Title: MED 545-C Cardiology
Department: MEDICINE
Pre-requisite: Credit in MED 531 or MED 532
Duration: 4 weeks
Number of Students: 1 per site
Location(s): Dr. Denny Bales, Dr. John Cogan, Dr. Raymond Itagaki,
Dr. Joana Magno - Queen's Medical Center
Dr. J. Roy Chen – Straub Clinic & Hospital
Dr. Paul Ho – Kaiser Medical Center
Dr. Neal Shikuma - Kamuela, Hawaii
Queen’s Medical Center - Cardiology Service
Tripler Army Medical Center - Cardiac Clinic
Program Director or Coordinator: Laurie Tam, M.D.
II. Objectives
The student will develop in-depth skill in obtaining a cardiovascular history, and performing physical examinations relevant to cardiovascular disease. He/she will identify the appropriate database for the most important manifestations of commonly encountered cardiovascular diseases. The student will increase his/her skill in interpreting electrocardiograms as part of the evaluation of patients with heart disease and will gain familiarity with other specialized procedures utilized in evaluation and measure of patients with cardiovascular disease, including: exercise stress testing, echocardiography, cardiac catheterization and coronary interventions. The student will acquire knowledge of the methods of management of patients with cardiovascular disease particularly coronary disease, heart failure and arrhythmias.
III. Methods
Depending on the site, the student will see both inpatients and outpatients, make rounds with the attending cardiologist, aid in performance of non-invasive testing (including treadmill stress testing and echocardiograms), observe invasive procedures (such as cardiac catheterization and interventions, electrophysiologic testing) when appropriate. Attention will be given to preventive cardiology and how social and economic factors interplay in the patient's disease and response to treatment.
For the Queen’s Medical Center Cardiology Service – Students will be on an inpatient cardiology service, supervised by an inpatient cardiologist (either Dr. David Fergusson or Dr. Christian Spies). The student will participate as part of a multidisciplinary team in the evaluation and treatment of inpatients with cardiovascular diseases. They will also be exposed to diagnostic cardiac testing and interventional cardiology.
IV. Evaluation
1. Ongoing evaluation of clinical workups and application of knowledge to assigned patients. There will be no formal evaluations.
2. To obtain credit, all students must complete and return an elective evaluation form to the Department of Medicine.
Revised January 2008 MED 545-C