Duration: 2-3 weeks
On-Call Requirements: None
Location: Cardiac Intensive Care Unit (CICU)
Supervisors: Attending Cardiologist and Senior Residents, with support and teaching from all CICU Team members.
Student Evaluation: Attending Cardiologist, in conjunction with CICU team feedback.
Description: This rotation will be primarily an in-patient, acute cardiac care experience. Students will spend their time as part of the CICU Team.
All students must report on the first day of their rotation at the RAH CICU, 1st Floor Robbins Pavilion at 7:30 a.m.
Please note that medical students do not get card access to the CICU. You will need to use the buzzer to enter the CICU area at all times - staff are happy to let students in.
Cardiologist
1-3 Senior Residents
4-6 Junior Residents
CICU Nursing Staff
Pharmacist
1-2 Medical Students
Assess and present CICU patient cases as deemed appropriate by Senior Residents
Participate in ER and ward consultations
Follow patients that the student has assessed through the patient's investigations and interventions, thereby getting exposure to the cardiac cath lab, echo lab, EST and MIBI labs.
Depending on other concomitant resident rotations, the student may have an opportunity to observe pacemaker and ICD implantations in the OR.
Gain relevant competencies as described in the Overarching Objectives for Clinical clerkship with particular attention to the following:
Develop a fairly comprehensive, systematic approach to the cardiovascular assessment
Learn to derive a relevant case based limited differential diagnosis
Gain a working knowledge of diagnosis and management of common cardiovascular conditions in the acute and sub‐acute setting:
Diagnosis and management of hypertension
Approach to chest pain
Approach to dyspnea
Acute Coronary syndrome: unstable angina, NSTEMI, STEMI
Congestive Heart failure: acute & chronic LV dysfunction, valve disease, arrhythmias
Arrhythmias‐atrial fibrillation, AVNRT, AVRT, 1st, 2nd and 3rd degree heart block, asystole, ventricular tachycardia and ventricular fibrillation
Pericardial effusion and tamponade