This rotation will take place in various outpatient clinics at all 3 sites as well as on the Parkland pulmonology consult service, Clement's University cardiology consult service, and the VA cardiology consult service. Residents will interact with both fellows and attendings. Making use of these settings has afforded us the opportunity to expose house staff to diverse patient populations, pathologies, diagnostic and interventional modalities, and practice settings.
This rotation is a one to two week structured clinical experience under direct supervision designed to provide the resident experience diagnosing, treating and caring for patients with cardiovascular and/or respiratory disorders. There is no call or weekend duty on this rotation.
Develop an understanding of cardiology and pulmonary disorders seen in the hospital
PGY-2: Understand the principles of assessing and managing both common and complex presentations of cardiac and pulmonary disease in hospitalized patients.
PGY-3: Develop advanced processes to recognize and treat complications in hospitalized patients with cardiac and pulmonary disorders in patients with multiple medical problems
Competency: Patient care, Medical knowledge
Developing diagnosis skills
PGY-2: Effectively use the bedside clinical examination and demonstrate subtle clinical findings in patients with cardiac and pulmonary disorders
PGY-3: Learn how to correlate bedside clinical findings with imaging and other data in patients with cardiac and pulmonary disorders
Competency: Patient care, Medical knowledge
Understand the differential diagnosis of common cardiac and pulmonary disorders
PGY-2: Develop a differential diagnosis for common clinical scenarios in patients with cardiac and pulmonary disorders
PGY-3: Recognize unusual presentations of common clinical situations in patients with cardiac and pulmonary disorders
Competency: Medical knowledge
Learn pharmacological management of common cardiac and pulmonary disorders
PGY-2: Learn the medications used in management of cardiac and pulmonary disorders, understand how to manage complicated clinical problems, and develop specific therapeutic strategies in patients with cardiac and pulmonary disorders
PGY-3: Learn how to develop personalized care plans for patients with cardiac and pulmonary disorders and intersecting clinical problems
Competency: Medical knowledge
Effectively consult on inpatients, develop, and execute assessment and management plans.
PGY-2: Learn to be an effective cardiology and pulmonary consultant. Recognize how to prioritize patient problems Develop management plans for inpatients with cardiac and pulmonary disorders
PGY-3: Understand interactions between patient cardiac and pulmonary diseases and other medical issues and develop advanced strategies to prioritize management
Competency: Patient care
Effectively execute day-to-day management of patients
PGY-2: Manage cardiology and pulmonary patients, including daily assessment and assessment of progress. Understand how to adjust patient treatment plans based on patient progress and determine the need for additional assistance such as subspecialty consultation
PGY-3: Recognize how to manage complex cardiac and pulmonary problems and manage both expected and unexpected complications.
Competency: Patient care
Interdisciplinary care and discharge planning
PGY-2: Learn how to communicate effectively with the interdisciplinary care team and anticipate patient needs for discharge and effective follow-up Recognize the unique needs of cardiology and pulmonary patients and help integrate patient needs with available resources
PGY-3: Learn how to manage advanced situations such as end-of-life decisions, complex transitions of care and advocate for patients when resources are limited
Competency: Patient care, System-based practice
Rational ordering of lab tests and imaging studies
PGY-2: Learn how to interpret laboratory findings and imaging seen in patients with cardiac and pulmonary disease
PGY-3: Gain advanced knowledge of high value principles in the ordering of laboratory studies and imaging for evaluation of cardiac and pulmonary disease
Competency: Practice-based learning and improvement, Medical knowledge
Familiarity with the electronic health record and optimization of its use
PGY-2: Understand how to effectively use the electronic health record in the care of patients with cardiac and pulmonary disorders.
PGY-3: Develop an understanding of advanced medical informatics in the care of patients with cardiac and pulmonary disorders by utilizing additional resources in the EHR
Competency: Systems-based practice
Communication and teamwork
PGY-2: Develop effective and timely communication strategies with the interdisciplinary care team for patients with cardiac and pulmonary disease
PGY-3: Use advanced communication methods to engage and coordinate care with the interdisciplinary care team for patients with cardiac and pulmonary disease
Competency: Professionalism, Interpersonal and communication skills
You will rotate with the consult team Monday - Friday. Please arrive between 7:30 and 8:00 AM the first day and page the On-Call Fellow via the paging system of the respective hospital. The fellow will direct you where to meet. The consult team workrooms can be found below:
CUH Cardiology Consult: 09 - 421, work room between the green and orange elevators PMH Pulmonary Consult: 5th floor, 600 side, near elevators VA Cardiology Consult: Work room is across the hall from the 5th floor cardiac cath lab patient waiting room (Building 2J) down the hall from the the CPICU work room (away from 5A tele). Please contact the on call NP or CCU fellow if you have difficulty finding the work room.
Assess acute and chronic cardiac and pulmonary disorders in the outpatient setting
PGY-2: Learn to assess acute and chronic cardiac and pulmonary disorders and develop an advanced understanding of these disorders in the outpatient setting
PGY-3: Understand the intersections between acute and chronic cardiac and pulmonary disorders and subtle variations in presentation
Competency: Patient care
Understand the principles of chronic cardiac and pulmonary disease management
PGY-2: Understand the principles of chronic disease management, including problem lists and preventive care, and factors that create competing priorities with chronic cardiac and pulmonary diseases. Understand the pharmacological management of chronic cardiac and pulmonary diseases
PGY-3: Develop and utilize advanced care processes including consultation and interdisciplinary management of chronic cardiac and pulmonary diseases
Competency: Patient care
Learn pharmacological management of common cardiac and pulmonary disorders
PGY-2: Understand the medications used for cardiac and pulmonary disorders and how to manage complicated health problems and develop specific therapeutic strategies
PGY-3: Learn how to develop personalized care plans for cardiology and pulmonary patients with intersecting clinical problems
Competency: Medical knowledge
Understand the differential diagnosis of common clinical scenarios
PGY-2: Develop an expanded differential diagnosis for common cardiology and pulmonary clinical scenarios
PGY-3: Recognize unusual presentations of common cardiology and pulmonary clinical situations
Competency: Medical knowledge
Develop and utilize patient dashboards to engage in population management
PGY-2: Identify noncompliance or patients who are outliers in the patient dashboards
PGY-3: Develop advanced care plans with the interdisciplinary care team to manage cardiology and pulmonary patients not meeting parameters in the patient dashboards
Competency: Systems-based practice, Practice based learning and improvement
Understand the unique outpatient needs of cardiology and pulmonary patients
PGY-2: Recognize and understand the outpatient needs and community resources available to cardiology and pulmonary patients
PGY-3: Learn how to work with an interdisciplinary care team to optimize the availability and utilization of community resources available to cardiology and pulmonary patients
Competency: Patient care, Systems-based practice
Please see the individual clinic pages for details on the clinics you will go to during your hybrid week.
