SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
IMED 879-CCT ICU Clinical Cardiology & Electrocardiography VA
Offered Year Round – Lottery – 4 weeks – 2 students
Report to Halorie Dowling, 4G14, 4th Floor of the Hospital 8:00 a.m. Day 1,
Must have completed the VA Online Mandatory training and fax user
agreement prior to Day 1 of rotation
Course Description and Prerequisites
The Faculty will strive to:
1. Improve student skills in obtaining a pertinent cardiovascular history and performing physical
examination including identification of cardiac murmurs by auscultation.
2. Increase knowledge of pathophysiology of cardiac illnesses.
3. Improve knowledge about management of cardiac problems, congestive heart failure, angina
pectoris, acute coronary syndrome, cardiac arrhythmias and emergencies.
4. Improve student skills in identification of EKG abnormalities and arrhythmias.
5. Introduce to non-invasive tests like cardiac stress tests, echocardiograms.
6. Introduce to nuclear cardiology.
7. Introduce to hemodynamics, cardiac outpatients in ICU.
8. Introduce to evidence based approach to medicine practiced in care of cardiac patients
Instructor Information
Elective Director
Rajiv Gupta, MD,
Name
FACC, FSCAI
254-743-0912
Telephone number
Rajiv.gupta@va.gov
Email address
By appointment
Office hours
Office location
Name
Coordinator
Martha Chandler
Telephone number
Email address
Office hours
Office location
254-724-2607
mschandler@sw.org
By appointment
6th floor, Brindley
Circles, Room 640
Learning Outcomes & Objectives
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development:
http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
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Course Objective:
1. Perform a thorough history
and physical examination
and plan the initial diagnostic
workup for common cardiac
problems including angina
pectoris and heart failure.
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2. Understand the
pathophysiology of major
cardiac conditions.
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COM Competency
Based Learning
Objectives
(CBLO):
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
determinants of
health
PC2: Perform
both complete
and systemfocused physical
examinations
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC4: Develop
contextual and
individualized
diagnostic and
treatment plans
based upon
collected clinical
information
ICS1:
Demonstrate
effective listening
skills
ICS2: Discuss
diagnostic and
treatment options
in a manner
comprehensible
to the patient
ICS3:
Communicate
effectively with
patients, patients'
family members,
peers, and other
members of the
health care team
MK1:
Demonstrate
knowledge of
normal human
structure and
function at the
organ-system,
tissue, cellular
Taught (T)
and/or
Evaluated (E):
Evaluation:
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
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Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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3. Know the therapy for all
significant arrhythmias
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and molecular
level; and of the
interaction of
human systems in
maintaining
homeostasis
MK2: Describe
the basic
mechanisms
involved in the
causation of
human disease
and their
influence on
clinical
presentation and
therapy
MK3:
Demonstrate an
understanding of
how healthy
lifestyles,
psychosocial
factors, and
behavioral factors
influence heath
MK4: Apply
evidenced-based
methods to
clinical problem
solving
MK5:
Demonstrate an
understanding of
the epidemiology
of common
diseases within a
population and
the approaches
which are useful
in reducing their
incidence and
prevalence
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC9: Perform
technical
procedures
including:
venipuncture and
arterial puncture;
insertion of
intravenous,
central venous,
and urethral
catheters;
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
insertion of a
nasogastric tube;
lumbar puncture;
basic suturing;
and basic airway
management
4. Understand the role of
hemodynamic monitoring of
acute myocardial infarction
and be familiar with the
variations in wedge pressure
and cardiac output.
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5. Understand the rational
therapy of hypertension.
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6. Recognize major
abnormalities on the
electrocardiogram including
supraventricular and
ventricular arrhythmias,
heart block, ischemia,
myocardial infarction and
hypertrophy.
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PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC9: Perform
technical
procedures
including:
venipuncture and
arterial puncture;
insertion of
intravenous,
central venous,
and urethral
catheters;
insertion of a
nasogastric tube;
lumbar puncture;
basic suturing;
and basic airway
management
PC7: Formulate
an initial
management plan
for critically ill
patients
PC15: Formulate
preventive,
curative,
rehabilitative, and
palliative
therapeutic
strategies for
common
disorders
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC9: Perform
technical
procedures
including:
venipuncture and
arterial puncture;
insertion of
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
7. Interpret an uncomplicated
echocardiogram report,
chest x-rays, hemodynamic
profiles and nuclear imaging.
8. Understand the benefits,
precautions, and limitations
of exercise stress testing.
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intravenous,
central venous,
and urethral
catheters;
insertion of a
nasogastric tube;
lumbar puncture;
basic suturing;
and basic airway
management
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC6: Recognize
common
immediately lifethreatening
conditions and
initiate therapy
PC8:
Demonstrate an
understanding of
the principles
involved in the
care of patients
across the
spectrum of the
human life cycle
PC14: Properly
utilize clinical,
laboratory,
radiologic, and
pathologic
examinations to
diagnose and
treat common
maladies
Choose an item
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Choose an item
Clinical
Performance
Rating/Checklist
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Textbook and/or Resource Material
Teaching file of echocardiograms, and electrocardiograms that demonstrate features of cardiac
conditions such as valvular heart disease, CAD, IHSS, prolapse of mitral valve, pericardial effusion and
cardiac tumors prepared from Central Texas Veterans’ Health Care System patients.
GRADING SCALE
Satisfactory
70-100
Unsatisfactory
69 and below
Should the course director determine remediation is required, the remediation plan will be at the
discretion of the course director and on a case by case basis depending on the issues involved.
Remediation plans could entail some (or all) of the following examples: Additional clinical shifts,
research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the
student performance results in a failure of the elective, it will be recommended that the elective be taken
again in its entirety.
Date Created/Revised: 4/302015 By: msc
Attendance and Make-up Policies
The Department of Internal Medicine adheres to attendance policies and duty hours as set forth in the
College of Medicine Student Handbook, http://student-rules.tamu.edu/rule07 In the case of personal
illness, critical illness within your immediate family, family death, or other circumstances where you will
not be able to participate in required activities, you must contact the Internal Medicine Medical Education
Coordinator and contact the attending Faculty. Students who miss more than 20% of a 4 th year elective
for any reason (2 weekdays during a two-week rotation or 4 weekdays during a 4-week rotation), will
require a remediation plan. The Course Director will consider student attendance and remediation if the
student is requesting extended time off during interview season.
Responsibilities and Expectation of Students
Students are expected to be present for the various elective activities that will be noted by your residents
and staff.
Attendance is expected at the various clinical activities including morning ward rounds, operating room
when assigned, afternoon rounds, conferences, and any activity specifically requested by your
attending.
Students are expected to be punctual for all of the various activities noted on the weekly schedule.
Failure to adhere to the schedule will result in undue delays and inconveniences to patients, students
and faculty.
Dress Code: It is expected that students carry themselves in professional manner; this includes
appropriate clothing while engaged in patient care. If you are to be in clinic with your staff physician or
resident, please dress accordingly. If you are in the operating room or on the ETS service, scrubs are
acceptable.
Course Topics, Calendar of Activities, Major Assignment Dates
1. Students will make daily work rounds with the staff cardiologist. The student will be encouraged
to participate in discussions concerning the patient and his disease.
2. The student will work-up 5 to 7 patients a week and participate in the care of those patients.
Some of the patients during the daily round may be in the cardiac ICU. The faculty will conduct
teaching during rounds and during consultative times.
3. The faculty will conduct didactic lectures on pathophysiology, clinical features and management
of common cardiac problems.
4. The student will participate in the reading of electrocardiograms daily and interpretation of
echocardiogram reports and other noninvasive procedures.
5. The student will participate in exercise stress testing.
6. If interested, the student may accompany the cardiologist and watch cardiac catheterizations
and coronary interventions being performed.
7. Attend morning report conducted by the staff cardiologist every week.
8. Discuss journal articles and major trials with Cardiology attending.
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
reasonable accommodation of their disabilities. If you believe you have a disability requiring an
Date Created/Revised: 4/302015 By: msc
accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For
additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of
the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the
academic integrity and honesty standards published in each component’s Student Handbook.
Disciplinary action will be taken in accordance with the policies of each component. Students found
guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the course. For a full list of actions
qualifying as academic dishonesty, please review the College of Medicine Student Handbook at
http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another
person's ideas, processes, results, or words without giving appropriate credit. Intentionally, knowingly, or
carelessly presenting the work of another as one’s own (i.e., without crediting the author or creator).
Plagiarism and other academic misconduct definitions can be viewed on the Aggie Honor System Office
website; http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
E-mail Access and FERPA
The College of Medicine is communicating all official information to students through the students’
TAMHSC e-mail accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these
additional resources and participate fully in the course, you have been assigned an e-mail address by
the Texas A&M Health Science Center. This e-mail address is for internal use only, so that faculty may
communicate with you and the entire class. By registering for this course, you are agreeing to allow
your classmates to have access to this e-mail address. Should you have any questions, please contact
the TAMU’s Office of the Registrar at 979-845-1031.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is
intended to protect the privacy of education records, to establish the rights of students to inspect and
review their education records and to provide guidelines for the correction of inaccurate or misleading
data through informal and formal hearings. Students also have the right to file complaints with the Family
Educational Rights and Privacy Act Office of the Department of Education in Washington, D.C.,
concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can
meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties
must be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age
or disability. As outlined in the Student Handbook under the section titled Standards of Conduct in the
Teacher-Learner Relationship, belittlement, intimidation and humiliation are unacceptable for effective
learning and undermine self-esteem. Breaches involving student mistreatment may result in a faculty or
staff member being sanctioned or the loss of faculty and/or staff appointment. These policies address
student mistreatment involving College of Medicine employees, residents, affiliate staff, or patients.
Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or
through an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full
list of reporting avenues, please refer to the Student Handbook under the Mistreatment Policy.
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Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be
accessed in the Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of
Medicine website.
Date Created/Revised: 4/302015 By: msc