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Cardiovascular Fellowship Curriculum University of Pittsburgh Medical Center UPMC Presbyterian UPMC Shadyside Veterans Administration Medical Center Outpatient Services Goals and Objectives Educational purpose and rationale or value as part of training of a cardiovascular specialist The rotation of the cardiovascular fellow as a consultant in outpatient cardiology is a critical aspect of the fellows training in that the average non laboratory based adult cardiologist spends approximately 30 40 percent of his her time in the outpatient department evaluating both new referrals as well as established patients At the present time all of our second and third year fellows are board certified in internal medicine and all of our first year fellows are board eligible in internal medicine As such they have had considerable experience in their medical residency training in general consultative services They are all already competent in obtaining a general history and performing a general physical examination During the three years of one half day per week continuity clinic they will become skilled in obtaining a detailed cardiovascular history and performing a complete cardiovascular physical examination By having continuity of care for a patient throughout the three year period they will become familiar with the role of aging and psychogenic factors in the production of symptoms and emotional and physical responses of the patient with cardiovascular disease They will also become familiar with the importance of preventive care and rehabilitative aspects of the management of patients with known or potential cardiovascular disease All fellows will develop the interpersonal and communication skills that result in effective information exchange with patients their families and other health professionals particularly referring physicians They must demonstrate that their patient care is compassionate appropriate and effective for the long term management of their patients During the



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