Trainees assigned to Inpatient Cardiology Consults are responsible for evaluating and managing cardiology consult requests. This rotation does not include Emergency Department (ED) consults, which are handled by a separate team.
Consults may also include off-service cardiology patients, typically admitted to the CV Surgery Ward (4A5/4A6).
Attending Physician (Rotates weekly)
Supervises and guides the consult team.
Finalizes patient management plans and oversees teaching rounds.
Handles complex consults and supports decision-making.
Cardiology Senior Resident (Rotates every 2-4 weeks)
First point of contact for consult requests.
Answers pages and assigns cases to junior residents and medical students.
Reviews consults and ensures follow-ups are completed.
Junior Residents/Medical Students
Perform initial assessments of consult patients.
Present cases to the senior resident or attending physician.
Follow up on patient care and ensure recommendations are implemented.
Meet with the team at 08:30 AM (09:00 AM if morning teaching is scheduled).
The Cardiology Senior Resident answers pages and assigns residents to new consults.
Residents and medical students begin patient assessments and follow-ups.
Common consults include:
Atrial fibrillation (Afib)
Chest pain (not always ACS)
Myocardial Injury with Non-obstructive Coronary Arteries (MINS)
Asymptomatic troponin rise
Heart failure workup and management
Native or prosthetic valve dysfunction or infections
Pericardial effusion
Morning Rounds
Discuss overnight cases and any outstanding consults.
Consult Assignments
The Senior Resident assigns new consults to junior residents/medical students.
Each resident performs initial assessments and reports back.
Patient Follow-Ups
Ensure consult recommendations are implemented.
Coordinate additional tests or interventions as needed.
Afternoon Teaching/Meetings (if applicable)
Tuesday afternoons: Academic Half-Day (AHD).
Thursday afternoons: Resident Clinic.
Evening Handover
Ensure outstanding tasks are communicated to the CICU team for coverage.