CLINICAL ELECTROPHYSIOLOGY ELECTIVE

MEDICINE 880

Mapping of cellular and conduction perturbations to observed changes on the surface ECG recording for inherited arrhythmia syndromes (e.g., long QT syndrome, Brugada syndrome), drug toxicities (Class IC and III antiarrhythmics, digoxin excess), cardiac arrest, electrolyte disturbances, and metabolic disturbances; Selection of appropriate therapies, including antiarrhythmics and device therapies, and how they affect cardiac electrophysiology and the clinical ECG.

PEDIAT 943

Supervised by house staff and attending physicians activities include attending a variety of outpatient clinics with pediatric cardiologists, inpatient pediatric cardiology rounds and consults with the inpatient service team, observing various scheduled procedures (including echocardiography, ECG, cardiac catheterization, electrophysiology study), attending pediatric cardiology related conferences, presenting cases and teaching topics, and discussing patient cases.

MEDICINE 951

Provide a broad introduction to the cardiovascular syndromes and diseases that constitute a large part of the practice of adult medicine. This experience has been particularly useful for three groups: those who plan to enter an adult primary care discipline, those entering residency in emergency medicine, and those with an interest in adult cardiology.

MEDICINE 949

Exposure to both outpatient and inpatient settings, such as ward rounds, cardiac catheterization and electrophysiology labs, as well as operating rooms, to learn how to obtain an accurate history, perform a thorough cardiovascular examination, interpret patient's treadmill, nuclear, cardiology and echocardiogram performance, formulate an assessment and plan for further evaluation and treatment. Participate in the writing of orders and progress notes on in-patients for whom they are responsible and perform appropriate procedures under the direct supervision of staff. Submit input on patients' management plans, which will be closely supervised by an attending cardiologist.

MEDICINE 943

Opportunities to learn the process involving the evaluation and management of a full spectrum of acute and chronic cardiovascular diseases, as well as preoperative consultation for hospitalized adult patients. Become familiar with the principles of effective consultation and how to operationalize this role, through evaluating patients, presenting relevant data, providing effective cardiac consultation as an integral member of a fast-paced inpatient team. Essential skills are taught, including: interpreting 12-lead electrocardiograms (ECGs) and cardiac rhythm data from telemetry with assistance, observing select cardiac diagnostic tests and reading studies with faculty or fellows. Attendance at weekly Cardiovascular Medicine Grand Rounds is required.