UAB Coronary Care Unit (CCU)


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Cardiology Fellows will be assigned to the University CCU for several months during their  clinical training. They will be responsible for organizing the patient care activities in the CCU  under the direct supervision of the Cardiology faculty members assigned to the Cardiology Ward Services.   

Directors
William Rogers, MD
Silvio Papapietro, MD     

Faculty

General Cardiology Faculty

Duration

Several months during clinical training

Patient Population

Adult critically ill medical cardiology or post-procedure cardiac patients with life threatening: 

  • Arrhythmias
  • Cardiogenic shock
  • Acute myocardial infarction
  • Congestive heart failure
  • Cardiomyopathy
  • Post cardiac arrest
  • Intra-aortic balloon pump therapy
  • Left ventricular assist device
  • Angioplasty with stent and ablation therapy

Clinical Responsibilities

In the CCU:

    • Triage beds in the CCU.
    • Evaluate patients directly admitted to the Cardiology service.
    • Continue follow-up until patients leave the CCU.
    • See emergency cardiology consults on the floors who require expedited transfer to the CCU.
    • See cardiology consults in the Emergency Department (ED).


In the Emergency Department:

    • Evaluate the patient.
    • Make a joint decision (with the Cardiology admitting attending) about treatment:
    • discharge
    • admit to the ward
    • admit to the CCU
    • Record the evaluation and treatment plan in a detailed consult note.
    • Communicate patient status and treatment plan to:
    • ED attending
    • Medical Residents on the UH inpatient service  for admissions
    • Make follow-up arrangements for patients being discharged from the ED.


Other responsibilities:

    • Supervise the Internal Medicine Residents in the performance of procedures such as Swan Ganz catheter placement, placement of temporary pacemakers, ventilator management, etc.
    • Assist in the teaching of Internal Medicine Residents.
    • Conduct CCU morning report for the housestaff two mornings per week. Occasionally, the Cardiology Fellow will be asked to occasionally assist the nurse practitioners caring for patients in the HTICU in the performance of procedures.

Essential Skills

  • Clinical skills in the evaluation, diagnosis, treatment and follow-up of patients with acute cardiovascular disease
  • Communication skills with patients, families, and other members of the Healthcare Team

These skills include:
    • developing appropriate differential diagnoses
    • assessing the need for hospitalization
    • formulating diagnostic evaluation strategies and treatment plans
    • implementing treatment plans including outpatient follow-up for those patients not admitted from the ED

Through this rotation, the Cardiology Fellow will also:
    • Develop a comprehensive understanding of the indications, contraindications, techniques, and complications of the entire spectrum of diagnostic and therapeutic cardiovascular procedures.
    • Acquire skills in educating patients about these procedures and in obtaining informed consent.

Educational Outcomes

Cardiovascular Fellows successfully completing this rotation will have:

Developed basic clinical skills with patients that include:

    • evaluation
    • diagnosis
    • treatment
    • follow-up


Refined clinical skills, including:

    • Determining appropriate differential diagnoses.
    • Assessing the need for hospitalization.
    • Developing diagnostic evaluation strategies.
    • Developing treatment plans.
    • Implementing plans.
    • Providing outpatient follow-up for those patients not admitted from the ED.


Developed a comprehensive understanding of the entire spectrum of diagnostic and therapeutic cardiovascular procedures, including:

    • indications
    • contraindications
    • techniques
    • complications


Developed and refined communication skills with:

    • educating patients about the procedures
    • obtaining informed consent