Cardiology

Gain a deeper understanding of the basic medical sciences as they relate to the heart and cardiovascular system.

Sharpen your skills by in the evaluation of echocardiograms and by participating in cardiac catheterizations. This rotation takes place at the hospital cardiologists’ private office, as well as at the hospital.

When appropriate, you will gain exposure to cardiology on the inpatient floors and are expected to learn from each encounter.

Your education is more formally presented during this rotation as you will work in an outpatient clinic and attend didactic conferences.

You may participate in the Cardiac Camp, which consists of a long weekend out-of-town with two cardiologists and 50 congenital heart patients in a camp setting.

Specific Goals and Objectives

You will receive training in the following areas of pediatric cardiology:

  • a comprehensive review of the basic medical sciences as they relate to the heart and cardiovascular system
  • to provide a broad outpatient experience with an opportunity to observe the spectrum of heart diseases in infants, children and adolescents
  • to review the fundamentals of clinical diagnosis with specific emphasis on auscultation and physical examination of the cardiac patients
  • to understand and interpret the needs of both noninvasive (EKG, Echo Doppler, X-ray, Holter, and exercise tests), invasive (cardiac catheterization), and (cardiac surgery)
  • formulate a comprehensive cardiac history and physical findings so as to be able to differentiate a functional from organic cardiac murmurs
  • review basic EKG’s — analysis of arrhythmias with possible therapeutic intervention
  • analyze Echo/Doppler findings in relation to a suspected cardiac patient
  • participate in consultation of inpatient cardiac cases
  • to be able to do a diagnostic interpretation of the basic and complex congenital heart disease
  • to establish the diagnosis, formulate a differential diagnosis and treatment program that would be discussed with the attending physician
  • specific reading material will be given during the rotation period
  • presentation of an unknown inpatient and outpatient cardiac case will be used as objective criteria for a grading system during the rotation

Conditions Seen

  • congenital heart disease
  • syncope
  • chest pain
  • Kawasaki disease

You will be managing patients that require a fetal echo.

Caseload

You will see a total of about 100 patients during this rotation.

Years Taken

  • PGY-2, PGY-3 or PGY-4

Length of Rotation

4 weeks

Clinical Site

You will see patients in outpatient clinics — either in the hospital or in a suburban setting.

Patient Population

  • Patients up to age 18