ELECT EPEDH - Pediatric Cardiology
ELECTIVE DIRECTOR(S): Ernest Kiel, M.D.
DURATION OF ELECTIVE: 4 Weeks
LOCATION OF ELECTIVE: LSU Health-Shreveport
MAXIMUM NUMBER OF STUDENTS: 2
ELECTIVE OFFERED DURING BLOCKS: All except block 1
CONTACTS: Tammie Busby 318.675.7263
COURSE CODE: EPEDH Room 505, Administration Bldg.
Non LSU students: Will accept senior students from accredited US medical schools on a case basis if room available.
Must have permission before registering for elective
Must have permission before registering for elective.
- Perform history, physical examination, as well as oral and written presentations appropriate for pediatric cardiology
- Develop appropriate communication and ability to interact with patients, families, and peers
- Prioritize and organize work effectively
- Apply ancillary studies appropriately to patient care and be able to reassess the problem after applying studies with the clinical presentation
- Exhibit professionalism in patient and colleague interaction. Be a role model for peers.
- Develop efficient interaction as a “team player” and support the clinical service
1) Become familiar with the basic cardiac history and physical examination in children and how to differentiate functional from pathologic murmurs
2) Learn to recognized the components of a normal ECG and common ECG and rhythm abnormalities; be able to approach the CXR in evaluation of pediatric heart evaluation; be exposed to the basic utilization of echocardiography and doppler evaluation of the heart.
3) Understand the appropriate testing to support the clinical problem and apply appropriately
4) Develop basic evidence based treatment and follow up protocols for specific cardiac disease
1) Familiarize the senior student with common problems seen in pediatric cardiology
2) Learn the common congenital and acquired cardiac lesions presenting in pediatrics
3) Develop basic understanding of cardiac physiology and hemodynamics particularly as applied to congenital heart disease
4) Learn the basics of therapy for congestive heart failure, arrhythmias, acquired cardiac conditions and the management of common congenital heart defects
Interpersonal and Communication Skills
- Communicate effectively with patients and families at the appropriate level for their background and acuity of illness
- Communicate in a comfortable and reassuring manner, alleviating concern and anxiety as possible
- Organize and clearly present patient notes at a level compatible with complexity and care
- Provide basic level summary and education to patients and families regarding the cardiac problem
- Be timely and dependable in duties on the cardiology rotation
- Exhibit honesty , respect, compassion, accountability, and integrity in interacting with the patients/families, the cardiology team, other professionals, and ancillary personnel
- Be a role model for the developing physician and their peers
Practice-Based Learning and Improvement
- Demonstrate self-directed learning habits - regular reading and review of cardiology topics; interact at an appropriate level for rounds and discussions; develop presentations on topics for the team; incorporate feedback in a system to resolve deficiencies and improve self
- Assess resources that utilize evidence based practices to enhance patient care. Be appropriately critical of controversial evaluation and care recommendations.
- Develop appropriate utilization of ancillary support testing, consultation, and referral for services such as specialty care, social work, OT/PT, nutrition, and respiratory therapy
SPECIFIC DUTIES OF SENIOR STUDENTS
1) Attend all pediatric cardiology clinics (M,T, Th, F)
2) Answer pediatric cardiology consultations with the attending and provide continuity of follow up
3) Reading of ECG’s, holter evaluations, echocardiogram and Doppler studies with the attending
4) Attend selected consultations in off site hospitals
5) Attend exercise tests and other non-invasive testing as directed
6) Attend morning report, pediatric grand rounds, and pediatric conferences as available
7) Present topic review and literature search as requested
8) Sit in on didactic lectures on variety of subjects during rotation
9) Interact and share workload with other students and pediatric residents on rotation
Park, MK The Pediatric Cardiology handbook. (provided) Park, MK How to Read Pediatric ECG’s
Driscoll, DJ Fundamentals of Pediatric Cardiology
Appropriate sections of Nelson’s Essentials of Pediatrics
Estimated Hours/Week: 32-44 hrs
Conf: 4-6 hrs Clinic: 12-16 hrs Ward/Consults: 3-5 hrs
Studies review (ECG’s etc): 4-5 hrs Cardiac lectures: 6-8 hrs