Course/Rotation Title: CARDIOLOGY
Date of Last Review/Update
3/07
Course/Rotation Director
Jeffrey Leppo, MD
Location of clinical encounters
Inpatient % time= 75%
(Check all that apply)
[x]
Wards
[x]
ICU
[x]
ED
[x]
Other: Cath Lab
Outpatient% time = 25%
(Check all that apply)
[X]
Clinic
[ ]
Home
[X]
Other: Stress Tests, Echo Lab
Course/Rotation description with educational purpose/value
The goal of this rotation is to prepare future general internists with the skills and knowledge to appropriately
evaluate, treat, and refer in a timely fashion patients with cardiovascular disease.
Residents should review all appropriate policies within the curriculum which may apply to this rotation.
Types of Clinical Encounters
Residents will see patients in a variety of settings including but not limited to:
 Outpatient consult and follow up visits
 Inpatient consults and follow up visits
 CCU consults and follow up visits
 Echo Lab
 Cardiac Catheterization Lab
 Stress Test – Routine and Nuclear
 OR (Pacemaker placement)
Types of Patients (PLEASE SPECIFY)
[X]
[X]
[X]
[ ]
Adults of all ages
Male
Female
Other (please specify)
Mix of Diseases
 Congenital heart disease
 Congestive heart failure
 Coronary artery disease
 Chronic ischemic heart syndromes
 Acute myocardial infarction
 Valvular heart disease
 Pericardial disease
 Tachy-and bradyarrhythmias
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HTN in patients with and without coronary disease
Hyperlipidemia
Pacemakers and defibrillators
Types of Procedures
Central Line Placement
Swan Catheter Placement
Pacemaker Placement (temporary / permanent)
Stress Testing
Diagnostic Cardiac Catheterization
**depending on skill level resident will assist or be the primary performer of procedures under the supervision of a
Board Certified Cardiologist
Describe the level of supervision by faculty
[X]
[X]
[X]
[ ]
Attending staff will supervise and precept all patient care activity directly or indirectly.
Attending staff will provide mid rotation feedback
Attending staff will provide end-of-rotation feedback
Other (please specify)
Competency Based Objectives/Expectations. Please see Roman Numeral II with additional items specific to
this rotation as below
Patient Care:
 Obtain a focused cardiovascular history, review of systems and physical exam
 Recognize congenital heart disease in adults (This also falls under competency of medical knowledge)
 Treatment of all forms of congestive heart failure
 Treatment of coronary artery disease and acute and chronic ischemic heart syndromes including acute
myocardial infarction
 Treatment of valvular heart disease and pericardial disease
 Treatment of tachy- and bradyarrhythmias
 Treatment of HTN in patients with and without coronary disease
 Treatment of Hyperlipidemia
 Understand pacemakers and defibrillators (This also falls under competency of medical knowledge).
 Interpretation and supervision of exercise treadmill testing (principles and uses) (This also falls under
competency of medical knowledge).
 Perform inpatient consults to improve inpatient specialty evaluation skills
 Attend discussion sessions and CCU rounds (This also falls under competency of medical knowledge).
Medical Knowledge:
 Pathogenesis, manifestations of all forms of congestive heart failure Pathogenesis and manifestations of
cornary artery disease
 Pathogenesis and manifestations of acute and chronic ischemic heart syndromes including acute myocardial
infarction
 Pathogenesis and manifestations of valvular heart disease and pericardial disease
 Pathogenesis and manifestations of tachy- and bradyarrhythmias
 Pathogenesis and manifestations of congenital heart disease in adults
 Pathogenesis and manifestations of HTN in patients with and without coronary disease
 Pathogenesis and manisfestations of hyperlipidemia
 Interpretation of electrocardiograms
 Understand techniques of right heart catheterization and hemodynamic interpretation
 General interpretation of coronary angiography and coronary anatomy
 General interpretation of echocardiograms regarding gross anatomy
 Standard and nuclear imaging techniques
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See office patients to evaluate cardiac outpatients
Attend departmental conferences 2 times/month
Practice-Based Learning
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Present at Cardiology Conference (This also falls under competency of interpersonal communication skills)
Projects - Frequent 5-15 minute reports on assigned or appropriate patient care topics (This also falls under
competency of interpersonal communication skills)
Appropriate case based review of literature
Interpersonal and Communication Skills
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Please see BMC general core competencies under Roman Numeral II
Professionalism
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Please see BMC general core competencies under Roman Numeral II
System-Based Practice
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Please see BMC general core competencies under Roman Numeral II
Understand how an academic cardiology provides services across the spectrum of acute inpatient and
chronic outpatient care
Check Any Methods Used For Teaching and Assessment
[ ] Ambulatory Clinic (feedback written & verbal)
[ ] Annual In-service Exam (feedback written)
[X] Attending Rounds (feedback written & verbal)
[ ] Board Review (feedback written examination)
[ ] Cancer Conference
[ ] Case Management Evaluation (360 degree written evaluation)
[ ] Chart Stimulated Recall & Feedback (feedback verbal)
[X] Direct Observation and Feedback (feedback written & verbal)
[X] GME Core Curriculum
[ ] Interns Report (feedback written & verbal)
[ ] Journal Club (feedback written & verbal)
[X] Medical Record Review (feedback written & verbal)
[ ] Mentor Feedback (feedback written & verbal)
[X] Monthly End of Elective Exam (feedback written)
[X] Monthly Mini CEX (feedback written & verbal)
[X] Monthly Competency Based Written Evaluation
[ ] Morning Report (feedback written & verbal)
[ ] Multidisciplinary Rounds Feedback (feedback verbal)
[ ] Nursing Evaluation (360 degree written evaluation)
[ ] Patient Evaluation (360 degree written evaluation)
[X] Patient Management Discussions (feedback written & verbal)
[X] Procedure Logs
[ ] Performance improvement Multidisciplinary Morbidity and Mortality
(feedback written & verbal)
[ ] Semi Annual Program Director Feedback (feedback written &
verbal)
[ ] Student Evaluation (feedback written & verbal)
[ ] Supervised Sign-In Rounds (feedback written & verbal)
[ ] Supervised Sign-Out Rounds (feedback verbal)
[ ] Other _______________________________
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[ ] Other _______________________________
[ ] Other _______________________________
[ ] Other _______________________________
Other Policies
The Course Director recognizes that the trainee is accountable to all BMC Residency and GME Personnel Policies
and Procedures. The Course Director recognizes that the residents are expected to attend all continuity clinics and
mandatory educational conferences unless excused by the Program Director or Chief Medical Resident with
advanced notice.
Check The Educational Materials Used (beyond direct patient care)
[X] Reading List:

Harrison’s Principles of Internal Medicine - fundamentals of cardiology.
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Braunwald et al, Heart Disease: A Textbook of Cardiovascular Medicine. (also online
How to Quickly and Accurately Master ECG Interpretations, Daves Lippincott Co.
Dubin, Rapid Interpreation of ECG’s
Hurst, The Heart.
[X] Review of Appropriate Radiology Images:
 EKG
 Stress tests (including Nuclear images)
 CXR
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