CARDIOLOGY
PRESBYTERIAN HOSPITAL
| CR01P Clinical Cardiology |
| Course Director: |
Dr. James Coromilas, (212) 305-8910, jc47@columbia.edu |
| Given: |
All year |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 7:00 AM |
| Site/Location: |
Columbia University Medical Center, Milstein Hospital Building, 2nd Flr.
Interventional Cardiology Center Conference Room |
| Description: |
Provides training in clinical cardiology and cardiovascular disease.
Objectives: To provide student with the opportunity to correlate historical information with physical examination and non-invasive (echocardiogram, ECG, exercise stress testing, nuclear cardiology and 24-hour ECG) and invasive data to plan a treatment strategy.
Learning Experience: Students will take part in Cardiology Consult Service where they will be supervised by a cardiology fellow and attending. They will evaluate patients and present a management plan to the fellow and attending.
They will attend conferences including: 1) ECG conference; 2) Cardiology lecture series; 3) Cardiac Cath Lab. conference; 4) Weekly Cardiology Grand Rounds; 5) Electrophysiology conference; 6) Journal club and research conferences.
Feedback: Students will obtain feedback during consultation rounds and conferences.
The course limits 2 students per month to maintain a 2:1 ratio of students to fellows.
Evaluation: Students will be evaluated in writing by the attending of the month in conjunction with the Course Director. |
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| CR02P Participation in Patient Care of Infants and Children with Congenital Heart Disease |
| Course Director: |
Dr. Julie Glickstein, (212) 342-3926, jg2065@columbia.edu |
| Given: |
All year except August |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 8:30 AM |
| Site/Location: |
CUMC, Babies' Hospital 2 North, Pediatric Cardiology Division, Children's Hospital |
| Description: |
Objective:To provide an in-depth exposure to the discipline of Pediatric Cardiology during a one month rotation on the Pediatric Cardiology Service.
Learning Experience:The students have the option of spending four weeks rotating through any of the following eight clinical services: Pediatric Cardiac Intensive Care Unit; Neonatal Cardiac Intensive Care Unit; Inpatient Pediatric Cardiology Service; Transplant and Cardiomyopathy Service; Non-Invasive Imaging Service, including echocardiography and MR imaging; Cardiac Catheterization Laboratory; Electrophysiology laboratory; Cardio-Pulmonary Exercise Testing and Consult Service. In addition, students will have the opportunity to observe cardiac surgery and participate in outpatient visits with the attending cardiologists. Lastly, students will also attend weekly divisional conferences on cardiac anatomy, cardiac pathology, cardiovascular review, cardiac grand rounds, and other conferences related to sub-specialty areas.
Feedback: Each student is assigned to the course director who will meet with him/her on a weekly basis.
Evaluation: Student evaluation will be completed at the end of the rotation. The written journal will be part of the evaluation. |
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| CR04P Congestive Heart Failure and Cardiomyopathy |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Directors: |
Dr. Mario Deng (212) 305-0200, md785@columbia.edu
Dr. Rachel Bijou (212) 305-4631, rb540@columbia.edu |
| Course Coordinator: |
Ms. Blenae Abebe, (212) 342-3926, ba2141@columbia.edu |
| Given: |
All year, except July, August, and December |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, 9:00 AM |
| Site/Location: |
CUMC, Presbyterian Hospital, 12th Floor, Room 1291 |
| Description: |
This course provides clinical experience in the diagnosis and management of patients with congestive heart failure and dilated cardiomyopathy.
Objective: Daily management of patients on the Heart Failure Service.
This includes patient examination, ordering diagnostic tests and interpreting results, synthesizing information and integrating data, developing a care plan leading to successful discharge. Students will also be trained in the outpatient care of patients under attending supervision in the CHF clinic.
Learning Experience: Students will work under the supervision of the attending physician alongside the in-patient multidisciplinary team.
The clinical experience includes a busy heart failure inpatient service, cardiac transplant evaluation and care, and management of patients with left ventricular support devices. Opportunities also exist by arrangement for exposure to clinical research investigation.
Twice weekly clinical conferences are conducted whereupon intensive patient care evaluation is undertaken in a multidisciplinary format.
The Division also coordinates a weekly research conference encompassing monthly journal article review and scientific presentations by outside speakers.
Feedback and Evaluation: Continuous throughout and at completion by attending physician and fellow. |
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| SU03P Preceptorship in Cardiovascular Surgery |
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See Surgery. |
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| *SU05P Cardiac and Thoracic Surgery Advanced Clerkship |
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See Surgery |
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MARY I. BASSETT HOSPITAL
| CR20C Clinical Cardiology |
THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS.
Columbia P&S students must have prior approval from the Office of Medical Education, (888) 547-6349. |
| Course Director: |
Dr. Rosemary Thomas |
| Course Coordinator: |
Leann Smith, (888) 547-6349, leann.smith@bassett.org |
| Given: |
All year, housing is provided. |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, 8:30 AM |
| Site/Location: |
Bassett Hospital, One Atwell Rd., Cooperstown NY, Medical Education Office |
| Description: |
The student will participate in the daily activities of the cardiac inpatient service as well as in cardiology consultations involving mostly inpatients plus some selected outpatients, including follow-up visits when appropriate.
Clinical evaluation will be correlated with a variety of diagnostic procedures.
These may include electrocardiography, transthoracic and transesophageal echocardiography, standard and pharmacologic stress testing, cardiac radionucleide imaging, cardiac catheterization or other diagnostic procedures.
This will provide the student with opportunities for familiarization with cardiac diagnostic tests and their indications and for comparison of these studies with clinical data. The student will also participate in supervised ECG interpretation sessions.
Objectives: At the end of the rotation the student should be able to elicit a more specific and pertinent history and be better trained in the cardiac physical examination.
The student should be adept at the interpretation of the basic ECG including arrhythmia and other major abnormalities.
Familiarization with a variety of cardiac diagnostic studies will enable the student to understand their use in the evaluation of cardiac problems.
Learning Experience: The student will participate in consultations (mostly inpatients) and present the cases to a cardiology attending who will review all the primary cardiac data and the formulation with the student, who will then write the consultation note.
The student will participate in follow-up rounds (or clinic visits) since this often provides additional learning experience.
The student will be expected to read selected cardiology references for general background.
Interactive computer learning programs for EKG's interpretation and for cardiac physical diagnosis are available.
The student will be encouraged to become familiar with the indications for and to observe other major cardiology activities including exercise or pharmacologic stress exercise EKG, echocardiography, cardiac catheterization, and cardiac rehabilitation.
If a student has a strong interest in a particular area of cardiology, the program may be modified to accommodate this. |
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HARLEM HOSPITAL
| CR40H Clinical Cardiology |
| Course Director: |
Dr. Eric Vanderbush, (212) 939-4703, ericvanderbush@yahoo.com |
| Coordinator: |
Ms. Mariam Heath, (212) 939-4703, meh3@columbia.edu |
| Given: |
September through June |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 9:00 AM |
| Site/Location: |
Harlem Hospital Center, 135th St. and Lenox Ave.
Martin Luther King Pavilion, Room 15-101 |
| Description: |
Provides closely supervised experience in diagnostic evaluation of patients with cardiovascular disease.
Objectives: Emphasizes development of skills necessary for acquisition, interpretation and integration of clinical data (history, physical, x-ray, electrocardiographic, cardiac catheterization) into formulation of complete cardiac diagnosis upon which management may be based.
Learning Experience: Participate in daily consultative evaluation of in-patients and weekly management of out-patients under immediate supervision of a cardiology attending. Student is responsible for following all patients on whom he has made a consultation, on a daily basis.
Student will present patients to the attending. Interpretation of electrocardiograms and chest x-rays are an integral part of this rotation.
Daily cardiology rounds, Cardiology Conference, EKG Conference, Cardiac Catheterization Conference, Cardiac, Surgical Conference and the weekly Cardiac and Anticoagulant Clinics are attended.
Feedback: Conferences with the Course Director are held daily. The student will receive periodic informal evaluations based upon observations of fellow, attending and course director. Where areas of learning needs are identified, more intensive experience will be arranged.
Evaluation: Final evaluation is based on the student's demonstrated progress in acquiring the skills described above over the course of the elective by the attending and Course Director. |
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ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ROOSEVELT SITE
| CR60R Clinical Cardiology |
| Course Director: |
Dr. Henry Greenberg, (212) 523-7372, hgreenberg@slrhc.org |
| Course Coordinator: |
C. J. Davis, (212) 534-7370 |
| Given: |
All year, except December |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 9:00 AM |
| Site/Location: |
St. Lukes-Roosevelt Hospital Center, Roosevelt Hospital, 1000 Tenth Ave.
Department of Cardiology, Room 3B-30 |
| Description: |
Provides a background in diagnosis and care of the patient with heart disease.
Objectives: The student should be able to obtain and evaluate history, physical examination, x-ray and electrocardiogram of the patient with heart disease; learn the indications for invasive and non-invasive techniques used in diagnosis of cardiac disorders; understand pathophysiology underlying the illness, and identify appropriate therapy.
Learning Experience: The 17 student will participate in cardiac clinic; initiate cardiac consultations which will be discussed with an attending cardiologist; interpret ECGs which will be reviewed with the cardiology staff; share a continuing responsibility for follow-up care on all patients seen. During these exercises the student will be guided on the interpretation and role in clinical decision making of ancillary studies such as transthoracic and transesophageal echocardiography, signal averaged electrocardiography, Holter electrocardiography, radionuclide scanning techniques, and electrophysiological test procedures.
Feedback: Continuous on a daily basis.
Evaluation: Will be the sum of opinions reached by cardiology staff, fellows and house staff who have observed the student's performance during the month. |
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ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ST. LUKE'S SITE
| CR51L Clinical Cardiology |
| Course Director: |
Dr. Eyal Herzog, (212) 523-3916, eherzog@chpnet.org |
| Coordinator: |
Ms. LaToya Selby, (212) 523-3916, lselby@chpnet.orgs |
| Given: |
All year |
| Maximum: |
4 students per month |
| Start Date/Time: |
First day of the month, 8:00 AM |
| Site/Location: |
St. Lukes-Roosevelt Hospital Center, St. Lukes Hospital, 1111 Amsterdam Ave.,
Cardiac Care Unit, 6th Floor, Babcock Building |
| Description: |
Objectives: The practice of clinical cardiology requires skills beyond the history and physical or the variety of procedures; optimal treatment rests on the skill of integrating these seemingly disparate types of information.
This elective will provide a background in the diagnostic evaluation and treatment plan for patients with cardiovascular approach based on such an integrated approach.
Learning Experience: Students will accompany the Cardiology Critical Care Team (attending, fellow, residents, and interns) and learn to participate in the evaluation, decision-making and management.
The students are expected to be self-motivated and possess skills required for them to feel comfortable speaking with patients, performing physical examinations and reading charts. At the end of the month, the students should understand these standard tests sufficiently to explain them to their patients in general terms, at least with respect to the rationale and logistics. More importantly, the student should understand the importance of integrating into meaningful assessments of patients and their medical conditions as the basis for formulating treatment plans.
Feedback: Continuous on a daily basis.
Evaluation: Student evaluation will be based on a consensus of all faculty members involved in the student's education in this course. |
| Course Logistics (Student's Responsibilities): |
The course administrator will provide the student with the names of the fellow and the attending for the month.
The fellow is the primary person to contact to determine clinical activities for the day.
The student is expected to attend all the activities of the Cardiac Care Unit services, including any activities described by the attending cardiologist as part of the daily division of cardiology conference.
It is the student's responsibility to make sure that he/she interacts with the attending according to his/her preferences, but in such a way that the attending is able to evaluate his/her performance at the end of the month.
Failure to do so will make it impossible for us to indicate that the student has completed the rotation, and will prevent him/her from passing. |
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| *MD52L Cardiac Care Advanced Clerkship: Cardiac Intensive Care and Stepdown Units |
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See Medicine. |
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STAMFORD HOSPITAL
| CR30S Clinical Cardiology |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Director: |
Dr. Steven F. Horowitz, (203) 276-7480, shorowitz@stamhealth.org |
| Course Coordinator: |
Ms. Tara Zaptin, (212) 276-7480, tzaptin@stamhealth.org |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month (contact course director) |
| Site/Location: |
Stamford Hospital, Stamford, CT, Department of Cardiology |
| Description: |
This elective provides experience in the in-patient and ambulatory management of a wide range of problems in the discipline of Cardiology. There is also active involvement in all modalities of diagnostic evaluation.
Objectives: The student will develop a sound clinical understanding of Cardiology, in the context of thoroughness of history taking and physical examination, understanding of pathophysiologic principles, and integration of laboratory and ancillary studies. The student will learn to develop a management plan appropriate to the clinical needs of the patient, and to effectively utilize ongoing data and analysis to make relevant modifications in diagnostic and therapeutic strategies. The student will also become well-principled in the understanding and interpreting the many modalities of laboratory assessment.
Learning Experience: The student will work under the aegis of the attending cardiologist, and in concert with the resident physicians assigned to that rotation. Students will make in-patient rounds on General Medical, Critical Care, and Special Care Units and/or be assigned to make rounds with an attending cardiologist. They will be actively involved in clinical assessment and diagnostic and therapeutic planning. The student will have the opportunity for direct involvement in relevant laboratory techniques, and will become proficient in their principles and practices. In concert with the resident and attending staff, students will see patients in Cardiology consultation. The student will also be involved in the assessment, care, and management of ambulatory patients with cardiac problems in the Ambulatory Care Center and in the offices of the attending staff. Students will attend daily Morning Report, Noon Conference, Medical Grand Rounds, Cardiology Grand Rounds, and Chief of Service Rounds. Students will also play an active and participatory role in the Cardiology Conferences, and will be called upon to present and discuss topics relevant to their clinical experiences.
Feedback: The student will be given regular and ongoing feedback throughout the rotation.
Evaluation: The final evaluation will be based upon the student's performance at all levels of activity on this rotation. Clinical skills, assimilation of new knowledge, work ethic, humanistic qualities, and overall specialty proficiency will be important criteria of evaluation. This evaluation will be constructively discussed with the student at the completion of the rotation.
Faculty: Dr Steven Horowitz, Division Chief, Richard H. Landesman, Keith Landesman, Samuel J. Brodsky, Gregory R. D'Onofrio, Susan, Eysmann, Mark D. Heiman, Robert L. Labarre, Edward H. Schuster, Jesus F. Yap, Jeffrey Green, Ted Portnay, Thomas Nero. |
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