Course Language:
English
Course Coordinator:
Course Objectives:
The aim of the course is to convey to students the knowledge, skills and attitudes required to approach cardiac patients, to apply preventive health measures, to diagnose and differential diagnosis of heart diseases, to apply primary care prophylaxis and treatment to cardiac patients, and to refer cardiac patients to advanced health units on training.
Course Content:
Courses required to be informed about and observe treatment techniques and test methods such as cardiac echocardiography, pericardiocentesis, cardiac catheterization and coronary angiography, holter monitoring, cardiac exercise test, ambulatory blood pressure evaluation, echocardiographic imaging and pacemaker implantation; hands-on learning program to acquire the skills of taking detailed patient history, examining the cardiac patient, providing simple life support to the patient, assessing peripheral pulse and blood pressure; workhours in a fully equipped hospital to acquire the potential to evaluate electrocardiographic findings, serum electrolytes, renal function tests, liver function tests and thyroid function tests, cardiac biomarkers, chest X-ray evaluation, diagnosis of acute cardiac disorders, cardiac auscultation, measurement of blood pressure by sphingomanometry, and cardiac monitoring and EKG.
Course Methodology:
1: Lecture, 2: Bedside Teaching, 3: Small Group Discussion
Course Evaluation Methods:
A: MCQ B: OE C: SOE D:EMQ
Vertical Tabs
Course Learning Outcomes
| List required procedures and investigations for delivering preventive healthcare measures to cardiology patients | 1.1.3, 1.1.5 | 1,2,3 | B,C |
| Discuss diagnosis and differential diagnosis of cardiac diseases. | 1.1.3, 1.1.6, 1.1.8 | 1,2,3 | B,C,D |
| Describe the presentation, pathophysiology, clinical and laboratory features of common cardiologic acute and chronic disorders | 1.1.3 | 1,2,3 | A,B,C |
| List required procedures and investigations for primary care prophylaxis and treatment to cardiac patients | 1.1.10, 1.1.11 | 1,2,3 | A,B,C |
| List required procedures and investigations for the diagnosis, differential diagnosis and follow-up of cardiology patients | 1.1.7 | 1,2,3 | A,B,C |
| Describe the initial steps of cardiac echocardiography, Holter ECG monitoring, cardiac exercise test | 1.1.8, 1.1.10 | 1,2,3 | A,B,C |
| Describe the initial steps of cardiac catheterization and coronary angiography | 1.1.8, 1.1.9 | 1,2,3 | B,C |
| Describe the initial steps of pericardiocentesis | 1.1.8, 1.1.9 | 1,2,3 | A,B,C |
| Describe the management of common cardiac disorders | 1.1.3, 1.1.5 | 1,2,3 | A,B,C |
| Describe the procedures of ambulatory blood pressure monitoring | 1.1.8, 1.1.10 | 1,2,3 | A,B,C |
| Describe the electrophysiological study and pacemaker implantation | 1.1.8, 1.1.9 | 1,2,3 | A,B,C |
| Obtain an appropriate and detailed history of patients | 1.1.2, 1.1.4 | 1,2,3 | A,B,C |
| Perform detailed physical examination of cardiac patient | 1.1.5 | 1,2,3 | B,C |
| Provide basic life support to cardiac patient | 1,1,11 | 1,2,3 | B,C |
| Perform basic clinical procedures and interventions | 1.1.7 | 1,2,3 | A,B,C |
| Obtain required samples for laboratory investigations | 1.1.7 | 1,2,3 | A,B,C |
| Interpret clinical and laboratory data | 1.1.7, 1.1.8 | 1,2,3 | A,B,C |
| Evaluate blood pressure of patient | 1.1.5, 1.1.7, 1.1.10 | 1,2,3 | A,B,C |
| Evaluate peripheral pulses of patient | 1.1.5, 1.1.7, 1.1.10 | 1,2,3 | A,B,C |
| Provide a prioritized problem list | 1.1.2, 1.1.3 | 1,2,3 | B,C |
| Manage common cardiac disorders and emergency cases | 1.1.9, 1.1.11 | 1,2,3 | A,B,C |
| Present patients clearly by written and oral means | 1.2.1 | 1,2,3 | B,C |
| Ask for consultation when indicated | 1.2.1, 1.2.2 | 1,2,3 | B,C |
| Refer patients to advanced healthcare units when indicated | 1.2.1, 1.2.2 | 1,2,3 | B,C |
| Use written and online sources correctly and efficiently to access evidence-based information | 3.1.1, 3.1.2 | 1,2,3 | B,C |
| Communicate and collaborate effectively with colleagues, teaching staff and other members of the healthcare team | 1.2.1, 1.2.2 | 1,2,3 | B,C |
| Assess and diagnose electrocardiographic findings | 1.1.1, 1.1.5, 1.1.6 | 1,2,3 | A,B,C |
| Evaluate serum electrolytes, renal function tests, hepatic function tests and thyroid function tests, cardiac biomarkers | 1,1,6 | 1,2,3 | B,C |
| Diagnose acute cardiac disorders | 1,1,3 | 1,2,3 | A,B,C |
| Practice cardiac auscultation | 1,1,5 | 1,2,3 | B,C |
| Measure blood pressure with sphingomanometry | 1,1,5 | 1,2,3 | B,C |
| Assess cardiac monitorization and ECG | 1,1,5 | 1,2,3 | B,C |
| Use written and on-line sources correctly | 3.1.1, 3.1.2 | 1,2,3 | B,C |
| Respect and understand of the roles, responsibilities and relationship of primary care and specialty care providers | 1.2.2 | 1,2,3 | B,C |
| Demonstrate interpersonal skills and professionalism in relations with patients, families and healthcare staff, being analytical and research orientated | 1.2.2, 1.2.3 | 1,2,3 | B,C |
| Show respect for patient rights, communicate appropriately with patient and families and provide clear and concise information about the patient’s condition | 2,5,2 | 1,2,3 | B,C |
| Obey infection control regulations when working at inpatient and outpatient clinics | 2.1.1, 2.2.1 | 1,2,3 | B,C |
| Communicate and collaborate effectively with colleagues, teaching staff and other members of the healthcare team | 1.2.1, 1.2.2 | 1,2,3 | B,C |
Course Flow
| 1 | Introductory Session (Introduction to Cardiology Training Program) | Materials for the course provided by the the instructor |
| 1 |
Lecture
History taking |
Materials for the course provided by the instructor |
| 1 |
Lecture
Basic Electrocardiography |
Materials for the course provided by the instructor |
| 1 |
Lecture
Approach to the Patient with Chest Pain |
Materials for the course provided by the instructor |
| 1 |
Lecture
ST Elevation Myocardial Infarction I |
Materials for the course provided by the instructor |
| 1 |
Lecture
ST Elevation Myocardial Infarction II |
Materials for the course provided by the instructor |
| 1 |
Lecture
Non-ST Elevation Myocardial Infarction/Unstable Angina |
Materials for the course provided by the instructor |
| 1 |
Lecture
Chronic Coronary Artery Disease |
Materials for the course provided by the instructor |
| 1 |
Lecture
Percutaneous Coronary and Valvular Interventions |
Materials for the course provided by the instructor |
| 1 |
Lecture
Heart Failure I |
Materials for the course provided by the instructor |
| 1 |
Lecture
Heart Failure II |
Materials for the course provided by the instructor |
| 1 |
Lecture
Dilated, Restrictive and Hypertrophic Cardiomyopathies |
Materials for the course provided by the instructor |
| 1 |
Lecture
Mitral Valve Diseases |
Materials for the course provided by the instructor |
| 1 |
Lecture
Aortic Valve Diseases |
Materials for the course provided by the instructor |
| 1 |
Lecture
Tricuspid and Pulmonary Valve Diseases |
Materials for the course provided by the instructor |
| 2 |
Lecture
Hypertension |
Materials for the course provided by the instructor |
| 2 |
Lecture
Infective Endocarditis |
Materials for the course provided by the instructor |
| 2 |
Lecture
Pericardial Diseases |
Materials for the course provided by the instructor |
| 2 |
Lecture
Tachyarrhythmas |
Materials for the course provided by the instructor |
| 2 |
Lecture
Tachyarrhythmias |
Materials for the course provided by the instructor |
| 2 |
Lecture
Bradyarrhytmias and Heart Blocks |
Materials for the course provided by the instructor |
| 2 |
Lecture
Syncope |
Materials for the course provided by the instructor |
| 2 |
Lecture
Sudden Cardiac Death |
Materials for the course provided by the instructor |
| 2 |
Lecture
Cardiac Pacemakers and Implantable Cardiac Defibrillators |
Materials for the course provided by the instructor |
| 2 |
Lecture
Pulmonary Vascular Disease |
Materials for the course provided by the instructor |
| 2 |
Cardiology Practice (Kartal Koşuyolu Higher Education and Research Hospital)
Echo-lab |
Materials for the course provided by the instructor |
| 2 |
Cardiology Practice (Kartal Koşuyolu Higher Education and Research Hospital)
Outpatient |
Materials for the course provided by the instructor |
| 2 |
Cardiology Practice (Kartal Koşuyolu Higher Education and Research Hospital)
Intensive Care |
Materials for the course provided by the instructor |
| 2 |
Cardiology Practice (Kartal Koşuyolu Higher Education and Research Hospital)
Emergency |
Materials for the course provided by the instructor |
| 2 |
Assessment Session
Written Examination |
Materials for the course provided by the instructor |
| 2 |
Assessment Session
Oral Examination |
Materials for the course provided by the instructor |
Recommended Sources
| Textbook |
1- Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Volume Set, 10th Edition
2- Marriott's Practical Electrocardiography |
| Additional Resources | Lecture notes |
Material Sharing
| Documents | Photocopy shareable. |
| Assignments | Not Shareable |
| Exams | Not shareable |
Assessment
| Questions Types (Pencil-Paper Tests) |
Proportion
(in Pass/Fail Decision) |
Questions Types (Pencil-Paper Tests) |
| Multiple Choice Questions | %100 | Multiple Choice Questions |
| Total | %100 | Total |
| Other Assessment Methods and Tools |
Proportion
(in Pass/Fail Decision) |
Other Assessment Methods and Tools |
| Oral Exam (OE) | %40 | Oral Exam (OE) |
| Evaluation of Preparation Skills of Patient’s File | %10 | Evaluation of Preparation Skills of Patient’s File |
| Total | %50 | Total |
| Pass/Fail Decision |
Proportion
(in Pass/Fail Decision) |
Pass/Fail Decision |
| Pencil-Paper Tests | %50 | Pencil-Paper Tests |
| Other Assessment Methods and Tools | %50 | Other Assessment Methods and Tools |
| Total | %100 | Total |
Course’s Contribution to Program
| No | Program Learning Outcomes | Contribution | |||||
| 1 | 2 | 3 | 4 | 5 | |||
| 1.1.2 | employs a patient-centered approach in patient management. | x | |||||
| 1.1.3 | recognizes most frequently occurring or significant clinical complaints, symptoms, signs, findings and their emergence mechanisms in clinical conditions. | x | |||||
| 1.1.5 | does general and focused physical and mental examination. | x | |||||
| 1.1.6 | interprets findings in medical history, physical and mental examination. | x | |||||
| 1.1.7 | employs diagnostic procedures that are used frequently at the primary health care level. | x | |||||
| 1.1.9 | makes clinical decisions using evidence-based systematic data in health care service. | x | |||||
| 1.1.12 | keeps medical records in health care provision and uses information systems to that aim. | x | |||||
| 1.2.1 | throughout his/her career, communicates effectively with health care beneficiaries, co-workers, accompanying persons, visitors, patient’s relatives, care givers, colleagues, other individuals, organizations and institutions. | x | |||||
| 1.2.2 | collaborates as a team member with related organizations and institutions, with other professionals and health care workers, on issues related to health. | x | |||||
| 1.2.3 | recognizes the protection and privacy policy for health care beneficiaries, co-workers, accompanying persons and visitors. | x | |||||
| 1.2.4 | communicates with all stakeholders taking into consideration the socio-cultural diversity. | x | |||||
| 2.1.1 | performs medical practices in accordance with the legal framework which regulates the primary health care service. | x | |||||
| 2.2.1 | recognizes basic ethical principles completely, and distinguishes ethical and legal problems. | x | |||||
| 2.2.2 | pays importance to the rights of patient, patient’s relatives and physicians, and provides services in this context. | x | |||||
| 2.5.2 | displays a patient-centered and holistic (biopsychosocial) approach to patients and their problems. | x | |||||
ECTS
| Activities |
Quantity/
day |
Duration (Hour) |
Total
Workload (Hour) |
| Course Duration (2 weeks) | 8 | 8 | 64 |
| Hours for off-the-classroom study (Pre-study, practice, review/week) | 8 | 5 | 40 |
| Exam | 1 | 9 | 9 |
| Total Work Load | 113 | ||
| Total Work Load / 30 (h) | 3.8 | ||
| ECTS Credit of the Course |
