Acute Cardiac Care Subinternship

Sites: BIDMC
Director(s): Katharyn Atkins, Marwa Sabe, Peter Zimetbaum
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
Open to Exclerks: US/Canadian
Description: This course will enable students to acquire the fundamentals of the care of cardiology patients in the intensive care unit setting. Students will be assigned to the Coronary Care Unit. The student will, as a subintern, be an integral member of the clinical team in the coronary care unit. The patients in this unit display a wide range of acute cardiac problems including myocardial infarction, heart failure and a broad spectrum of rhythm disturbances. Emphasis will be placed on: - principals of normal cardiac physiology and pathophysiology - methods and analysis of physiologic data - interpretation of laboratory, imaging and electrocardiographic tests - basics of pharmacotherapy. The student will be expected to take overnight call on a one-in-three basis with an intern and resident. The student will usually be assigned a patient to be seen, evaluated and followed from admission to discharge. He or she will present the patient each day on rounds and be responsible for establishing a treatment plan - consisting of diagnostic testing, pharmacologic treatment and any invasive interventions - under the guidance of the CCU team and attending cardiologist.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The elements of cardiac physiology, hemodynamics and electrophysiology and how they relate to cardiac diseases form an integral part of the assessment of the patients seen on this rotation. In particular, the elements of severe dysfunction of the cardiac system form an integral part of the day to day management of these patients.
Grade Criteria:
Honors with Distinction: The student demonstrates knowledge and abilities in the above mentioned areas that are superior to the vast majority of their student peers (i.e.. in the top 5-10% of all students assessed). Honors: The student demonstrates abilities in the above mentioned areas that are superior in comparison to their student peer (i.e. in the top 30% of student peers). Satisfactory: The student demonstrates abilities in the above mentioned areas that are average in comparison to their student peers. Unsatisfactory: It should be rare for a student to achieve an unsatisfactory grade. This grade would be reserved for a student with not only poor clinical acumen but also poor interpersonal skills and/or questionable ethical standards