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Monday - Friday 8:30 AM to 4:30 PM
Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.
This inpatient and outpatient US clinical experience will take place in Greensboro, North Carolina (1 hour from Raleigh).
Inpatient/Outpatient US Clinical Experience in Cardiology
What you will do:
You will be under the supervision of a physician who is board-certified in cardiology. The doctor is on staff at Moses Cone Memorial Hospital and Wesley Long Hospital. The preceptor is actively involved in the education of family medicine residents at Moses Cone Memorial Hospital. Residents rotate with the physician during their cardiology elective, and the doctor lectures to them regularly.
This rotation will take place in the doctor's cardiac center. You will also accompany the preceptor for rounds in the hospital and be able to observe procedures in the inpatient setting. Please note that at times you will work with one of the doctor's colleagues. This will enrich your experience because of the varying perspectives you will receive from the different attendings.
Because of the high volume of patients seen in the practice, you will encounter patients with a wide range of cardiac problems. As you accompany the preceptor from one room to another, you will see how a physician with an excellent bedside manner can make a strong impact on patients even during shorter encounters.
In the patient's room, you will be integrated into the clinical encounter and be able to refine important skills under supervision. For example, many of our rotators have been able to hone their skills in the cardiovascular exam under this preceptor's tutelage. As a future trainee, being comfortable and confident with cardiac auscultation is an essential skill. The evidence, however, indicates that many internal medicine residents in the U.S. lacks these skills with one study showing that the correct assessment on auscultation was made in only 22% of patients.
The preceptor is also an expert in EKG interpretation and will guide you in strengthening your skills in this area. This will be crucial for your development into a competent resident. According to one study, first-year internal medicine residents were only able to correctly interpret EKGs half of the time. Of note, 10% missed acute MIs, 40% missed ventricular tachycardia, and 87% missed complete heart block.
After a few days of observation, you will take on an increasing role in patient care (please note that this is not a shadowing observership; you will be actively involved in patient care):
Taking patient histories.
Performing physical exams under the physician's supervision.
Writing or entering clinic progress notes.
Researching the literature to answer clinical questions at the point of care.
Spending time with other healthcare professionals in the office to understand their roles and responsibilities.
The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience in family medicine, internal medicine, or cardiology.
How to obtain a letter of recommendation:
The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
During the rotation:
Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.
They maintain a highly positive environment and this preceptor is very friendly. I learned a lot more than I expected. I would highly recommend this rotation to anyone who has more interest in cardiology.