The
depts. of Cardiology proposes to conduct a two week summer clerkship /
observership in Clinical Cardiology for MBBS students (6th / 8th
semesters). The two week course proposes to enroll about 6-12 interested
students who would visit the dept. of Cardiology and observe / learn the
regular patient care work and learn important basic skills in Clinical
Cardiology.
A
Pre-test and a Post-test and other forms of assessment would be conducted and all successful students who
attend the department regularly and pass in the tests and fulfil all other
requirements would be presented Certificates.
Instructions to Students
Please enroll only if willing to follow all the rules & instructions. If the schedule is not feasible to you or you are unable to participate fully due to other commitments, please opt out now itself and give a chance to someone else (we have a huge waiting list!!)
1. The observership is for two weeks = 14 days. You
must attend AT LEAST 12 days – which means 8.45AM upto 2 PM or sometimes a bit
later. You will visit the section where you are posted to and observer the work
there, shadow the duty doctor, assist as told, and do other work as told, see
patients, etc.
You will NOT make any independent decisions or give
any advice to patients without the permission and supervision of the duty
doctor.
Remember you are a trainee student and not
authorized to independently treat /advise /
patients or discuss with them their treatment / prognosis etc.
2. You must attend to at least two evening duties
(2.30PM to 9PM) and at least two night duties (9PM to 7AM) and shadow the duty
doctor and assist them.
3. You will maintain a log book / portfolio of your
daily posting, work done there and note down any important cases, ECGs, Echoes,
etc. You will get it signed daily by the duty doctor / staff nurse /
technician.
4. A nominal and optional fee of Rs.200 may be paid
to the department. (more to ensure commitment to the course and completing it)
5. You should write your case notes in the case
sheet and mark it as (by student) under permission from the duty doctor.
6. You will maintain and observe the professional ethics as mandated.
7. You will maintain the seriousness and sanctity of
the hospital and wards, etc. and ensure that you do not cause any damage to any
equipment, etc.
8. You will fulfil the requirements as mentioned
below in the “Credit Points” section and ensure that you qualify for the pass
certificate.
9. This is a credit point based course and the
minimum points to be secured for each section (and maximum that can be scored
in each section) are given below – those who score the minimum marks in each
section Only will be given certificates at the end of the course.
10. Lunch, tea, etc. would be on your own.
***********
EXPECTED COMPETENCIES TO BE LEARNT / ACQUIRED
History taking in cardiology patients
Basic
cardiac clinical examination
Taking
& interpreting ECG
Basic
echo view - 4 Chamber view
Hypertension
– diag. & basic tests & ttmt
Post
MI patient & stable CAD management
Heart
failure - diag. & ttmt
Arrhythmia
–AF, VT, CHB
Emergencies
– MI, acute LVF, tamponade,
cardiogenic shock
CPR (on manikin)
Writing case sheets & discharge notes
Advising patients (under supervision)
******************
Cardiology
Observership – Credit Points – Minimum Pass & Maximum
|
Activity
|
Scoring
|
Minimum activity
|
Minimum Pass
|
Maximum activity
|
Maximum
|
Remarks
|
|
Attendance
|
1 per day
|
12 days
|
12
|
15
|
15
|
|
|
OP
|
2 per OP
|
2 OPs
|
4
|
4
|
8
|
|
|
Ward IMCU
|
2 per day
|
2 days
|
4
|
4
|
8
|
|
|
ICCU
|
2 per ICU
|
2 days
|
4
|
4
|
8
|
|
|
Echo
|
2 per day
|
2 days
|
4
|
4
|
8
|
|
|
ECG room
|
2 per day
|
1 day
|
2
|
2
|
4
|
|
|
OP pts seen
|
5 per 10
|
30 pts total
|
15
|
60 pts total
|
30
|
Self reported
|
|
IP case sheets writing
|
5 per case
|
6 case sheets
|
30
|
15
|
75
|
|
|
Discharge notes writing
|
5 per case
|
5 cases
|
25
|
10
|
50
|
to be supervised by duty doctor
|
|
ECGs taken
|
1 per ECG
|
10
|
10
|
20
|
20
|
Self reported
|
|
ECG reports in log book
|
3 per report
|
5
|
15
|
10
|
33
|
Different types
|
|
Echo reports in log book
|
2 per report
|
4
|
8
|
8
|
16
|
Different diseases
|
|
Theory class
|
5 per class
|
6
|
30
|
8
|
40
|
Held as per schedule
|
|
Team seminar
|
10 per student
|
2
|
20
|
3
|
30
|
Held as per schedule
|
|
Extra / co curricular activity
|
|
|
2
|
|
10
|
Pt education posters, sanitation, environment
|
|
|
|
|
|
|
|
|
|
Obj. Q. Core
|
|
|
80
|
|
100
|
One of last 3 days
|
|
,, ,, Noncore
|
|
|
50
|
|
100
|
One of last 3 days
|
|
OSCE
|
6 per procedure station,
4 per question station
|
|
70
|
|
100
|
Hist in chest pain, hist in dyspnea, hist in
edema,
Gen. exam, BP, pulses,
palpate heart,
take ECG, show 4ch Echo, explain to pt (post MI,
anticoagulant, HTN ttmt, RHD pt, HF pt) CPR
|
|
Clinical spotters
|
5 per case
|
8 spots
|
20
|
|
40
|
Random dates
|
|
PPT spotters
|
3 per spot
|
20
|
40
|
|
60
|
One of last 3 days
|
|
Long case
|
|
1
|
15
|
|
25
|
Any time
|
|
Short cases
|
|
2
|
20
|
|
30
|
Any time
|
|
Viva
|
|
|
20
|
|
40
|
One of last 3 days
|
|
Total
|
|
|
500
|
|
850
|
|
|
|
|
|
|
|
|
|
|
500 to 600 = Pass; 601 to 750 = Pass with First Class; > 750 = Pass with Distinction
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