G3 CARDIOLOGY ROTATION

 Contact: Dr. James Daniel @ 612-863-3900

 Cardiology clinic: with weekly cardiologist at his or her scheduled clinic (0.5-1 day per week)

 Resident continuity clinic: Thursday PM, a three week minimum notice, given to Anne is required if you are planning on taking vacation time.

 Residents should communicate PTO plans to the staff cardiologist with ample notice, avoiding “next day” vacation days unless unexpected or ill.

 Cardiology conference: 0700 Monday AM Watson Room except cancelled during summer (June – August)

Performance Expectations:

Residents will be assigned to one cardiologist each week on rotation. Hospital consults and clinic consults will be performed, staffed, and entered into Excellian with appropriate language by the resident. The resident is expected to perform up to four hospital consults per day and follow up visits and notes on patients they have seen previously.  Let Dr. Daniel know if there is a particular area of cardiology on which you would like to focus more time.  Spending a week at the COC cardiology clinic is a good option also.

Educational Goals and Objectives:

	Educational objectives	Assessment method
Patient Care	1) Hospital and clinic consults and follow up visits will be performed, staffed, and documented in Excellian with appropriate language by the resident 2) Understand risk assessment and choose appropriate testing (including indications, contraindications, and benefits of PCI, CABG, pacemakers, implantable defibrillator, electric cardioversion, echocardiogram, CT, and MRI)	1) Global faculty assessment 2) Direct faculty bedside observation
Medical Knowledge	1) Review core topics noted below using patient care and didactic opportunities and supplement with independent reading 2) EKG interpretation 3) Up to a few days may be dedicated to stress test performance and interpretation 4) Cardiology Conference	Global faculty assessment
Practice-Based Learning and Improvement	1) Demonstrate insight into knowledge deficiencies and limitations 2) Use information technology to answer clinical questions	Global faculty assessment
Interpersonal and Communication Skills	1) Refine the skills necessary to present patients and topics informally and formally to another physician or group	Global faculty assessment
Professionalism	1) The resident is expected to perform up to 4 consults per day, with no new consults started after 4 PM and follow up on previously seen patients and write follow up notes	Global faculty assessment
Systems-Based Practice	1) Understand systems unique to this subspecialty	Global faculty assessment

Core topics to be covered by patient care, didactic lectures, or independent reading include the evaluation, diagnosis and treatment of:

Acute coronary syndrome and acute MI
chronic angina
hypertension
heart failure (systolic and diastolic)
cardiomyopathies (ischemic, dilated, hypertrophic))
cardiac transplant
hyperlipidemia
valvular heart disease
arrhythmias
syncope
congenital heart disease in adults
pericardial disease
pulmonary vascular disease
peripheral vascular disease

Indications, contraindications and benefits of coronary angiography and percutaneous coronary intervention, pacemaker, implantable defibrillator, electrical cardioversion, coronary bypass surgery, and echocardiogram.

Procedures such as electrocardiogram reading and electrocardioversion will be available during the rotation with the attending cardiologist with whom you are working. Up to 2-3 days of the rotation may be dedicated to stress testing.

Past resident recommendations: Work may continue until 6 PM or later on some days.