Pediatric Cardiology *

ELEC 739 / PPED 610

Department
Pediatrics

Clinical or Non-Clinical Course
Clinical

Physician Assessed Patient Facing
Yes

Prerequisites
Completion of Phase 2 Pediatrics Clerkship & Pediatrics Sub-Internship

Goal

The student will have the opportunity to examine pediatric outpatients with a variety of congenital and acquired heart conditions. Self-instructional materials will be used to assist the student in learning the principles of cardiac examination, the hemodynamics of certain congenital heart lesions and pediatric electrocardiograms. The student will examine preoperative patients and will observe cardiac catheterizations as part of this experience. The student will engage in some independent study during the course.

Objectives

At the end of this course, the student will be able to:

    Patient Care

  1. Attend all outpatient clinics at Pediatric Cardiology CenterMedical Knowledge1. Discuss the pathophysiology of the following aspects of the cardiovascular system:
    • Genetics
    • Fetal circulation
    • Pulmonary vascular resistance
    • Hemodynamics
  2. Describe the indications, limitations, and complications of diagnostic techniques used in the assessment of congenital heart disease
    •Electrocardiography
    •Echocardiography
    •Cardiac catheterization
  3. Broad classification of congenital heart disease
    • Discuss various types of congenital heart disease
    • Recognize potential congenital heart disease
    • Recognize normal vs. abnormal ECGs
    • Be familiar with chest x-ray interpretation as applied to CHD
  4. Describe the diagnosis and treatment of the newborn with cyanotic heart disease
    • Define cyanosis
    • Differentiate between cyanosis secondary to cardiac disease vs. pulmonary disease
    • Discuss stabilization of the newborn with cyanotic disease
  5. Discuss the diagnosis and treatment of congestive heart failure
  6. Discuss the clinical course of the 8 most common congenital heart defects and their surgical intervention
  7. Diagnose and manage dysrhythmias
  8. Diagnose and manage cardiorespiratory emergencies including:
    •Shock
    •Cardiac arrest
    •Pericardial tamponade
  9. Diagnosis and appropriate management of endocarditis
  10. Discuss risk factors for cardiovascular disease
  11. Assess cardiovascular fitness
  12. Describe the approach to common cardiac related symptoms
  13. Discuss the clinical aspects, diagnosis, treatment, and prevention of rheumatic fever
  14. Discuss the clinical aspects, diagnosis, and treatment of Kawasaki disease
  15. Practice-Based learning and improvement
    1. Apply medical literature to the evaluation and treatment of the above cardiac-related conditions, including but not limited to:
      • The evaluation of infective endocarditis
      • The decision to treat Kawasaki disease
      • The need for evaluation of heart murmurs in children
      • The need for exercise testing
    2. Gain experience with resident and medical student teaching
      • Interpersonal skills and communication
      1. Communicate physical findings and discuss plan for evaluation and treatment with attending pediatric cardiologist
      2. Communicate and interact with pediatric intensive care team, inpatient pediatric team and referring physicians
      3. Communicate effectively with parents and children
      • Professionalism
      1. Maintain professional appearance by compliance with the resident dress code
      2. Attend and participate in cardiac catheterization conference
      3. Show respect to attending physicians, fellow residents, medical students, ancillary staff, and parents/patients
      • Systems-based practice
      1. Gain experience with appropriate referral and utilization of resources for children with abnormal cardiac findings
      2. Become familiar with the risks/benefits of various cardiac procedures such as catheterization
      3. Gain experience with working as a team with other disciplines (intensive care, rehab, cardiovascular surgery)

Method of Assessment

Standard Clinical 4wk Elective Evaluation - Honors/High Pass/Pass/Fail

Additional Methods

The faculty will base their evaluation on: 1. Ongoing critiques of performance on the cardiovascular exam on infants, children, and adolescents. 2. Written evaluation developed by the attending pediatric cardiologist. 3. Use of the Standard Clinical Evaluation Form by preceptor and discussion with student.

Course Director

Soujanya Bogarapu, M.D.

Course Coordinator

Raji Govindraj
rajig@uic.edu
309-624-4542

Location
SFMC & Hillcrest #301

Setting
Outpatient
Inpatient

Night Call
No

Laboratory
No

Weekends
No

House Staff
Yes

Number of Learners per Block
1 student per block and 6 students per year

Duration
4 weeks

Who is this elective available to
M4s (in Phase 3)

Blocks Available
All except Blocks 1-3 and winter break.