Image: Quincy, Illinois Family Medicine Residency Program
Image: 612 N. 11th, Suite B, Quincy, IL, 62301, 217-224-9484, Fax: 217-224-7950
Email link: quincyfpinfo@siumed.edu
Curricula Descriptions

Adult Medicine Curriculum - Cardiology

Goals: Broad, General
Cardiology is core to family medicine from the newborn exam in the nursery to monitoring of diet and exercise during well child exams, smoking prevention counseling during adolescence, wellness counseling and cholesterol monitoring during young adulthood to treatment of patients with angina, MI and CHF in later life. Understanding the pathophysiology and treatment of this disease process will occupy a majority of your practice in family medicine.

No other organ system merges with today’s rapidly changing technology and with the human condition as much as this one. You will not be successful unless you master this didactic material and understand how to apply it. Your illness prevention strategies won’t work if you don’t understand how to present them to the patient. Many patients have chronic conditions that, despite our technology, will worsen over time. For example, you need not have a clear understanding of the pathophysiology of CHF but also to understand how patient compliance, emotions and expectations play a role in treatment of this condition. It is also important to be able to discuss end-of-life decisions with patients in advance of crisis situations, to comfort family members when a patient passes, even using this opportunity to effect preventive strategies for that patient’s family to lessen their own cardiovascular disease process. This rotation will have a dual learning path for you. During this month you will focus on the inpatient/outpatient treatment of cardiovascular disease and you will spend most of your time with a cardiologist. This is very important but it should be integrated with your long-term learning experience. Your experience in clinic, noon conference, and on the family practice service are just as important.

Remember, however, that caring without science is well-intentional kindness, but not medicine. On the other hand, science without caring empties medicine of healing and negates the great potential of an ancient profession. Caring and science are essential to doctoring.
Objective Continuity of Care Resources Mechanism / Evaluation CME/Noon Conf Rotation Cycle Faculty Responsible
1. The QFMR resident will be able to respond to a cardiovascular emergency. ER Experience Classes given in Quincy and Springfield Resident responsible to give certificate to Mary Ann Epley Pass - CPR, BLS, ACLS, PALS, NRP Certification required before graduation - CPR, BLS, ACLS - the first 6 months Mary Ann Epley
2. The QFMR resident will be proficient in interpreting an ECG. Review all ECGs ordered with faculty during clinic and hospital Text in Supervisor Library

UpToDate.com

MDConsult
Complete During program text or equivalent

Have cardiologist over read 10 of your EKGs
Noon Lecture - (could be IM/FP with interest expertise or cardiologist) During cardio m month, complete text
Read ECGs with cardiologist or Dr. Kragel (Extra experience available)
Lorraine LaLond
3. The QFMR resident will be proficient in primary care pediatric cardiology topics. Will attend clinic with pediatric cardiologist when in town

Assist with preparticipation sports physicals
Text in Supervisor Library

UpToDate.com

MDConsult
Evaluation by clinic and Pediatric Sick Nursery 65 During Pediatric Sick Nursery rotation Lorraine LaLond

Mary Ann Epley
4. The QFMR resident will be familiar with the care of patients with cardiovascular disease in the hospital and acute setting ER Call

Care of residents own patients in hospital during second and third year
Text in Supervisor Library

UpToDate.com

MDConsult
Rotation evaluation

Read AAFP Monograph written by J.Daniels and J.Kruse on Coronary Artery Disease and MI. Take Test
Noon Lecture
/Round Lecture

--Acute MI
--CHF
--Chest pain
--Stroke
Will occur during

--ER rotation
--ICU
--Medicine
--Family Practice
--Cardiology
All faculty

Lorraine LaLond

Mary Ann Epley
5. The QFMR resident will be familiar with the care of patients with cardiovascular disease in the outpatient setting FP Clinic Text in Supervisor Library

UpToDate.com

MDConsult
Each resident will give a noon conference on a topic in this area before graduating. Should be of the scope that could be submitted to the AFP BP management,
Management of Cholesterol,
DM - J. Kruse (cnf)
Evaluation of Syncope - T.Miller (cnf)
Evaluation of heart murmurs - cardiologist (cnf)
Peds Murmurs - T. Miller (cnf)
FP Continuity Clinic

Cardiology Clinic
Dr. J. Daniels
Lorraine LaLond
6. The QFMR resident will recognize the psychosocial and economic impact of cardiovascular disease on the individual and family FP Clinic Text in Supervisor Library

UpToDate.com

MDConsult
During FP rotation will discuss with patient and family health care decisions - with faculty, I.e. family conference
- This will coordinate with Behavior Science block - interview skills, etc videotape
End of Life Decisions
Recognizing Stages of Change
Smoking Cessation
Dietary Counseling
Exercise and Prevention
Behavioral Science Shirley Longlett
Rhonda Kewney
7. The QFMR resident will understand the importance of prevention strategies for preventing cardiovascular disease FP Clinic Text in Supervisor Library

UpToDate.com

MDConsult
During Community Medicine/OM Block -- the resident must:
- get FLP checked
- do health appraisal of self
- include dieting and exercise
- stress reduction
.. Community Medicine
Occupational Medicine
Dr. J. Daniels
Dr. T. Miller
Dr. J. Kruse
Mrs. Longlett
Mrs. Kewney
8. The QFMR resident will demonstrate proficiency in procedures related to the care of the patient with cardiovascular disease FP Clinic Text in Supervisor Library

UpToDate.com

MDConsult
Document what Blessing Hospital requires for a:
- Central Line
- Chest Tubes
- Code Blue
- If resident desires, he/she may become proficient in treadmill testing
.. ICU
Hospital rotation
Dr. T. Miller
Dr. J. Kruse

QFMR Contact: James Daniels, M.D.
Last Revision: 8/17/07

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