Location:
Outpatient: Knoxville Cardiovascular Group, HLVI,
Suite E-310
Inpatient: UTMCK, various
floors, Emergency Dept.,
and Cardiac Cath Lab
Faculty:
Stuart J. Bresee, MD, Chief, Section of Cardiology
John H. Acker, MD
James D. Yates, MD
J. Christopher Scott , MD
James W. Cox, MD
Myrwood Besozzi , MD
Dale C. Wortham, MD
Robert H. Spencer, MD
Joseph Liu, MD
Jeffrey H. Johnson, MD
Raj Baljepally , MD
Jeffrey
B. Hirsh, MD
D.
Russell Huntsinger , MD
Bret A. Rogers, MD
Tjuan
L. Overly, MD
4. Schedule:
Days: Monday
through Friday 7 AM to 6 PM Residents
should complete work rounds then meet with
their assigned attending for management rounds.
They will attend all Cardiology Teaching and Noon
conferences and spend time in the outpatient setting
with the attending. They will do the initial
consultation for patients from
the impatient
general medicine service and patients selected
by
the attending on assigned days.
Nights: Call 6 PM to 7 AM with assigned attending; typically 4 weeknight
call shifts (no closer that every 3 days and post call duties ending
at noon) with one twenty-four hour weekend call shift per month.
Primary Goals:
Cardiology is the prevention, diagnosis and management
of disorders of the cardiovascular system, including ischemic
heart disease, cardiac dysrhythmias, cardiomyopathies, valvular
heart disease, pericarditis and disorders of the veins, arteries
and pulmonary circulation. Management of risk factors for disease
and early diagnosis and intervention for established disease
are important elements of cardiology. Residents will develop
the knowledge, skills, and attitudes to recognize common problems
in cardiology and to understand when it is appropriate to refer
or to manage in consultation with a cardiologist.
The Cardiology Section will facilitate the training of residents
in the appraisal and assimilation of scientific evidence regarding
improvements in patient care. The resident will choose a topic
from a predefined list which pertains to a current controversial
patient management issue. With the assistance of a faculty mentor,
they will perform a literature search for pertinent articles
and prepare a presentation for the Cardiology Noon Conference.
When appropriate, several residents will participate in the
presentation in a debate format. An emphasis will be placed
on the identification of clinical problems and the use of science
to improve patient care.
Primary Objectives: PGY-1
Residents will recognize common clinical presentations of chest
pain, abnormal heart sounds, dyspnea, hypertension, intermittent
claudication, palpitations and syncope. The PGY-1 resident will
demonstrate competence in advanced cardiac life support. The
PGY-1 resident will be expected to correctly identify common
arrhythmias, acute myocardial ischemia and electrolyte abnormalities
on electrocardiograms and to provide initial management of all
of the previously identified problems.
Upper level
residents (PGY-2 and 3) will be expected to demonstrate mastery
of the above as well as to recognize and provide initial management
of peripheral vascular disease, shock, accelerated hypertension,
aortic dissection, acute pulmonary edema, acute complicated
myocardial infarction, acute pericarditis and myocarditis. The
upper level resident will be expected to know how to provide
post operative care of patients who have undergone PTCA. The
upper level resident will be knowledgeable regarding cardiac
screening of healthy individuals and aware of current guidelines
for prevention of cardiovascular disease.
At the end of each rotation, residents
will take a written, multiple choice examination covering material
from the Cardiology Teaching Conferences. A core group of questions
will be identified prior to the examination and both upper and
lower level residents will be expected to answer these questions
correctly. Additionally, the upper level resident will be expected
to correctly answer questions of a greater complexity.
Mayo Clinic Cardiology
Review, Mayo Foundation. 2000. Lippincott, Williams and Wilkins.
Cardiology sections from Braunwald, E,
Fauci AS , Kasper, DL, Hauser, SL, Longo, DL, and Jameson, JL
(Editors)
Harrison ’s Principles of Internal Medicine, 16 th Edition.2005.
New York : McGraw-Hill. RC46.H32 2001 (Preston)
Procedures:
Required: Exercise
treadmill testing
The resident will
receive instruction in the performance of this test on Wednesdays
at 8 AM in the Heart Lung Vascular Institute Diagnostic Center
. An informal skills assessment will be made by observation
of the procedure and review of the completed procedure note.
Other Resources Textbooks, interactive media and
other reference materials are available for office use at the
KCVG library.
Research Opportunities: Residents are invited to
participate in ongoing trials and are encouraged to develop their
own research interests. Residents are encouraged to pursue poster
and oral presentation opportunities regarding interesting cases.
Method of Resident Evaluation:
Residents will be evaluated in an ongoing and informal manner
throughout the rotation. The Cardiology Teaching Conference
will allow an interactive format during which the resident will
discuss core topics in cardiology in a small group setting.
Residents will be evaluated using New Innovations electronic
forms at the completion of each rotation and the evaluation
will be discussed with the resident by the supervising attending
or the Section Chief. Residents will also complete a written
test demonstrating their ability to interpret electrocardiograms
and core knowledge.
Method of Specialty Evaluation:
Residents are asked to provide feedback regarding
concerns at any time to the Section Chief or supervising attending.
They will complete an evaluation form using New Innovations
at the end of the rotation. Cumulative feedback to the attending
faculty member will be given by the Departmental Chair.
