Resident Information

EDUCATIONAL PURPOSE

During this month the resident will gain experience in evaluating patients with cardiovascular problems. This is an opportunity for the resident to improve his or her skills in history taking, physical examination and clinical assessment.

The resident will be exposed to the use of the treadmill stress test, nuclear stress testing, echocardiography, electrocardiography, hemodynamic measurements and angiography in the care of cardiac patients.

The resident will gain some understanding of the role of interventional cardiology in the management of patients with coronary artery disease and complex cardiovascular disease.

CONTACT INFORMATION

Contact Dr. Aguirre at least two weeks prior to the start of the rotation.
Secretary: Darlette Howard 545-4454

Frank V. Aguirre, M.D.
Wilfred Lam, M.D.
Tony DeMartini, M.D.
Gabor Matos, M.D.

TEACHING METHODS

There will be ample opportunity to develop a diagnosis and management plan for numerous patients throughout the rotation with one-on-one teaching by the cardiology attending regarding the adequacy of the plan and further refinement of that plan.

The resident will be exposed as an observer to the use of the treadmill stress test, nuclear stress testing, echocardiography, electrocardiography, hemodynamic measurements and angiography in the care of cardiac patients.

The resident will also be encouraged to participate in the educational conferences, undertake research projects, and present at conferences.

MIX OF DISEASES, PATIENT CHARACTERISTCS and TYPES OF CLINICAL ENCOUNTERS

Coronary artery disease Congestive heart failure
Cardiomyopathies Valvular heart disease
Congenital heart disease Cardiac arrhythmias
Preoperative cardiovascular clearance Cor pulmonale
Pericardial diseases Cardiac pacemaker
Peripheral vascular disease

Encounters are 30% outpatient and 70% inpatient, including both primary care and consultative medicine.

PROCEDURES

EKG reading Treadmill stress testing
Nuclear stress testing Echocardiograms
Stress echocardiograms Swan-Ganz catheterization

SERVICES

Consultation for inpatients and outpatients with cardiology-related complaints or problems. Inpatient management of patients with cardiology problems.

READING LIST

Hurst: The Heart
Braunwald: Heart Disease
Parmley,Chatterjee: Cardiology

The library is current with the most recent editions of cardiovascular textbooks and all significant cardiovascular peer review journals. In addition, there is a multi-media room for audio, video and CD educational materials. The resident has the opportunity to independently use these educational resources, but also will have required assignments that are directed specifically by patients encountered.

PATHOLOGIC MATERIAL

Reviewed on a case by case basis with attending physician where appropriate to patient care.

OTHER EDUCATIONAL RESOURCES

There is a multi-media room for audio, video and CD educational materials. The resident has the opportunity to independently use these educational resources, but also will have required assignments that are directed specifically by patients encountered.

METHOD OF EVALUATION

Resident evaluation by standard performance evaluation form and direct observation.
Resident feedback with face-to-face meetings and written evaluation.
Program and faculty evaluation by standard performance evaluation and face-to-face meetings

LEVEL OF SUPERVISION BY FACULTY

Residents with little experience in the skills needed will observe and practice physical exam skills under direct supervision of attending physicians, while those with more experience will work with patients in concert with attending physicians.

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