MEDU-4161 - Cardiovascular Disease Research

MEDU-4161 - Cardiovascular Disease Research

Elective Title: Cardiovascular Disease Research
Course Number: MEDU-4161
Elective Type: research Duration/Weeks: 4 Max Enrollment: 3
Prerequisites: Successful completion of Year 2
Additional Requirements: R-Form required. Interest in research in the domain of cardiovascular disease, with a focus on adult cardiology
Responsible Faculty Director: Joseph Allencherril, M.D. Periods Offered: 1-13 including holiday period 8 
Coordinator: Victoria Garcia & Kiki Baldwin Other Faculty:
Location to Report on First Day:
XXX

Goals
The student is afforded the opportunity to pursue research within the domain of cardiovascular disease, including coronary artery disease (CAD), peripheral artery disease (PAD), heart failure, echocardiography, acute coronary syndromes (ACS) and cardiovascular disease outcomes/quality improvement.

Objectives
1. To participate in research in the Division of Cardiology
2. To develop skills for cardiovascular disease research, including techniques of systematic review and meta-analysis.
3. To develop a written manuscript and/or abstract describing findings of research

Description of course activities
The student will take part in cardiovascular disease research under the guidance of a faculty mentor throughout the elective. This will comprise a comprehensive literature review, data gathering and analysis, and creation of the final abstract and manuscript.

Type of students who would benefit from the course
Students with interests in internal medicine, cardiology, emergency medicine, family medicine, cardiothoracic surgery, vascular surgery, and cardiovascular disease will benefit from this elective.

Weekly Schedule
  Clinical Activities (estimated schedule)  
Day of Week   AM   PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

 Average number of patients seen per week:
 Call Schedule:

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time 15
Self-Directed Study 15
Data-Collection/Analysis 15
Other

Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    Frequency to be determined based on research topic.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback
Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Cardiology faculty
  B. Frequency / Duration of Presentation(s)?
    10 minute presentation
  C. Format - What guidelines are set for the student's presentation?
    Standard 10 minute presentation
  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)?
    Final report at end of elective
  B. Format - What guidelines are set for the student's written work?
    Peer-reviewed journal article 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.?
    Combination of faculty assigned and student-selected
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
  Format
    Oral   Written multiple choice   Written essay / short answer   OSCE
Other

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 have the opportunity to participate in daily noon didactic cardiovascular disease conferences. There will be at least biweekly meetings with the faculty mentor to address research progress and clinical questions.

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".
    None.

7.  Other Modes of Evaluation
  Please explain below.
    The assigned faculty mentor will provide regular guidance with respect to the research project with the goal of a completed abstract and/or manuscript by the end of the elective.

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.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.
   
 
B.
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.
   
 
C.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
   
 
D.
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)?
   
 
E.
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?
   
 
F.
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
   
 
G.
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
   
 
H.
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.