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Monday 10 AM to 6 PM; Wednesday 10 AM to 6 PM; Thursday 10 AM to 6 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.
Location: New York
This outpatient US clinical experience will take place in the Bronx at the preceptor's office.
Outpatient US Clinical Experience in Cardiology
What you will do:
This is an outpatient experience under the supervision of a board-certified cardiologist who is Clinical Associate Professor at Albert Einstein College of Medicine. The preceptor holds hospital privileges at the Jack D. Weiler Hospital of the Albert Einstein College of Medicine and is involved in the education of cardiology fellows through hospital rounds and lectures. The attending is also on staff at Montefiore Medical Center, Jacobi Hospital, Mt. Sinai Hospital, and Columbia Presbyterian Hospital.
Over 30 plus years in cardiovascular medicine, the attending has made contributions in multiple areas, including patient care, teaching, and research. The physician is accomplished in research and is the recipient of many grants. The attending has published extensively in journals and books and enjoys serving as a reviewer for cardiology journals.
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). This includes the following:
Taking patient histories.
Performing physical exams under the physician's supervision.
Entering chart notes in EMR (EHI EMR)
Have opportunities to research the literature to answer clinical questions at the point of care.
Being involved in patient education.
Teaching other team members.
Have opportunities to give talks.
At the end of your workday, after you have entered your notes in the EMR, the preceptor will review your documentation and make any necessary corrections and give feedback. The preceptor encourages students to review these corrected notes so that they can see what improvements need to be made in their note-writing. Given the importance of documentation in the day to day work of residents in the U.S., this will be an excellent rotation to hone your written communication skills.
This preceptor will also push you to practice evidence-based medicine. You will learn about many studies in cardiology and how they form the basis for our treatment recommendations. Students rotating with this preceptor will also be given journal articles to read and learn how to appraise the literature in a critical manner. During your internal medicine residency, you will be expected to present articles during Journal Clubs and other conferences. Therefore, this experience will help you become a more effective presenter as you approach your residency training.
Please note that there may be as many as 6 rotators in the months of July, August, and September. During these months, students will see fewer patients per day. However, the patient evaluations performed in this practice are extensive and the amount of time spent per patient is longer than at typical practices. Therefore, the learning value will be high for the patients you see. In addition, you will be able to participate in discussions related to patients that other rotators are seeing.
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience in Internal Medicine or Family Medicine since cardiology problems are commonly encountered in these specialties.
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.
Dr. X's feedback during the rotation served as a great opportunity to learn how to document patient encounters, with specific encouragement to read latest, evidence-based management guidelines which increasing my understanding of physiology/pharmacology. I was also involved in taking patient histories, performing ECGs and basic observations, which helped me improve my clinical practice and soft skills. The opportunity to observe exercise stress-tests and echocardiography, with Dr. X explaining the purpose/interpretation of findings was interesting. I also had the opportunity to perform several physical exams on patients and listen to some murmurs. I found Dr. X to be a great teacher and the opportunity to do this rotation was an invaluable experience which I believe will be of great value to my career as a doctor. I am thankful to Dr. X for his time and guidance and would highly recommend this rotation for other students.