Evaluation of a new undergraduate medical education program in cardiology

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This course is a pilot project on how to standardize the teaching of high-performance cardiology topics for medical students.

With this elective course, I hope to help you learn the basics of managing three important topics in cardiology – acute coronary syndrome, heart failure, and tachyarrhythmia. The approach will be multifaceted and will start with self-study with some short online videos and excerpts from articles. Then, students will meet in small groups for a session with an educator to review practical cases. This will hold students accountable for preparing adequately and give them a chance to apply their knowledge.

The entire course is designed to take less than two hours in total (approximately one hour of flexible self-study, a 30-minute session, and pre/post assessment). All parts of the course are optional.

Curriculum

Take the survey and quiz before class (

Learn about acute coronary syndrome (less than 25 minutes total). Watch this short MedEd video online (can be viewed at 1.5x speed) https://www.youtube.com/watch?v=pzM-uOOYccQ. See the NEJM’s review of acute MI (attached) – this one focuses on managing Type 1 MI. If you’re tired, focus on the graphs/charts. See Figure 1 to notice the difference in pathophysiology between Type 1 and Type 2 MI. Read Circulation’s “Univ Definition of MI” (attached). Specifically, I would focus on Section 2, Section 6, and Sections 7.1 through 7.3. (three pages in total). Try to differentiate between a type 1 or 2 MI and a “myocardial injury”.

Learn about heart failure (less than 20 minutes total). Check out this great video from the Cleveland Clinic (can be viewed at 1.5x speed). Be sure to understand how “wet” and “cold” change management https://www.youtube.com/watch?v=Z3akxkoetRo. Check out some of the numbers from the 2019 ACC article on patients hospitalized for heart failure (attached). It’s too long to read – I’ll focus on the tables 2 and 3, Figure 3 and Figure 6 (to understand diuretic dosing).

Learn more about tachyarrhythmias (less than 20 minutes total). Look at the UpToDate algorithm (attached) for the differential between wide and narrow and regular and irregular tachyarrhythmias. Consider the difference in management between a stable patient and an unstable or pulseless patient. Watch this great video from Strong Medicine at 1.5x ttps://www.youtube.com/watch?v=pd5FF8jGR78. Consider this video if you want more practice https://www.youtube.com/watch?v=NULY6Ecj6gA

We will schedule a quick 30 minute session to review cases that will allow you to apply your knowledge. Post-course survey and quiz,

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The purpose of this research study is to see if this style of teaching cardiology topics is engaging, satisfying, and effective. You are being asked to participate in a research study because you are a medical trainee who has volunteered to participate.

Participating in a research study is entirely voluntary. You can choose not to participate in this research study. You can also say yes now and change your mind later. Your decision to participate or not will not affect your academic or professional status.

If you agree to participate in this research, you may be required to complete self-directed learning materials and participate in an optional small group learning session of approximately 30 minutes. Your participation in this study will take less than two hours in total. The optional self-directed learning lasts approximately one hour, the optional small group session lasts approximately 30 minutes, and the pre- and post-surveys will take approximately five minutes each. We anticipate that 100 people will participate in this research study.

You can choose to stop responding to the survey at any time. You must be at least 18 years old to participate. If you are under 18, please stop now.

The possible risks for you by participating in this research are:

§ Spending two hours in an ineffective educational program

The possible benefits for you of participating in this research are:

§ Improve education in your institution

§ Learn about useful cardiology topics

To protect your identity as a research subject, no identifiable information will be collected (we will not collect your name or any identifiers). In any posting about this research, your name or other private information will not be used.

If you have any questions about this research, please contact the researcher at g[email protected] You can also call the Office of the Human Subject Protection Program at 212-824-8200. This project has been determined to be exempt from federal regulations on research involving human subjects.


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