Non-VSLO External Elective Process
Successful completion of Year 3
Additional Requirements: N/A
Responsible Faculty Director:
Wissam I. Khalife
to Report on First Day
5.106 John Sealy Hospital at 8:15am
including holiday period 8
|To develop skills in the diagnosis and management of cardiovascular disease.|
|At the completion of the four week elective, the student should be able to:
1. Obtain the pertinent history and detect major abnormalities on physical examination.
2. Recognize the indications for and limitations of laboratory procedures commonly used in the detection and management of cardiovascular disease.
3. Recognize the normal and commonly encountered abnormalities on the electrocardiogram.
4. Participate in the management of common cardiac problems.
5. Evaluate patient's cardiac risk during non-cardiac surgery.
|Description of course activities|
|Students see daily consults, formulating an assessment and treatment plan for each patient which is then presented to consulting fellows and faculty. Exposure to exercise stress testing is provided, if desired. Students spend time with fellows and faculty. Students will interpret electrocardiograms and other noninvasive and invasive diagnostic tests. Students will see patients on the fourth Wednesday afternoon of each month in TDC Cardiology Clinic under the supervision of Cardiology faculty and fellows.
|Type of students who would benefit from the course|
|This elective should be of value to students interested in internal medicine, family practice and adult cardiology, or to those entering other specialties which frequently encounter patients with cardiovascular problems.|
|Clinical Activities (estimated schedule)|
|Day of Week||AM||PM|
|Monday||8:00am, Perform AM consults received||Perform PM consults received-5:00pm|
|Tuesday||8:00am, Same as Monday||Same as Monday-5:00pm|
|Wednesday||8:00am, Same as Tuesday||Same as Tuesday-5:00pm|
|Thursday||8:00am, Same as Wednesday||Same as Wednesday-5:00pm|
|Friday||8:00am, Same as Thursday||Same as Thursday-5:00pm|
|Average number of patients seen per week:|
|Research Activities (estimated schedule)|
|Activity||Hours per Week|
|Other Research time will be assigned for those who desire it only.|
|1. Clinical Observation|
|A.||Where are students observed on this elective?|
Patients simulators Other
|B.||Frequency - How often are students observed clinically?|
|C.||Format - What method(s) are used to document the student's clinical performance?|
Daily oral feedback
End of period oral feedback
|2. Oral Presentation|
|A.||Audience - To whom does the student present?|
|Faculty, Fellow, Residents and Interns rotating on the service.|
|B.||Frequency / Duration of Presentation(s)?|
|10 to 14 per week.|
|C.||Format - What guidelines are set for the student's presentation?|
|The standard UTMB Internal Medicine format.|
|D.||Assessment - Who assesses the student's presentation performance?|
|Self-assessment Peer assessment Faculty assessment|
|E.||Method of content selection|
|Current cases Student-selected topic Assigned topic|
|3. Written Assignment (H&P's, notes, papers, abstracts, etc.)|
|A.||Frequency of written assignment(s)?|
|10 to 14 per week.|
|B.||Format - What guidelines are set for the student's written work?|
|The standard UTMB Internal Medicine format.|
|C.||Length of written assignment(s)?|
|Abstract Annotated bibliography 1 - 2 page paper 3+ page paper|
|D.||Are recent references required? No If yes, how are they selected?|
|E.||Method of content selection - e.g. student-selected, relate to cases, etc.?|
|The student will be assigned patients referred to the service by the Faculty and/or the Fellow.|
|F.||Audience - Who assesses the student's written performance?|
|Peer Assessment Faculty Assessment Other|
Written multiple choice
Written essay / short answer
|5. Extra Course Activities|
|What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?|
|The student will be assigned referral patients as the referrals are received.|
|6. Additional Costs|
|Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".|
|7. Other Modes of Evaluation|
|Please explain below.|
|Student performance is evaluated by faculty and fellows based upon daily association.|
|8. If this course is an Acting Internship, please complete the following:|
|A.||Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs).
Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are
assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.Specify how the student will be given formative feedback on their clinical skills.
Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.
List advanced clinical skills that a student will be assured an opportunity to practice.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?
An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.
Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.