CARDIOLOGY TEACHING IN 2013

 

Welcome

The Cardiology Department at Prince of Wales predominantly teaches medical students in Phase 3. Most students come to the department as part of an 8 week combined Cardiology/Respiratory medical term or selective. 
 
Medical students also have limited exposure to the cardiology department in the Phase 2, Adult Health 1course with some tutorials scheduled.   
 
 

What will you learn while you are with us?

During the course of the 8 week term in Phase 3, students are expected to gain a comprehension of the clinical features associated with common cardiac problems (particularly ischaemic heart disease, heart failure and atrial fibrillation) along with an understanding of their presenting signs/symptoms and an approach to synthesizing a clinical diagnosis. An understanding of common cardiac investigations is expected along with an appreciation of the acute and chronic management issues pertaining to the conditions mentioned above. Knowledge of pharmacological treatments for these disease processes is also required.
 
 

Organisation of teaching

Didactic and clinical sessions take place concurrently with teaching in Respiratory Medicine. As the Cardiology part of the term term is only 4 weeks in duration, it is expected that students doing both Respiratory and Cardiology attend the scheduled clinical teaching sessions. In this regard only students allocated to the Cardiology/Respiratory rotation may attend these sessions given the problem of larger student numbers and the impact particularly with bed-side clinical teaching.  We will attempt to provide flexibility in the timing of sessions within the context our own busy clinical schedules to permit maximal student attendance.
 
Teaching during the Term will be loosely structured around the themes of chest pain, breathlessness and palpitations/syncope.   In weeks 1, 2 and 3 chest pain will be the topic.  In weeks 4, 5 and 6 it will be shortness of breath and weeks 7 and 8 will cover palpitations/syncope. The principal teaching activity will be a weekly case-based tutorial covering each of these problems.  This will entail a case presentation (all students are to present during the term) illustrating the clinical, diagnostic and management aspects of a patient seen and followed on the ward followed by group discussion.  These sessions will be supervised by Dr Nigel Jepson during the term and can only proceed if students have a prepared case history available.  A time to meet with Dr Jepson will be set during the first week of term at your Cardiology orientation (usually Monday morning 10AM).
 
A weekly teaching session during the Term will also be provided by Dr Gita Mathur (Ext 20762).  Again a time to meet will be set during week 1 and will specifically focus on bedside teaching and clinical skills.  You will be expected to have at least one patient who has agreed to be examined under supervision to ensure these sessions can proceed. 
 
Additional didactic tutorials will be provided covering aspects of evaluation, investigation and management of common cardiac problems.  The topics and tutors for these sessions will be:
 
  • ECG Interpretation - Dr Sze-Yuan Ooi (Ext 20762)
  • Acute Coronary Syndromes - Dr Alistair Carlilse (Fellow’s Office)
  • Atrial Fibrillation - Dr Con Arronis (9387 8100)
  • Hypertension - Dr Warren Walsh (Ext 20770)
  • Valvular Heart Disease - Dr Greg Cranney (Echo lab)
  • Heart Failure - Dr Adam Berger (Echo lab)
  • Palpitations and Syncope - Dr Rahn Ilsar (9387 8100)
  • Stable Coronary Disease - Dr John Lambros (9398 2543)
Students are to approach each consultant/registrar early in the term to arrange a mutually suitable tutorial time.   
 
Finally, students doing Cardiology are expected to attend our weekly Cardiology Departmental meetings on Tuesday and Thursday mornings (both at 08:00 AM) in the Department Conference Room.
 
When there are no allocated teaching sessions, you are expected to attend the Cardiology wards (CCU and 3N) and liaise with the ward Registrars regarding involvement in ward-rounds and identifying suitable patients for clinical examination and case presentations.  
 
Punctual attendance is expected at all scheduled sessions during the term.  Please contact me at any time during your term (Ext 20762) if difficulties arise, particularly in scheduling of tutorials.  
 
 
Cardiology Phase 3 Teaching Coordinator: Dr Nigel Jepson