:/ School of Healthcare FACULTY OF MEDICINE AND HEALTH Module Handbook 2011/2012 HECS3082 Cardiology Specialist IV Module Leader: David Oxborough © The University of Leeds 0 Contents Page Page Welcome Important Documents and where to find them Module Details Academic Support 2 2 3 3 Learning Objectives 4 Knowledge Outcomes 4 Information Literacy 5 Module Structure 6 Timetable 6 Teaching Methods 7 Private Study 7 Attendance 7 Your Contribution 7 Assessment 8 Monitoring Progress 8 Summative Assessment 8 Guidelines for Presentation of Assignments 9 Submission Date 9 Receiving Feedback 9 Intellectual Property Rights 10 Reading Lists 12 Module Evaluation 13 Level 3 Marking Grid 14 1 Welcome Welcome to the Cardiology Specialist 4 module. The module will take the form of small group teaching and discussions. We hope you will find this module stimulating and interesting. This module addresses fundamental principles that underpin the practice as a Cardiac Physiologist. The major topic addressed is the principles and procedures involved in 2D and Doppler echocardiography. Other topics include embryological development of the heart and the fetal circulation; the normal ECG for neonates and children and changes associated with congenital heart disease; the use of high resolution electrocardiography with particular relevance to life-threatening arrhythmias; haemodynamic measurement as applied to measuring cardiac output, pulmonary and systemic blood flow and the quantification of shunts; a range of interventional procedures including valvuloplasty, angioplasty with stenting and occlusive devices used in the paediatric setting; an introduction to Electrophysiological Studies and ICD’s; the use of nuclear imaging techniques in the assessment of cardiac function and the principles of cardiac surgery and the peri and postoperative management. This module is aimed to compliment the Cardiology Practice 4 module where you will be predominantly required to develop practical skills in echocardiography whilst maintaining skills previously developed on the BSc Clinical Physiology (Cardiology) programme. Important documents and where to find them It is essential that you familiarise yourself with the following School handbooks which are referred to within this module handbook. School Handbook: Assessment Handbook: Study Skills Handbook: Programme Handbook: These can be found on the School of Healthcare area of the Virtual Learning Environment (VLE) under documents. The VLE is available from the portal home page or by visiting https://vlebb.leeds.ac.uk/ : 2 . Module Details Title: Cardiology Specialist IV Code: HECS 3082 Credits: 20 credits Level: 3 Taught Hours: 50 hours Private Study Hours: 150 hours Module Team Module Manager Room LG13, Baines Wing Email: 0113 3437962 d.oxborough@leeds.ac.uk Rhona Riley RoomLG15, Baines Wing Email: 0113 3431264 r.l.riley@leeds.ac.uk Lisa Ashton Room LG15, Baines Wing Email: 0113 3437961 l.m.ashton@leeds.ac.uk Support Officer Room 1.17, Baines Wing Undergraduate framework office 0113 3431241 Health Sciences Librarian Mark Clowes Email: 0113 3431825 m.clowes@leeds.ac.uk David Oxborough Module Team Academic Support Support for the module is available from the module manager and other members of the academic team. Please identify your needs early during the course and inform the module manager or other facilitators if you need help or are struggling. You will be allocated an academic supervisor to help you prepare for your summative assessment. For further details of this role, please refer to the School Assessment Handbook on the School of Healthcare area of the Virtual Learning Environment (VLE). 3 Learning Outcomes On completion of this module, students should be able to: Critically analyse a range of common diagnostic tests used in the assessment of congenital and acquired heart disease. Evaluate a range of interventional procedures utilised in the management of congenital and acquired heart disease. Evaluate advanced imaging procedures and diagnostic testing involved in congenital and acquired heart disease Discuss the principles and procedures involved in 2D and Doppler echocardiography. Knowledge Outcomes At the end of this module students will have knowledge in the following areas: Diagnostic testing in congenital and acquired heart disease Interventional procedures in congenital and acquired heart disease Basic echocardiography Leeds for Life The University wants all taught students to get the very best out of the whole experience of coming to Leeds to study. A new interactive website ‘Leeds for Life’ provides information and links to resources which will help you get the best out of your time with us. www.leeds.ac.uk/leedsforlife Leeds for Life Development of skills Analytical Skills Commercial Awareness Leadership Communication Skills Planning and Organisation Confidence x Creative Problem Solving Critical Thinking Ethical Awareness x Professionalism Research Skills x Self Awareness Social and Cultural Sensitivity 4 Flexibility Team Working Independent Working Time Management Initiative Use of Knowledge x Information Literacy Within this module you will cover the following information literacy skills: All skills will be reinforced with particular focus on developing skills, 7,8,9,10 and11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Awareness of a range of information sources (books, journals, e-journals, databases etc) Understanding of the purpose of catalogues, indexes, directories, databases and gateways Ability to access range of sources and know how to retrieve suitable information, relevant for the purpose Ability to search and use web-based information effectively Understanding of what peer-review means Ability to formulate a keyword search (eg for searching catalogue, databases) Ability to formulate a literature search strategy, breaking down topics into smaller components etc. Ability to carry out searches on a variety of platforms and interfaces, and using a search strategy incorporating subject headings and appropriate search strategies Ability to review the effectiveness of a literature search strategy and improve it Ability to evaluate information eg. quality, relevance, accuracy, bias, reliability, validity, comprehensiveness to ensure relevant for the purpose Ability to carry out detailed critical appraisal of information Ability to keep records of searches Understanding of issues of copyright Understanding of issues of plagiarism Ability to use the Harvard system to cite and reference all types of information correctly and construct a reference list Awareness of how to access resource off-campus, includes use of passwords and accessing other libraries 5 Module Structure Module Timetable Date Topic (Thursday) 29th Sep Module Introduction(HECS3082 & HECS3083) + Principles of ultrasound 2D physics Lecturer David Oxborough 29th Sep PRACTICAL SESSION – CS2 (divide into 2 groups) 6th Oct Review and anatomy of heart related to the normal appearance on M-Mode / 2D views and planes 6th Oct PRACTICAL SESSION – CS2 (divide into 2 groups) 13th Oct Principles of Doppler including normal findings 13th Oct PRACTICAL SESSION – CS2 20th Oct Image Optimisation 20th Oct Assessment of Left Ventricular Function 27th Oct Assessment of Valve Disease 27th Oct PRACTICAL SESSION – CS2 3rd Nov Other Abnormal Ultrasound Findings 3rd Nov ECHOCARDIOGRAPHIC REVISION SESSION / PRACTICAL ECG – in neonates and children / signal average ECG David Oxborough David Oxborough David Oxborough David Oxborough David Oxborough David Oxborough David Oxborough David Oxborough David Oxborough Rhona Riley 17th Nov Introduction to Stress Echocardiography / PRACTICAL SESSION Principles, indications and techniques for cardiac surgery David Oxborough Liz Cleave 17th Nov Cardiac MRI 24th Nov 24th Nov Principles and Indications for radio-isotope imaging – MUGA and perfusion scan Introduction to Electrophysiology Gavin Bainbridge Karen Sheard 1st Dec Embryological development of the heart and foetal system Gill Wharton 1st Dec Congenital heart abnormalities Gill Wharton 10th Nov 10th Nov David Oxborough David Oxborough Nicola Hill 6 8th Dec Paediatric intervention TBC 8th Dec Right Heart Catheterisation Lisa Ashton 15th Dec ICD Overview Lisa Ashton 15th Dec ICD service user / psychological physical aspects Craig Russell / David Gowing Note: Please check either the notice board or the 4 week timetable on the website before each session in case any changes have been made. The 4 week timetable can be found: http://www.healthcare.leeds.ac.uk/pages/current_stu/time/main.asp Morning sessions begin at 10.30am prompt until 12.30pm and afternoon sessions begin at 1pm unless otherwise stated. Teaching Methods Essentially each taught session is organised as a small group teaching session. Each session will comprise a lecture style delivery plus where appropriate discussion around case studies. Despite the lecture style delivery you will be encouraged to ask questions and to enter into some forms of discussion. The module also comprises of a number of practical echocardiographic sessions which will contribute to your practical development. You will be encouraged to participate both in the practical element and in group discussion. Private Study Hours A minimum of 150 hours of private study are allocated within this module. These hours should be used to read textbooks and journal articles relevant to the module. They also include time for examination and assignment preparation. Attendance You are required to attend all taught sessions as they constitute material to assist your learning. Failure to attend may have serious implications for your ability to complete the module. Please refer to the Interruption to Studies section within the School Student Handbook for guidance on what to do should you be ill or need to negotiate absence from a particular session. Your Contribution 7 Please refer to the School Handbook for information regarding the University’s Partnership Agreement www.leeds.ac.uk/partnershipagreement and the School’s expectations regarding appropriate behaviour in the learning community. Assessment For details on assessment procedures it is essential that you familiarise yourself with the SCHOOL ASSESSMENT HANDBOOK. This includes details on submission, dangerous practice, client and patient confidentiality, plagiarism, cheating, marking criteria, results and feedback. Monitoring Progress During the module you will be required to undertake course work. This will help develop your learning and prepare you for the summative assessment. This will take the form of: Prior to each echocardiography lecture you will be asked to upload images of interest to the image bank on the VLE. This will provide a focus for self directed learning at the beginning of each week. There will also be multiple choice questions on the VLE available at the end of each lecture until the following week. Questions and answers will be discussed at the beginning of each week. Summative Assessment Details of Assessment There are two elements to the assessment and both elements must achieve more than 40 marks to successfully pass the module. If you fail either element then you will need to resubmit the failed element(s) resulting in an overall mark of 40 for the module Assignment Topic Each written assignment should be 2500 words. You are required to critically examine the patient journeys for two conditions of your choice. You must ensure one assignment is related to congenital heart disease and the other to acquired heart disease. Guidelines The assignment should be structured with reference to the following areas: Discuss the relevant pathophysiology with reference to established and evolving theories 8 Evaluate diagnostic and imaging procedures which may be utilised. Discuss any interventional procedures involved in the management of the condition. Submission Date The submission date is: Monday 16th January 2012 before 4pm Presentation 1 On the front page accurately write: your student identification number (as printed on your Student ID Card) your course (module code and title) the date of the assignment the title of the assignment. NB You must identify your assignment by your student number only (not your name) to assist with anonymous mark. 2 Use A4 paper and write on one side only. 3 The assignment must be word-processed. 4 Leave at least 2½ cm (1 inch) margin and use size 12 font, Times New Roman or Arial, use double line spacing. 5 The assignment should be logically organised with well-defined paragraphs and headings if appropriate. 6 Number the pages. 7 A word count should be included in the last page of your assignment. (References, bibliography and appendices should be included at the end of your assignment. These sections do not constitute part of the word limitation.) Footnotes do not constitute part of the word limit. 8 Always, always keep a copy of your assignment. Assignments: You must submit 2 copies of each assignment – one in a paper format and one electronically. The paper copy must be securely bound by double stapling to one side. Care must be taken to ensure that all pages are securely fastened and that the claws of the staple are closed, i.e. flat to the page. Plastic or card covers should not be used. Please see below for information on how to submit your assignment. For further guidance on presentation and referencing, please refer to the Study Skills and Assignment Information Booklet. 9 Receiving Results and Feedback The results for this module will be considered at the programme results meeting on: March 2012 The results will be published on: March 2012 Results will normally be posted on the examination notice boards, which are located on the first floor of Baines Wing. If you are unable to come to the School for your results please speak to the Module Manager. Please note that support staff are not permitted to give results out over the telephone so please do not contact the Framework Office. Provisional marks and feedback on the strengths and weaknesses of your assignment will normally be available 4 weeks after submission. Your module manager will inform you if this will be available electronically and if not how you will be informed that it is available. The provisional mark may change following the Module Assessment Board with any penalties applied at that stage. The final mark may therefore be different to that on the provisional feedback. Full details on receiving results and feedback, including instruction for electronic feedback, are available in the School Assessment Handbook. Intellectual Property Rights Ownership of intellectual property generated by students: Guidance on use of course-work / assessed work for publication. Academic staff are keen to assist and encourage students to produce work of a standard suitable for presentation and / or publication. In many instances, such work will originate from course-work or work submitted for assessment. Students are reminded that the University owns the intellectual property rights (copyright) of any work undertaken as part of their programme of study or resulting form the use of University resources. As such, formal approval for external dissemination of work arising from your programme of study with us must be sought from your programme manager. In principle, any benefit from dissemination of student generated work should be shared equitably between the student and the university. As such: The student’s affiliation with the University must be acknowledged in any disseminated work; Members of the teaching / lecturing staff who have contributed experience and/or expertise to student learning and have provided formative feedback to improve student work, should be invited to be formally recognised, in 10 acknowledgement or as co-authors, of work arising from course-work or assessments on their programmes. References University of Leeds. Policy on Intellectual Property Rights (online) Available at http://www.leeds.ac.uk/research/hbook/ipr3.htm (accessed 2.6.11) University of Leeds (2010) Taught Student Contract (online) Available at http://www.leeds.ac.uk/ssc/studentcontract.htm (accessed 2.6.11) 11 Reading Lists You will need to have access to a substantive anatomy and physiology text and a pathophysiology text. Essential: Julian D, Cowan C, Mclenachan J, 2005 Cardiology 8th ed. Saunders (W.B) Co Ltd Rimmington H, Chambers J, 2007. Echocardiography Guidelines for Reporting – A Practical Handbook 2nd edition, Informa Healthcare Ellenbogen K A, Wood M, 2008. Cardiac pacing and ICD’s 5th ed Wiley-Blackwell Recommended: Forgoros R N, 2006. Electrophysiologic testing 4th ed. Blackwell Publ Kern M, 2003. The cardiac catherisation handbook.4th ed. St Louis Mosby Lilly L, 2006 Pathophysiology of Heart Disease. 4th ed. Lippincott Williams & Wilkins Norell M, Perrins E, 2008 Essential interventional cardiology. 2nd ed London WB Saunders Reference texts: Bain D, Grossman W, 2005. Grossman's cardiac catheterisation, angiography and intervention. 7th ed. Philadelphia, Lippincott, William & Wilkins Braunwald E, Zipes Dp, Libby P, 2007. Heart disease 8th ed Saunders WB Co Ltd Feigenbaum H, 2005 Echocardiography 6th ed. Lippincott Williams and Wilkins Otto C, 2004. A Textbook of Clinical Echocardiography 3rd ed. Saunders WB Co Ltd A range of journals could be utilised depending on the topic focus: Journal of Invasive Cardiology Circulation Heart American Heart Journal Journal of American College of Cardiology Journal of the American Society of Echocardiography Europace PACE European Heart Journal American Journal of Cardiology Echocardiography Library help online Go to http://www.leeds.ac.uk/library/subjects/healthcare/train.htm for a range of online guides, tutorials and workbooks to help you with your literature searching including: 12 Online step by step guide to literature searching Online database workbooks and tutorials, e.g. Medline, CINAHL, Cochrane Library, Science Direct Online information literacy tutorials to help you develop skills in using electronic resources and searching for information. Need more help? If you need help using library resources or finding information, ask at the Library Enquiry Desk or contact the Librarian for Healthcare. Contact details can be found at www.leeds.ac.uk/library/subjects Module Evaluation We are continually trying to improve the student experience and your opinion is therefore very important. At the end of the module every student will be asked to complete a questionnaire. There are set questions against which you are asked to indicate the extent of your satisfaction (or not) with various aspects of the module and an opportunity to add any written comments you may wish to make. These forms are carefully considered by the Module Team and form part of the formal review of the module, which is considered by the School Learning and Teaching Committee. Your comments are borne in mind when planning the module delivery for the next session. We have developed a web-based evaluation tool for all students in West Yorkshire, which we hope will give students a much stronger voice in enhancing the quality of practice placements. To register go to: www.healthcareplacements.co.uk - you will then be able to access the website and have your say. 13 ESSAY MARKING CRITERIA GRID: Level 3 Knowledge & Understanding 80 -90 Demonstrates a conceptual understanding which enables the development and sustaining of coherent argument. Displays comprehensive knowledge which demonstrates good use of enquiry Ability to analyse problems in novel ways from a range of different viewpoints. Accurate analysis of data and information. Some transfer of knowledge into new contexts Demonstrates excellent ability to evaluate theory, process, solutions and outcomes. Considers reliability of evidence. Thorough investigation of contradictory information. Displays coherent and comprehensive subject knowledge. Demonstrates a conceptual understanding of a broad range of issues relating to the subject. Depth of knowledge of subject area. Appropriate use of relevant conceptual framework(s), facts, principles and theories. Ability to analyse new/abstract data and situations. Demonstrates originality of thought. Ability to use new or abstract information to analyse situations. Uses a range of principles appropriate to subject. Some originality and logical argument. Capacity to analyse concepts and reframe arguments. Analyses results and implications. Evidence of critical thought. Some integration of concepts, facts, principles, theories and arguments. Brief critical review of main issues. Demonstrates a reasoned if superficial argument. Little analysis or ability to critique arguments. No evidence of discussion of concepts. No integration of theories. Excellent Pass 70 -79 1st Class Very Good Pass 60 -69 2:1 Class Good Pass 50 -59 2:2 Class Sound Pass 40 - 49 3rd Class Demonstrates acceptable knowledge of concepts, principles, facts and theories. Appropriate and relevant knowledge base evident. Minimum acceptable level of knowledge of concepts, principles, facts and theories of subject area. Pass 20-39 Fail Lacks clear knowledge of subject. Presentation of KEY facts superficial. Lacks focus. Inaccuracies evident. Analysis: Synthesis/Creativity Evaluation Communication & Presentation: Sources of Information Excellent ability to structure a coherent presentation of complex issues in a clear and concise manner. Literature used is of scholarly reviews and primary nature. Self Appraisal: Reflection on Practice (as appropriate) Demonstrates recognition of own limitations. Competently reflects on the appropriateness of theory, practice and outcomes. Appropriately challenges received opinion Very good evaluation and critical review skills. Can investigate contradictory information. Good ability to structure a coherent presentation dealing with complex issues. Extensive reading and application to sources of literature. Reflects on the appropriateness of theory, practice and outcomes. Demonstrates recognition of own limitations. Reviews evidence supporting conclusions/ recommendations and investigates contradictory information. Able to reframe arguments. Questions theory and practice. Reasoned argument given. Evaluates evidence and suggests some recommendations. Communicates in a concise way in formal styles of academic work. Debates and produces report in an academic format. Uses relevant literature to good effect. Well-structured essay. Arguments clearly expressed. Appropriate use of references. Ability to reflect on and apply new insights to practice. Demonstrates recognition of own limitations Awareness of evaluation/ review and implications at a basic level. Evaluates evidence in some concepts. Structured argument, showing some clarity of expression. References evident and appropriate. Reflects on practice. Begins to recognises personal limitations. Safety displayed Lacks insight into review process. Little evidence of reasoned argument. Poor presentation. Poorly developed argument. Limited evidence of reading. Does not address question as set. Unsupported opinions. No reflection on practice evident. Dangerous/unsafe practice displayed in written work. Insight into practice and reflection. Recognises personal limitations The written assessment may be judged to be a Fail grade if dangerous/unsafe practice is demonstrated 14