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Selectives - Medicine

Cardiovascular Emergencies

Selective Number: (Oasis S26f)1651

Rotation Supervisor: Drs. James Bergin & Chris Ghaemmaghami

Available: 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, 10b, 11b

Duration: 2 weeks

Report to: For CCU: CCU Attending/Fellow
For ED: Contact Dr. Ghaemmaghami page (PIC 2035) or email (cg3n@virginia.edu) on the business day prior to beginning the ED assignment to meet for orientation.

Time to Report: For CCU 7:30 am; For ED 7:00 am

Place to Report: Coronary Care Unit / 4th Floor UVA Hospital or ED Dept - depending on assignment

Typical Day: CCU: 7:30 am - 5:00 pm; ED 7:00 am – 5:00 pm

Number of students per rotation: 2

Course Description: Offered by the Division of Cardiovascular Medicine and the Department of Emergency Medicine, the selective is designed to provide students with broad exposure to the recognition, diagnosis, and treatment of cardiovascular emergencies. One week is spent in the Emergency Department, primarily in the Chest Pain Center, evaluating patients who present with suspected cardiovascular emergencies. One week is spent on the CCU inpatient rotation, making daily rounds and presenting new admissions and follow-up patients. The emphasis is on diagnostic tests, including cardiac catheterization, myocardial perfusion imaging, nuclear imaging, and echocardiography and on state-of-the-art acute management of patients. In addition to case discussion in the CCU and ED, students will learn from multiple other sources, including attending lectures and conferences. All medical students taking cardiology Selectives will be added as users to www.uvarealm.com, the Cardiovascular Division's educational website.

Learning Objectives:

  1. Recognize a number of cardiovascular emergencies, including acute coronary syndromes, congestive heart failure & arrhythmias.
  2. Learn how to obtain the patient history, to perform a thorough cardiovascular physical examination, interpret basic tests including chest x-ray & ECG, prepare & present a concise & accurate summary of your findings, both oral and written.
  3. Learn the initial management of cardiovascular emergencies in the ED setting.
  4. Learn how diagnostic tests are selected optimally for the evaluation of patients with suspected cardiovascular emergencies.
  5. Understand how to apply an organized approach to the triage and initial management of patients with suspected acute coronary syndromes.
  6. Learn how cardiovascular emergencies are treated in the cardiac catheterization laboratory and coronary care unit.