This course is a pilot for how to standardize the teaching of high-yield cardiology topics for medical students.
With this optional course, I hope to help you learn the basics of management of three important cardiology topics – acute coronary syndrome, heart failure, and tachyarrhythmia. The approach will be multifaceted and will start with self-teaching with a few short online videos and parts of articles. Then, students will meet in small groups for a session with an educator to go through practice cases. This will hold students accountable for preparing adequately and give them a chance to apply their knowledge.
The whole course is designed to take less than two hours in total (~one-hour flexible self-study, a 30min session, and a pre/post assessment). All parts of the course are optional.
Curriculum
Take the pre-course survey and quiz (<5 minutes).
Learn about acute coronary syndrome (less than 25 mins total). Watch this short online MedEd video (can watch on 1.5x speed) https://www.youtube.com/watch?v=pzM-uOOYccQ. See the Acute MI review from NEJM (attached) – this focuses on the management of Type 1 MI. If you’re tired, focus on the graphics/tables. See Figure 1 to notice the difference in pathophysiology between Type 1 and Type 2 MI. Read the “Univ Definition of MI” from Circulation (attached). Specifically, I would focus on Section 2, Section 6, and Sections 7.1 to 7.3. (three pages in total). Try to notice the difference between Type 1 or 2 MI and “myocardial injury.”
Learn about heart failure (less than 20 mins total). Watch this great video from the Cleveland Clinic (can watch on 1.5x speed). Make sure you understand how “wet” and “cold” changes management https://www.youtube.com/watch?v=Z3akxkoetRo. Check out some of the figures in the 2019 ACC article on patients hospitalized with heart failure (attached). It’s too long to read – I would focus on Tables 2 and 3, Figure 3, and Figure 6 (to understand diuretic dosing).
Learn about tachyarrhythmias (less than 20 mins total). Look at the UpToDate algorithm (attached) to learn the differential of wide vs. narrow and regular vs. irregular tachyarrhythmias. Think about the difference in management between a stable and an unstable or pulseless patient. Watch this awesome video by Strong Medicine on 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 30min fast-paced session to go through cases that will allow you to apply your knowledge. Post-course survey and quiz, <5 mins, link to be distributed after our group session.
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The purpose of this research study is to see if this style of teaching cardiology topics is engaging, satisfactory, and effective. You are being asked to take part in a research study because you are a medical trainee who volunteered to participate.
Being in a research study is completely voluntary. You can choose not to be in this research study. You can also say yes now, and change your mind later. Your decision on whether or not to participate will not affect your academic or professional standing.
If you agree to take part in this research, you will be asked to optionally complete self-directed learning materials and join in an optional ~ 30-minute small group learning session. Your participation in this study will take less than two hours in total. The optional self-directed learning takes ~ one hour, the optional small group session takes ~30 minutes, and the pre and post-survey will take ~ five minutes each. We expect that 100 people will take part in this research study.
You can choose to stop taking the survey at any time. You must be at least 18 years old to participate. If you are younger than 18 years old, please stop now.
The possible risks to you in taking part in this research are:
§ Spending two hours in an ineffective educational program
The possible benefits to you for taking part in this research are:
§ Improving education at your institution
§ Learning about helpful 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 publication 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 [email protected] You can also call the Program for the Protection of Human Subjects Office at 212-824-8200. This project was determined to be exempt from federal human subjects research regulations.
