College of Medicine MD Curriculum

Cardiology – Trinity Health Ann Arbor Hospital

Title of Clerkship: Cardiology – Trinity Health Ann Arbor Hospital

Elective Year(s): Fourth year 

Department: Internal Medicine

Type of Elective: Clinical 

Clerkship Site: Trinity Health Ann Arbor Hospital

Course Number: MEDI705

Blocks Available: All

Number of Students per Block: 1

Faculty: Zakir Sahul, M.D. and other various faculty

Elective Description/Requirements:
This clerkship provides the student with exposure to diverse cardiac problems in a setting of a community hospital. The student will be expected to do a history and physical exam on patients assigned to him or her during either admissions to the service or consultation. The student will present the case to the residents on the service and also the attending cardiologist during rounds. The cardiologist makes rounds on a daily basis and the student is expected to accompany the attending cardiologist on rounds. Students will also have the opportunity to observe various procedures and in appropriate settings may actually assist in doing some procedures. It is anticipated that the student will be allowed to evaluate and follow 3 – 5 patients per week. Each student must complete two on-line modules to prepare for their role as teachers of junior medical students.

Length of Clerkship: 4 weeks

Educational Course Objectives and Links to EPOs:

1. Interview patients collecting pertinent data concerning the patients’ presenting problems. (EPOs: PC-1)
2. Perform a complete or focused physical examination as appropriate and distinguish normal from abnormal findings. (EPOs: PC-1)
3. Synthesize information to develop a reasonable differential diagnosis and be prepared to present to preceptor. (EPOs: PC-7)
4. Following an assessment of all assigned patients, students will describe the chief problems and a plan for treatment. (EPOs: PC-7)
5. Prepare a complete H & P for a new patient admitted to the service and chart the results. (EPOs: PC-1)
6. Periodically re-evaluate patients’ status including interpretation of new history and physical exam finding. (EPOs: PC-1)
7. Use and interpret laboratory and radiographic tests used in diagnosing common disease. (EPOs: PC-6, MK-4)
8. Recognize and manage situations related to common diseases that are potential emergencies. (EPOs: PC-8)
9. Identify ethical problems which arise in patient treatment and care. (EPOs: PB-1,  MK-1)
10. Use ethical principles to reach a resolution in a presented case. (EPOs: PB-1,  MK-1)
11. All students participating on this clerkship will meet or exceed the institutional standards for professional behaviors as evidenced by: (EPOs: PB-1, PB-2, PB-3)
    1. Adhering to the dress code consistent with clerkship standards.
    2. Punctual for all educational experiences (i.e. exams, clinics, rounds, small group sessions).
    3. Fulfilling all educational assignments and responsibilities on time.
    4. Displaying honesty in all interactions and situations.
    5. Contributing to an atmosphere conducive to learning and is committed to advance scientific knowledge.
    6. Establishing and maintaining appropriate boundaries in all learning situations
    7. Using professional language being mindful of the environment.
    8. Establishing effective rapport.
    9. Being respectful at all times of all parties involved.
    10. Resolving conflict in a manner that respects the dignity of every person involved.
    11. Respecting the diversity of race, gender, religion, sexual orientation, age, disability and socioeconomic status.
    12. Exhibiting humanism in all interactions.
    13. Protecting patient confidentiality.
    14. Being aware of and adapting to differences in individual patients including those related to culture and medical literacy
    15. Recognizing personal limitations and seeking appropriate help.
    16. Accepting constructive feedback and making changes accordingly.
    17. Exhibiting independent and self-directed learning.

 Professionalism:
UT/COMLS students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

1. Small Group – clinical skills
2. Interpretation of lab data
3. Diagnostic tests – use/interpretation
4. Online module
5. Lecture/media
6. Independent study
7. Inpatient rounds

Evaluation Methods Employed:

1. Attendance
2. Case presentation
3. Case write up
4. Clinical Log
5. Faculty/ Resident
6. Narrative
7. Professionalism assessments
8. Clinical evaluation form

Prerequisites: Successful completion of required Internal Medicine Clerkship

Clerkship Director: Mani Askari, M.D.

Clerkship Coordinator: Dawn D. Jagodzinski
Phone Number: 419-383-5022
Email Address: dawn.jagodzinski@utoledo.edu 

Special Requirements: On call two to three times per week. 100% patient care.

ECC Approved
June 2023