PSYG09003 2022 Cardiac Physiology I
This module focuses on the student applying their learning of cardiac measurements in the assessment of a patient and their conditions. The module will cover fundamentals in clinical cardiology to develop specialised knowledge and skill for the provision of cardiac testing. Students will apply knowledge, methods and principles of anatomical, physiological, pharmacological and technical skills, in a patient centred and professional manner.
On completion of this module the learner will/should be able to;
Compile a comprehensive patient history report and apply guidelines, indications, contraindications, and limitations for testing in a patient centred approach, modifying as appropriate.
Appraise basic cardiac physiology conditions and critically evaluate a range of equipment and techniques appropriate to investigate the presenting condition explaining the indications, contraindications, limitations, and potential complications of specific techniques demonstrating an understanding of relevant/potential treatment pathways.
Determine appropriate calibration methods and demonstrate operational techniques for the use of specialised equipment in cardiac physiology investigations.
Assess conceptual and applied specialized knowledge and skills of cardiac physiology measurements in the evaluation of a patient's condition.
Explain how medications used in the treatment of cardiac disorders can affect cardiovascular investigations.
Ascertain how to carry out, accurately report, and interpret diagnostic tests in cardiac physiology safely and in alignment with guidelines, applying reference values accurately.
Display a professional commitment to reflective practice and revises judgements and behaviour considering reflection.
Teaching and Learning Strategies
This module takes a blended learning approach.
Online lectures will expose students to relevant theory.
Lectures will be supported by online tutorials from recognised experts to guide students using a case study approach, facilitating discussion, problem-based learning and interpretation of data.
Experiential learning through hospital-based placement will be guided by specialists synthesising student learning. An observational competency-based assessment method will be used frequently across this module as a means of formative learning through feedback.
Leaners will be encouraged to commit to reflective practice and revise judgements and behaviour considering reflection.
Students will be directed to supports provided on the University eLearning platform including discussion forums, articles, websites, eLearning activities and recommended reading.
A formal agreement will be made with hospital sites as regards a quantum of protected time for the delivery of clinical education during placement hours to progressing scaffolded learning.
This module pre-curses Cardiac Physiology II Module.
The student must be in attendance & log a minimum of 300 hours on their ‘minor’ hospital-based placement in Cardiac Physiology.
Module Assessment Strategies
This module contains 'must pass' assessments (final exam and final clinical competency assessment). The minimum ‘pass’ mark for this module overall is 50%, in addition to meeting the minimum attendance requirement.
The student will be assessed on their ability to competently carry out clinical tests within this specialist area, as outlined in the indicative syllabus above and Clinical Training Manuals.
Observational competency-based assessment methods will be used frequently across this module as a means of continuous assessment and preparing students for a final competency assessment.
The students are required to submit an anonymised written case study which is summarised in an oral presentation.
Learners will also maintain a reflective log throughout their placement.
The final written exam will assess students' knowledge to practice through exam questions requiring application of theoretical concepts to practice examples or sample measurement data.
A ‘Pass’ overall in this module is a pre-requisite to undertaking Placement 4 (major Placement).
Where a student fails placement, they must repeat that placement.
Where a student fails an element of placement, that component(s) must be repeated.
Where the theory exam is failed, the student should resit that exam at the next repeat sitting.
Cardiac conditions and considerations when testing
Ambulatory Blood Pressure
Exercise Stress Testing
Diagnostic tests – interpretation, indications, contraindications, and limitations of testing
Recording of 12 Lead ECG, including demonstration of artefact and limb lead reversal
Holter Monitor set up and fitting
Blood Pressure Monitor set up and fitting
Performance of Exercise Stress Testing
Coursework & Assessment Breakdown
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Case Study Report & Presentation||Continuous Assessment||Assessment||15 %||End of Semester||1,2,4,5,6|
|2||Reflective Log||Continuous Assessment||Assessment||5 %||OnGoing||7|
|3||ONGOING Clinical Competency Practical Assessment||Continuous Assessment||Assessment||10 %||OnGoing||1,2,3,4,6|
|4||FINAL Clinical Competency Practical Assessment||Continuous Assessment||Assessment||20 %||End of Semester||1,2,3,4,6|
End of Semester / Year Assessment
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Cardiac Physiology I||Final Exam||Closed Book Exam||50 %||End of Semester||2,3,4,5,6|
Online Learning Mode Workload
|Lecture||Online||Full Time Delivery Mode Average Weekly Workload||1||Weekly||1.00|
|Tutorial||Online||Full Time Delivery Mode Average Weekly Workload||1||Weekly||1.00|
|Independent Learning||Online||Independent Learning||5||Weekly||5.00|
The ECG In Practice - John Hampton
ECG Workout: Exercises in Arrhythmia Interpretation
Burri, Israel and Deharo, 2015, The EHRA Book of Pacemaker, ICD, and CRT Troubleshooting, Case-based learning with multiple choice questions, Oxford University Press
Lancellotti, Zamorano, Habib and Badano, 2017, The EACVI Textbook of Echocardiography Second Edition, Oxford University Press
Glover and Brugada, 2021, Clinical Handbook of Cardiac Electrophysiology, Springer
European Heart Journal
The American Journal of Cardiology
JACC: Cardiovascular Imaging