|
|
Cardiac Care Unit
Overview
The Cardiac Care Unit exposes
residents to patients that are critically ill from cardiac pathology. Residents
will function in teams consisting of an R3, R2 and 3 R1s. Residents will be
responsible for the evaluation, admission and day to day management of patients
in the Unit under the oversight of attending physicians. Residents will be
responsible for coordinating or performing all necessary procedures and assist
in communicating plan of care to family.
Principle Teaching/Learning
Activities
Morning Report
This conference occurs from 8:30
to 9:30AM (M,T,TH,F) in the resident resource room. Residents present cases to
either a subspecialty attending or to a core faculty generalist. Residents are
expected to prepare educational bullets to share with the group.
Grand Rounds
This conference is a lecture
driven format and occurs on Wednesday mornings in the Beardwood classroom.
Attending Rounds
Attending rounds occur at least
three times a week for 1 ½ hours (total 4 ½ hours per week) with an assigned
Cardiologist. Residents present cases to the primary teaching cardiologist and
receive both didactic and bedside teaching.
Noon Conference
This conference occurs daily from
12 to1PM. A variety of presentations occur during these sessions including but
not limited to: journal club, autopsy rounds, clinical didactics, communication
video tape review, ethics topics etc.
Principle Educational Goals by
Competency
In the tables below the principle
educational goals for the General Medical Floors are outlined by competency.
The second column of the table indicates the teaching activity that is most
relevant to that competency.
MR= Morning Report
AR=Attending Rounds NC=Noon Conference
DPC =Direct Patient Care
GR= Grand Rounds
|
Patient Care- Principle Educational Goals |
Learning Activities |
|
Refine skills in history taking and physical
examination |
DPC |
|
Care for patients presenting with critical cardiac
illnesses |
DPC, AR, MR |
|
Evaluate and manage patients that have undergone
invasive procedures |
DPC, AR |
|
Refine skills in ordering and interpreting diagnostic
tests |
DPC, AR, MR |
|
Care for patients requiring intravenous vasoactive
agents and hemodynamic monitoring |
DPC, AR, MR |
|
Medical Knowledge -Principle Educational Goals |
Learning Activities |
|
Increase clinical medical knowledge acute cardiac
diseases |
DPC, AR, MR GR, NC |
|
Increase basic science knowledge and its application to
patients with acute cardiac diseases and problems |
DPC, AR, MR GR, NC |
|
Demonstrate ability to find and apply relevant medical
literature |
AR, MR |
|
|
|
|
|
|
|
Practice Based Learning and Improvement -Principle
Educational Goals |
Learning Activities |
|
Identify areas that need improvement in medical
knowledge, decision making, and communication in regards to the care of
critically ill hospitalized patients |
DPC, AR, MR GR, NC |
|
Develop mechanisms to improve on identified areas of
weakness |
DPC, AR, MR GR, NC |
|
Interpersonal Skills and Communication- Principle
Educational Goals |
Learning Activities |
|
Communicate plan of care with patients and family |
DPC |
|
Communicate effectively with nursing |
DPC |
|
Communicate effectively with other physicians involved
in the care of critically ill hospitalized patients |
DPC |
|
Present cases to other members of the care team and in
educational conferences |
DPC, AR, MR |
|
Professionalism -Principle Educational Goals |
Learning Activities |
|
Behave professionally with patients and other members
of the care team |
DPC, AR, MR GR, NC |
|
|
|
|
|
|
|
|
|
|
Systems Based Practice – Principle Educational Goals |
Learning Activities |
|
Gain an understanding on how best to utilize and access
hospital resources for the care of the critically ill hospitalized patients |
DPC, AR, MR |
|
Use evidence based and cost conscious strategies to
care for critically ill hospitalized patients |
DPC, AR, MR |
|
|
|
|
|
Arrhythmias |
|
|
|
Atrial |
|
|
|
Conduction abnormalities |
|
|
|
Pacemaker management |
|
|
|
Ventricular |
|
|
|
Congenital heart disease |
|
|
|
Congestive heart failure |
|
|
|
Acute pulmonary edema |
|
|
|
Chronic congestive heart failure |
|
|
|
Diastolic |
|
|
|
Systolic |
|
|
|
Coronary artery disease |
|
|
|
Angina pectoris, chronic stable |
|
|
|
Angina pectoris, unstable |
|
|
|
Myocardial infarction, complicated |
|
|
|
Myocardial infarction, uncomplicated |
|
|
|
Myocardial infarction follow up |
|
|
|
Postoperative care (CABG, PTCA) |
|
|
|
Endocarditis |
|
|
|
Hypertension |
|
|
|
Chronic stable hypertension |
|
|
|
Hypertensive crisis |
|
|
|
Secondary hypertension |
|
|
|
Myocardial disease |
|
|
|
Cardiomyopathy |
|
|
|
Myocarditis |
|
|
|
Pericardial disease |
|
|
|
Acute pericarditis |
|
|
|
Pericardial tamponade |
|
|
|
Preoperative evaluation of the cardiac patient (see also Consultative
Medicine) |
|
|
|
Vascular disease |
|
|
|
Aneurysm (atherosclerotic, mycotic) |
|
|
|
Aortic disease |
|
|
|
Arterial insufficiency |
|
|
|
Chronic venous stasis |
|
|
|
Deep venous thrombosis |
|
|
|
Dissecting aneurysm |
|
|
|
Valvular heart disease |
|
|
|
Management of critical illness |
|
|
|
Multi-organ failure |
|
|
|
Prognosis/outcomes |
|
|
|
Withdrawal of support |
|
|
|
Pulmonary |
|
|
|
Airway management (intubation, tracheostomy) |
|
|
|
Status asthmaticus |
|
|
|
Upper airway obstruction |
|
|
|
Ventilator management |
|
| |
|
|
|
|
|
