7)Learn ethical aspects of decision required in the consultative care of critically or terminally ill patients.

8)Develop skills as a consultant to other disciplines in medicine.

9)Demonstrate appropriate and cost effective utilization of diagnostic test in the evaluation and management of cardiac patients being consulted on.

10)Demonstrate appropriate use of social workers, case managers, assigned nurses, dietitians, laboratory personnel, and other consultants in the management of patients.

11)Develop appropriate communication skills for interaction with the requesting medical personnel.

12)Serve as a “Teaching Fellow” for the housestaff and medical students assigned to the rotation

PROCEDURES:

Fellows will be appropriately supervised for all consultations.

METHODOLOGY:

Duration:8 weeks

Start Time:7:00 AM

End Time:6:00 PM

Attendings:Cardiology Division Faculty

PRINCIPAL TEACHING METHODS:

Teaching Rounds:These are held daily with discussion of physiology, pathophysiology, differential diagnosis and management of all patients seen in consultation..

With the support of the Cardiology Attending, the Fellow will perform as a Teaching

Fellow and at the level of consultant to the Internal Medicine housestaff and medical

studentsassigned to the rotation as well as to the medical personnel who requested the

consult

Reading List:Supplied by faculty as pertinent to patients.

Articles:Supplied by faculty and other interested parties including pharmacology doctorate faculty.

List:Chapters and standard textbooks of medicine.

Conferences: Daily Cardiology Division conferences are mandatory.Monthly Heart and Vascular

Center Mortality and Morbidity conference is mandatory, Fellows are encouraged to

attend Department of Medicine Grand Rounds

SUPERVISON: Fellows are directly supervised in their patient care duties by the Cardiology Attending

Physician. The Cardiology Fellow supervises the Internal Medicine housestaff plus

medical students when appropriate.

FELLOW EVALUATION:

Fellows are evaluated by the Attending each month using the standard Division evaluation form for each competency. Patient Care is assessed based on direct observation, application of evidence based medicine and chart review. Medical Knowledge is assessed through direct questioning on rounds and identification of appropriate testing of patients. The resident must demonstrate competent EKG interpretation. Professionalism is assessed based on observation of the resident’s demeanor and behavior on this rotation. Interpersonal and Communication Skills are assessed by observing the resident’s interactions with the patients, families, staff and collegues. System-Based Practice is evaluated based on the resident’s ability perform in the team-setting, including interactions with the Discharge Planners, nurses, PharmDs and other health care providers. Practice-Based Learning is evaluated based on the resident’s ability to learn and improve his or her skills based on feedback, study, literature review and appropriate application of evidence based medicine.