DEPARTMENT OF MEDICINE
(Includes Cardiology Outpatient Clinic and Cardiology Inpatient Consult Service)
MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.
- One (1) to two (2) in clinic, one (1) to two (2) on the inpatient services.
- Depending on staffing issues, this may be expanded or contracted at the discretion of the cardiology preceptor ahead of time.
- In addition, the clinic rotation may include direct involvement in the cardiology inpatient consult service.
LENGTH OF ROTATIONS. Four (4) to six (6) weeks.
WILL TAKE STUDENTS FOR TWO WEEKS ONLY? Yes
LEVEL OF STUDENTS ACCEPTED. Fourth year students have priority. Others can be considered on a case-by-case basis.
TIME OF YEAR OFFERED. Flexible start dates throughout the year.
PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.
- Offered primarily to medical students with an Army obligation (HPSP and USUHS)
- Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
- All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled “ Request for Approval of Clinical Clerkship Training.”
- USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request
- The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.
OBJECTIVES/DESCRIPTION OF CLERKSHIP.
- Become familiar with all major aspects of cardiovascular disease consisting of epidemiology, prevention, pathophysiology, and evaluation and treatment strategies.
- Become familiar with the physical examination of the cardiovascular system.
- Become familiar with the pharmacologic agents critical to treatment of cardiovascular disease.
- Acquire improved skills in electrocardiogram interpretation.
- Gain exposure to cardiovascular imaging techniques and procedures.
- The following aspects of cardiovascular disease will be emphasized:
- Acute and chronic coronary artery disease.
- Valvular heart disease.
- Systolic and diastolic dysfunction.
- Electrocardiogram interpretation.
- GXT performance and interpretation.
- Primary and secondary prevention strategies.
FREQUENCY OF CALL. No call for medical students rotating on this service.
- Case-based, focused reading in an effort to stimulate the daily practice of evidence-based medicine will be emphasized rather than adhering to a mandatory cardiology text.
- The American College of Cardiology website – www.cardiosource.org will be used for guidelines and appropriate use criteria.
- Specific, case-based reading of standard cardiology texts will be encouraged on an individual basis.
OTHER REQUIREMENTS. Each student is expected to attend:
- Department of Medicine Morning Report.
- Department of Medicine Noon conference.
- Weekly Cath Conference.
- Weekly Cardiology didactic sessions
HOW ARE STUDENTS EVALUATED?
- Students will be constantly evaluated throughout the rotation and feedback will be provided on a dynamic basis.
- A post-test will be administered during the last week of the rotation.
- There will be formal evaluations at mid-month and end-of-month. This evaluation will reflect not only his/her fund of knowledge, ability to gather and synthesize information, but also his/her motivation, work habits, and interpersonal skills.