Advanced Cardiology

Course
Semester
Spring
Year
2022
Faculty and Staff Information

Course Director: Anne Corrigan MS DVM MS DACVIM (SAIM), Professor. 

  • Email: acorrigan@sgu.edu
  • Office Location: Cassia Bldg. 2nd floor, office phone #3441

Executive Secretary: Mrs. Frances Emmanuel, femmanuel@sgu.edu

Class: Mondays 1:30 pm -4:30 AST, from weeks 9- 13 (March 14th – April 11th )  One on one office hours available upon request.

Course Location

This course will be a hybrid (in person and zoom), using Sakai tools, Zoom,  Panopto, Assignments, and Discussion Forums. There will be SYNCHRONOUS sessions on week’s 9-13.  The location will be Charter Hall Laboratory, sessions 1-3, the SAC ultrasound room for the echo lab, and the SGU HI FI SIM LAB for the final lab and examination. The in-class activities will be recorded, the echo laboratory and the final exam will be in person for all students on island, and via ZOOM for our distance learning students.   You must participate in the in person/zoom sessions. If you must miss a class-you will lose professionalism points, and you will have to make up the participation points and class activities in the forums.  It is mandatory that you attend the synchronous sessions in person if on island, or via if you are not in Grenada . 

Required Resources

Students will need a functional laptop and reliable internet connection.  

Panopto lecture slides and/or lecture notes will be provided as pdf files.  The slides will be accessible for digital notes.  For certain lessons, scientific articles, videos, or other references will be assigned and will be provided via Sakai.  

All lectures will be recorded and distributed via Panopto. 

The main references for this course are: 

Textbook of Veterinary Internal Medicine, Editor Ettinger, Publisher Saunders, 8th edition. 

Small Animal Critical Care Medicine, Editors Silverstein & Hopper, Publisher Elsevier, 2nd edition.   

JAVMA ECG’s of the Month

ACVIM Cardiology Abstracts

Recommended Resources

Videos and articles will be posted on SAKAI.

Accommodation
  1. Students with disabilities who need accommodations should contact Student Accessibility and Accommodations Services (SAAS), located in the Dean of Students Office.
  2. Information can be found at mycampus.sgu.edu/group/saas
Other Requirements

None

Course Rationale

To address special problems in Cardiology including: a review, critical evaluation and comparison of current literature and research topics. To practice advanced auscultation. To practice and evaluate electrocardiograms. To practice and evaluate echocardiograms. To review current interventional cardiac therapy, both surgical, medical and pharmaceutical management. To review CPCR  and emergency drugs. Practice calculating the mean electrical axis. To practice case management and to present a full case in a professional format. To practice client communication.

Course Learning Outcomes

Upon successful completion of the course the student should be able to:  

  1. Extrapolate relevant clinical data from presenting complaints, clinical signs, history, and physical examination for cardiology patients including emergency and critical care considerations. 
  2. Use relevant clinical data to create differential diagnosis list for cardiac conditions.
  3. Use relevant clinical data to select and interpret appropriate diagnostic testing, including referral to diagnose a disease. 
  4. Use clinical data to design an appropriate treatment plan and determine the prognosis for diseases, including a consideration of antimicrobial resistance. 
  5. Recognize emergency presentations and considerations for cardiology patients. 
  6. Formulate appropriate client communications regarding history, diagnostics, treatment and prognosis. 
  7. Recognize zoonotic and contagious disease routes of transmission, associated risks in workspace, and select patients for isolation.
  8. Review CPR literature and discuss important patient considerations for appropriate CPR and crash carts. 
  9. Calculate the MEA. 
  10. Watch and discuss/ participate in a cursory cardiac evaluation with the SAC ultrasound machine, be able to discuss the different views and measurements. 
  11. Practice auscultation skills.
Lesson Learning Outcomes

SAMS 531 LLO’s

  1. Recognize and utilize appropriate terminology, for both veterinary professionals and clients 
  2. Evaluate a current ACVIM Cardiology research abstract and construct a professional presentation  Evaluate a current ECG case report and construct a professional presentation 
  3. Discuss CPR, crash carts and appropriate teamwork 
  4.  Interpret and discuss advanced ECG’s, and be able to calculate the MEA   
  5. Understand EBVM: Appraise and discuss current research articles on interventional cardiology, the history of veterinary cardiology, cardiac drugs and appropriate use, echocardiography, and crash cart development 
  6. Discuss echocardiography skills 
  7. Understand and use appropriate scientific terms, abbreviations, and echocardiography views 
  8. Practice auscultation skills 
  9. Discuss signalment, clinical signs, relevant history, auscultation findings and diagnostic testing to diagnose a variety of cardiac diseases 
  10. Create a personal statement reflecting on the topics discussed.
Alignment of Course Learning Outcomes with Program Learning Outcomes

Course Learning Outcome

SGUSVM Program Learning Outcome

1. Extrapolate relevant clinical data from presenting complaints, clinical signs, history, and physical examination for cardiology patients including emergency and critical care considerations. 

1 2 3 4 7, 25

2. Use relevant clinical data to create differential diagnosis list for cardiac conditions.

1, 2, 3, 5, 6, 20

 3. Use relevant clinical data to select and interpret appropriate diagnostic testing, including referral to diagnose a disease.  

1 2 3 5 6, 20, 21, 25

4. Use clinical data to design an appropriate treatment plan and determine the prognosis for diseases, including a consideration of antimicrobial resistance.  

3, 4, 5,  6, 21, 26

5. Recognize emergency  presentations and considerations for cardiology patients.

1, 2, 3, 4, 5, 6, 25

 6. Formulate appropriate client communications regarding history, diagnostics, treatment and prognosis.  

12, 19, 27

7. Recognize zoonotic and contagious disease routes of transmission, associated risks in workspace, and select patients for isolation.

18, 26

 8. Discuss CPR on a model and discuss important patient considerations for appropriate CPR and crash carts.  

1,2, 5, 11, 14, 21, 25, 28

9. Calculate the MEA.  

1, 2, 4, 6  11, 23

10. Watch and discuss a cursory cardiac evaluation with the SAC ultrasound machine, be able to discuss the different views and measurements.  

1, 2, 3, 4, 6, 11, 20

11. Practice auscultation skills.

1, 2, 3,  

12. Practice professional presentations and EBVM

6, 11, 12,15,  28

Course Schedule

Week

ZOOM DAYS

 ACTIVITES

Expected time

Assessment

Week  9

1st week

 

March  14th

130420 AST

Readings:  

Gordon and Nelson et al

Statistics Simplified To do:  

  • Post “What I had to look up” from Gordon and Nelson et al (5 points)
  • Read and post on a classmates/Ask a question on their “What I had to look up”  (5 points)
  • Pick your abstracts on Sakai (you will present this on weeks 2 or 3)
  • We will ASSIGN your ECG’s of the Month during this! (You will present in weeks 2 or 3)

Lecture: Course introduction and design 

Laboratory: MEA and Advanced ECG’s

 

Discussion:  Participation to discuss readings OR Forum Posts

 

2 hours

1 hour

5 min

5 min

5 min

5 min

 

 

 

 

 2 hours

 Forums/Discussion posts:

 5 points

 5 points  

 

Week  10

2nd week

March  21

130420  AST 

Readings: 

  • The History of Veterinary Cardiology
  • Listen to Ettingers Cardiac Sounds

To Do: 

  • Discuss your FAVORITE BIT from the  History of Veterinary Cardiology and AND
  • Comment on another student’s post

Participate in Forums Post Discussion - 

  • Murmur Forum: Research a murmur and create a forums post about the possible rule outs.
  • ASK a question on another’s post.
  • Arrhythmia Forum: My favorite arrythmia and WHY?  

Lecture/Zoom:  Presentations:  

Groups 1 and 2: Abstracts.

Groups 3 and 4:  ECG’s of the Month

 

 

 2 hours

 

30 min

15 min

 

5 min

15 min

      

2 hours

 

 

 

 

 5 points

 5 points

 5 Points

5 points

 5 points

 

presentation: 15 points

Discussion Question: 5 points

 

Week  11

3rd week

March  28

130420 AST  

Readings: EPIC paper

To Do: prepare your abstract presentation, post on Forums, LIVE/ZOOM presentation

Forums post:  What I had to look up/Interesting points of the EPIC study  

Lecture/Zoom:  Presentations: 

Group 1 and 2:  ECG’S of the Month

Group 3 and 4:   Abstracts.  ECG’S of the Month

Discussion: you MUST ask a question of each presentation. This is to promote discussion and understanding.

2 hours

 2 hours

 

 5 min

 

 

 

5 points

 

Presentation: 15 points

 Discussion Question: 5 points

 

Week  12

4th  week

April 4  12-2   130420 AST

SAC

ECHO

ROOM  

Readings:  ACVIM Canine and Feline Consensus statements

To Do: 

Watch the Echo intro video BEFORE the lab post on forums and attend lab at the SAC/Zoom. 

Forums post:   ACVIM Consensus statements what I had to look up/interesting points

ECHO Laboratory!  Meet at the SAC. 

Group 1—130 pm AST

Group 2—230

Group 3—330 

Group 4—430 

Discussion:  Echo techniques and concerns, consensus statement discussion. 

3 hours

 

 

 13 min

 

 

 2 hours

 

 

 

5 points

 

 

Week  13

5th week

April 11  12-2 

SGU HI  Fidelity

SIM

LAB

 

Readings:

Review Recover guidelines  

To Do: write your personal reflection assessment, complete the crash cart homework assignment

FINAL EXAM:  please wear scrubs, +\- white coats, close toed shoes, bring your stethoscopes and a pencil.  

Discussion: Can review any examination station.

 

20 min MAX

1 hour

1 hours


hours

Crash Cart homework: 10 points

Personal Reflection: 5 points

 

 

 

Grading and Assessment Policy

Grading scale complies with SGU and SVM assessment guidelines:   

Total grade in the course will be based on 150  total points: 

  • Presentations: 30 Points 
  • Discussion Questions: 10 points
  • Crash Cart Assignment: 10 points 
  • Zoom/Forum discussions: 45 points
  • Self-Reflection: 5 points
  • Final Examination: 50 points
  • NOTE the engagement/professionalism rubric and the presentation rubrics in appendices

Instructions for Assignments:   ECG’s of the Month  

  • Individual powerpoint presentations
    •  1 slide of signalment and history 
    • 1-2 slides of ECG 
    • 1 slide of diagnosis 
      • 1-2 or 3 slides with bullet points of explanation
      • 1 slide of your discussion of new information,
      • What I had to look up!! 
      • 5 minutes!!!! 
  • ACVIM Abstracts  o Pick 1 abstract, sign up day 1 o Present the abstract o 1-2 slides major concepts  o 1-2 slides about new information o 1-2 slides about words/drugs/concepts o What I had to look up!!!  o 1 slide of how this could/will increase our knowledge/why is this important o 5 minutes !!! 
  • Writing Assignment   o Written paragraph (~250 words) submitted via Sakai
    • New concepts you encountered/ new ideas that were interesting to you o New topics that you will continue to pursue in the literature 
    • Any topic that was discussed in an abstract that you think should be included in the SAMS 524 course.  o Can add in a course critique to help me make the course better
  • Discussions  o  You MUST read your assigned article AHEAD of time  o I will post them electronically on SAKAI
  • You will be called on to discuss a portion of the paper with the class  o     You will have to show your knowledge base and discuss: 
    • Introduction 
    • Materials and methods 
    • Discussion
    • Problems you had with the paper
    • Content/ Experimental Conclusions  
    • Application to clinical practice 
    • Things that you had to look up to understand

Engagement/Professionalism Rubric:

Criteria                        Expected                                       -5%                                                -10%                                         -15%  

Lectures Checklist  

Attends all  lectures.

Miss one  lecture

Miss 2 lectures.

Miss more than 2  lectures. 

Forums

Posts /Presentation

  

Completes all the  forums/in class discussions tasks and follows all directions.          

Miss one forums discussions tasks and/or  follows most directions.  Any unprofessional behavior during a presentation.  

Misses 2  of the forums discussions tasks  and follows most to some directions. 

 

Misses > 2  forums discussions tasks   or doesn’t follow directions. 

Assignments   

 

Completes all the course Assignments for the term in a timely manner and shows integration of thought of course material. 

Completes most  (90%) of the Assignments for the term in a timely manner and shows integration of thought of course material. 

 

Completes some  (70-89%) of the Assignments for the term in a timely manner, and/or shows partial  integration of thought of course material. 

 

Completes less than 70% of the Assignments for the term in a timely manner, or shows little integration of thought of course  material. 

Presentation Grading Rubric:

Category  

Exemplary (3)  

Proficient (2)  

Developing Skills (1)  

Insufficient (0)  

Completed assignment in time. (20%) 

Assignment submitted on time. 

Assignment submitted <48 hours past deadline with no documented excuse. 

Assignment submitted 48 hours to 1 week late with no documented excuse. 

Assignment submitted >1 week late with no

documented excuse. 

Followed assignment instructions.

(20%) 

Assignment instructions were followed thoroughly. 

Most of the assignment instructions were followed thoroughly. 

Some of the assignment instructions were followed thoroughly. 

Less than acceptable following of assignment instructions occurred. 

Integration of knowledge into answers. (20%) 

Answers showed superb integration of knowledge. 

Answers showed proficient integration of knowledge. 

Answers showed average integration of knowledge. 

Answers showed poor integration of knowledge.

Organization and

clarity of formatting. (20%) 

Presentation was clearly organized, easy to read, with clear formatting and font/writing. 

Presentation was mostly organized, mostly easy to read,

 with mostly clear formatting and font/writing. 

Presentation was somewhat organized, but some issues made reading unclear, or unclear formatting, font, or writing. 

Presentation was not organized, were difficult to read, due

 to font, writing, or formatting. 

Recommended Study Strategies

Assignment and due dates are fixed, but if you fall ill, or have an excused medical absence, you will have until the last day of the term to complete assignments, you will lose points for late assignments.  Please submit excuses via the Dean of Students (Dr. Bhaiyat) and he will notify the course director.  The material in this course will be integrating much of what you have learned in other courses, so get out your old course material and refer back to it for best learning.  

  • Read the assigned readings and come prepared to discuss them, participate in class discussions, review the Ettinger cardiac sound recordings. Please discuss any concerns with Dr. Corrigan.
  • Class attendance and participation are mandatory, many points are based on discussion.
Instructor's Expectations of the Student

Please read all assigned readings ahead of time, this course Is primarily a discussion course so participation will be necessary.  During the presentations, be attentive and polite to the other speakers. 

Professionalism Statement

Students attending St. George’s University are expected to conduct themselves with integrity, dignity, and courtesy, according to a code of conduct that defines the interests, reputation, and stature of the University community.  Learning experiences at St. George’s University are not only meant to develop strong academic skills, but also to cultivate students with positive professional attributes, who are well adjusted to the norms of social graces and good social behavior.  

The Code of Conduct includes student comportment and the honor code, as well as those actions that warrant disciplinary action.  The University reserves the right to take any action that is sees fit to protect the rights of the student body, as well as the reputation of the University.  

 Abuses of this Code, outlined in the student manual, will result in disciplinary action, which may include suspension or dismissal.  It is the responsibility of all students to know the University Code of Conduct.  It is required that all students abide by the terms of the University Code of Conduct.

Attendance/Participation Policy

Students are expected to be available during the standard 8:30am-5:20pm AST school day, to attend, engage with in-person/online content, and participate in all classes and clinical rotations for which they have registered. Employment is not an excusable absence. Although attendance, engagement, and participation may not be recorded at every academic activity, attendance, engagement, and participation is graded for mandatory sessions. Students’ lack of attendance, engagement, and participation may adversely affect their academic status as specified in the grading policy.     5  If failure to attend, engage, or participate in individual classes, examinations, and online activities, or from the University itself is anticipated, or occurs spontaneously due to illness or other extenuating circumstances, proper notification procedures must be followed

Attendance and active participation in ALL live/zoom sessions is expected. Attendance, engagement, and participation WILL be recorded at every academic activity,  

Policy Regarding Missing Examinations and/or Failure of Submission of Assignments

Students who fail to attend an examination or submit an assignment by the deadline without a valid reason (see student manual: SGUSVM POLICY ON AN EXCUSED ABSENCE (EA) FOR STUDENTS) will receive a score of “0” points for the examination. Students who have technical issues during examinations MUST inform the course director (tguttin@sgu.edu) and IT (tellexaminationservices@sgu.edu OR support@sgu.edu OR call 1-631-665-8500 ext. 4444 (US, NU, International) OR 1-473-439-2000 ext. 4444 (Grenada), AND Dean of Students (DOS@sgu.edu) during the open period for the examination. Failure to do so immediately will result in the student receiving a score of “0” points for the examination.   Scheduling of examinations (regular, re-sit, completion,  comprehensive, or exemption) is at the discretion of the University. Completion exams will be scheduled within 7 days of the original exam date. Resit examination will be scheduled in the first week of the following term XIX. ExamSoft policy

All students are responsible for knowing and complying with the University’s Code of Conduct and the guidelines. Students must read and then sign the Honor Code statement at the start of examinations to indicate that they will comply with the University Code of Conduct. 

 No exams using Examsoft will be utilized in this course. 

ExamSoft Policy

N/A

Copyright Policy

The materials (such as slides, handouts and audio/video recordings) provided to students who are taking courses at St. George’s University (SGU) are the intellectual property of the Faculty and/or Administration of SGU. Students are free to use these materials solely for the purpose of group or individual study. Reproduction in whole or in part is prohibited.

School of Veterinary Medicine Master Syllabus — Info for All Sections

ExamSoft Policy

All students are responsible for knowing and complying with the University’s  Code of Conduct and the guidelines. Students must read and then sign the Honor Code statement at the start of examinations to indicate that they will comply with the University Code of Conduct. 

 

Prior to Exam Day

  1. Each student is required to have a laptop for the purpose of taking computer-based examinations (e-Exams) at SGU. Students must ensure that their laptops meet the current minimum system requirements prior to exam day:
  2. Examinees must use their MY SGU Member Center username and password to access the Custom Home Page (www.examsoft.com/sgu) created by ExamSoft for the University.
  3. Examinees are responsible for downloading and registering the latest version of Examplify on their laptop prior to exam day. Once Examplify has been successfully downloaded, examinees are strongly encouraged to familiarize themselves with the software by downloading and taking practice exams.
  4. Examinees are responsible for setting their laptop up for ExamMonitor prior to the exam (see links below).
  5. Examinees will be notified via MyCourses, of all exam related information. Email notifications will also be sent from ExamSoft Support to examinees, notifying them of examinations available for downloading.
  6. Examinees experiencing difficulties with their laptop are encouraged to visit the IT department for assistance prior to exam day. Examinees needing a laptop must visit the Office of Institutional Advancement (OIA) to request an exam loaner.
  7. Examinees should visit the following information to familiarize themselves with the online proctored exam format and set up their baseline photo.
Disclaimer

Copyright Policy

The materials (such as slides, handouts and audio/video recordings) provided to students who are taking courses at St. George’s University (SGU) are the intellectual property of the Faculty and/or Administration of SGU. Students are free to use these materials solely for the purpose of group or individual study. Reproduction in whole or in part is prohibited.