CARDIOLOGY FELLOWS ADULT CONGENITAL HEART DISEASE ROTATION
MUSC, Cardiology Division
GOAL:
To provide an opportunity to enhance clinical skills and to develop a deeper understanding of decisions related
to adult congenital heart disease
EDUCATIONAL PURPOSE:
1) Develop skills in history taking, physical examination, interpretation of diagnostic testing and ability to
relate the result obtained from diagnostic studies in order to institute a management program for
individual patients with adult congenital heart disease
2) Learn clinical, physiologic, embryologic and anatomic basic for management of adult congenital heart
disease
3) Learn the pharmacological properties and toxic effects of cardiovascular drugs.
4) Learn to identify social as well as medical needs of adults with congenital heart disease
5) Develop and demonstrate competence noninvasive and invasive testing of patients with adult congenital
heart disease
6) Learn how to function effectively as a member of a multi-disciplinary Cardiology team.
7) Learn ethical aspects of decision making in regards to management of such patients.
8) Learn how to use resources of social workers, case managers, assigned nurses, dietitians and laboratory
personnel.
PROCEDURES:
Residents will be appropriately supervised for all sessions by a Cardiology Attending with expertise in adult
congenital heart disease
METHODOLOGY:
Duration:
Start Time:
End Time:
Attendings:
4 weeks on specified days
7:00 AM
6:00 PM
Cardiology Division Faculty
PRINCIPAL TEACHING METHODS:
Teaching Rounds:
These are held on appropriate days of clinic with discussion of clinical findings and
development of a plan of action
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.
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. 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.