PSYG09008 2022 Cardiac Physiology II
This module builds on Cardiac Physiology I Module. On completion of this module the learner should have further developed their conceptual and applied understanding of the role of cardiac measurements in the evaluation of a patient's condition. A student should acquire the necessary skills to enable them to work in a cardiac laboratory environment.
On completion of this module the learner will/should be able to;
Apply advanced clinical knowledge and technical skills in Cardiac Physiology to appraise Cardiac conditions and independently perform physiological measurements in the evaluation of patient conditions.
Critically evaluate a range of advanced equipment and techniques appropriate to investigate the presenting Cardiac condition, explaining the principles, indications, contraindications, limitations, and potential complications of specific techniques.
Demonstrate competence in the calibration and operation of specialist equipment while undertaking specified investigations in Cardiac Physiology, aligning with relevant standards and guidelines, and adapting techniques appropriately as required.
Describe how medication used in the treatment of Cardiac disorders can affect specific investigations.
Apply reference parameters accurately to interpret advanced diagnostic tests in Cardiac Physiology, compiling a comprehensive patient history and diagnostic report correlating with disease pathology.
Evaluate treatment options for Cardiac disorders and recognise the role of the Cardiac physiologist in patient management, suggesting or adjusting therapy as would fall under the practitioner’s scope of practice.
Communicate specialised knowledge of Cardiac conditions and testing procedures appropriately and apply patient-centred skills to patient education.
Portray a professional commitment to reflective practice, revising 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 expert practitioners to guide students using a case study approach, facilitating discussion, peer-teaching & learning, groupwork, problem-based learning and interpretation of measured data.
Experiential learning through hospital-based placement will be guided by specialists synthesising student learning and guiding in the use of clinical equipment and national and international standards to inform practice. 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.
Students undertake a final year project (FYP) during this final semester of study in tandem with their ‘major’ hospital-based placement affording learners an opportunity for applied learning through completion of a substantial body of work in a specified topic area independently under supervision.
The Cardiac Physiology I module is a pre-requisite to this module.
The student must be in attendance & log a minimum of 480 hours on their ‘major’ hospital-based placement in Cardiac Physiology.
Module Assessment Strategies
This module contains 'must pass' assessments. 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.
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.
- Implantable loop recorder:
- Transthoracic echocardiography
- Percutaneous coronary intervention - balloon and stent technology
- Plaque modifying technology
- Intracoronary imaging/ischaemia assessment technology eg IVUS, OCT, FFR
- Electrophysiology studies
- Obtain basic Echocardiogram images in 10 patients
- Perform basic VVI pacing check in 10 patients
- Perform single chamber ICD check in 5 patients
- Observe physiologist role in Cardiac angiography in 10 patients, if site provides service
Coursework & Assessment Breakdown
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Case Study Report & Presentation||Continuous Assessment||Assessment||15 %||End of Term||1,2,4,5,6,7,8|
|2||Reflective Log||Continuous Assessment||Assessment||5 %||OnGoing||8|
|3||ONGOING Clinical Competency Practical Assessment||Continuous Assessment||Assessment||10 %||OnGoing||1,3,4,5,6,7|
|4||FINAL Clinical Competency Practical Assessment||Continuous Assessment||Assessment||20 %||End of Term||1,3,4,5,6,7|
End of Semester / Year Assessment
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Cardiac Physiology II||Final Exam||Closed Book Exam||50 %||End of Semester||1,3,4,5,6,7|
Online Learning Mode Workload
|Lecture||Online||Cardiac Physiology II||2||Weekly||2.00|
|Tutorial||Online||Cardiac Physiology II||1||Weekly||1.00|
|Independent Learning||Online||Cardiac Physiology II||9||Weekly||9.00|
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