2019-2020 Electives Catalog

It is the students' responsibility to verify where and to whom they report before the start of each course no later than the Friday before the start of the rotation.

Tampa Instructions

Students in the SELECT (LVHN) program who rotate at one of the Tampa campus sites must contact Courtney Johns at cjohns2@health.usf.edu 8 weeks before the start of the Tampa elective (with the following information) to ensure that all appropriate hospital credentials are in place.

  • Name of elective
  • Site of elective
  • Dates of elective

LVHN Instructions

Students in the Core (Tampa) program who rotate at one of the LVHN campus sites should do the following:

    • Complete all links on this site (except CRIMINAL CLEARANCES)

Drop/Add open 4/9/19 - 01/31/20

  1. Drop/add requests must be submitted at least one month in advance of the rotation.
  2. Log into Archivum at https://usf.appiancloud.com.
    • Click on your "detailed student record"
    • Click Related Actions
    • Click Submit Drop Add Request
    • Select your track 
    • Scroll down to view your Eligible Courses to Drop. Click the plus sign (+) to the left of the course. If you make a mistake, you can click the red (x) to the right of the course.
    • Scroll down to Eligible Courses to Add
    • Select the Period
    • Begin typing the desired course in the Course field
    • (Optional) Select a Site
    • Find your course and click the plus sign (+) to the left
    • Click Submit
  3. To view your completed requests in Archivum

    • Click Academic Profile
    • Click your "detailed student record"
    • Click 4th Year Scheduling
    • Scroll down to view and click the magnifying glass for more information on individual requests.
    • Throughout the process, you will see a task bar letting you know what step you are on.
  4. Even though you have submitted a request, it is not approved until you receive an email from the Office of Registrar. Your schedule will not be changed until then. Your advisor and the course coordinator must both approve your request, then I will review your schedule and make changes as appropriate. Please make sure to review the requirements for the fourth year (20-21 Graduation and Track Requirements) to make sure your new schedule will be in compliance. When reviewing drop/add requests, I will take your entire schedule into consideration. For example, you will not be permitted to drop a required course unless you have submitted a request to add it in a different period. You may also view the Fourth Year Academic Calendar to determine the dates for each period.
    Drop/add closes 01/31/20.

  5. Electives Open/Closed Report - Please refer to this report when looking for courses that might have availability. This report will be updated on a weekly basis and does not reflect any pending requests still in the system. This report is meant to serve as a guideline.  

    Electives_OpenClosed_Report 1.24.20.pdf

     

     Instructions for Reading Report

    Please note: Changes are not automatic. There are three levels of approval (coordinator, advisor, registrar). Requests are typically processed within a 2-3 day window, but may be a little longer at the beginning of the year when many students make changes.

    The Electives Open/Closed Report lists each elective in each period, how many slots are offered, and how many have already been taken. For example:

    Period

    Prefix

    Numb

    Title

    Site

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    4 WEEK PERIOD

    MEL

    xxxx

    Elective Y

    USFMS

    8/3

    0/0

    0/0

    0/0

    8/6

    8/7

    0/0

    0/0

    8/6

    8/8

    8/5

    0/0

    Elective Y is offered in periods 1, 5, 6, 9, 10, and 11. (Period 12 is an extra month for remediation purposes.) There are a total of 8 slots available in each of those periods. 3 students are enrolled in period 1, so there are 5 slots available. Period 10 is full.


    For courses offered as a two-week rotation, the total number of spots in one period cannot exceed the number of slots. For example:

    Period

    Prefix

    Numb

    Title

    Site

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    2 WEEK PERIOD A

    MEL

    xxxx

    Elective Z

    TGH

    2/0

    2/0

    2/0

    2/0

    2/1

    2/0

    2/0

    2/0

    2/0

    2/1

    2/0

    0/0

    2 WEEK PERIOD B

    MEL

    xxxx

    Elective Z

    TGH

    2/0

    2/0

    2/0

    2/0

    2/1

    2/0

    2/1

    2/0

    2/0

    2/1

    2/0

    0/0

    4 WEEK PERIOD

    MEL

    xxxx

    Elective Z

    TGH

    2/0

    2/0

    2/0

    2/0

    2/1

    2/1

    2/1

    2/1

    2/2

    2/0

    2/1

    0/0

    Period A is the first half of the period, and Period B is the second half. In Period 5, the enrollment adds up to 2 people for the four weeks, one four week person, one two week person in A, and one two week person in B. For this course, there cannot be more than 2 students enrolled at any one time. Based on the report, in period 10, either one more student could register for the full four weeks, or one more student could be in both Period A and Period B

Special instructions for Pediatrics electives in Tampa

  • Any request to Drop/Add a Pediatric elective rotation must be FINALIZED AND COMMUNICATED TO THE ROTATION SITE no later than 1 month (30 days) prior to the start date of the rotation.
  • Therefore, a student MUST submit these requests at least 45 DAYS prior to the start date of the rotation.
  • In the event of extenuating circumstances where a student must drop a course after the designated drop period, the drop form requires the signature (non-electronic) of the Director of Pediatric Electives/Pediatric Track or his designee.  He/she should meet with the director to request this and discuss the reasons for doing so.

 

Course Key

See Course Key for a definition of sites.

Dept
Division
Course
Site
Periods
Pre-req
Max Enroll
Min Enroll
Hours/Wk
Weeks
Faculty
Type
Anat
 
 BMS 8187 Advanced Human Anatomy
 Click here for additional course information
Contact:
Dr. Srinivas Bharadwaj
snagaraj@health.usf.edu
Report to:
Contact Dr. Bharadwaj  at snagaraj@health.usf.edu
Description:
Advanced anatomy is an elective course designed to provide prospective students with an opportunity to review anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.
Objectives:
  1. Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines
  2. List the major pathologic processes that has a distinct gross anatomic correlate
  3. Outline the anatomic basis of procedures and associated complications
  4. Understand the structural organization of the human body to the interpretation of disease processes
  5. Develop experience and demonstrate competence in dissection/prosection techniques
  6. Develop in depth understanding of three-dimensional presentations of anatomy through prosection
  7. Develop the ability to work independently and responsibly, and interact with peers and Faculty
  8. Self-assess and communicate to peers and faculty their understanding of Anatomy
  9. Engage in teaching through interactive laboratory settings.
Rotation Activities:
N/A
Patient Encounters:
N/A
Evaluation:
Evaluation is based on completion of the assignments. Please see the syllabus. 
Syllabus:
Elective Syllabus 8187.pdf
Visiting Students:
No
Special Instructions:
SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.
USFMS
 1, 3 - 11
None
No Limit
0
44
2,4
Bharadwaj, Srinivas
Basic Science 
Anat
 
 MDE 8521 Applied Head and Neck Anatomy
 Click here for additional course information
Contact:
Dr. Hector Lopez-Cardona
lopezh@health.usf.edu
Report to:
Contact Dr. Bharadwaj  at snagaraj@health.usf.edu
Description:
Applied Head and Neck Anatomy is an elective course designed to provide prospective students with an opportunity to review relevant anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.
Objectives:
  1. Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines
  2. List the major pathologic processes that has a distinct gross anatomic correlate
  3. Outline the anatomic basis of procedures and associated complications
  4. Understand the structural organization of the human body to the interpretation of disease processes
  5. Develop experience and demonstrate competence in dissection/prosection techniques
  6. Develop in depth understanding of three-dimensional presentations of anatomy through prosection
  7. Develop the ability to work independently and responsibly, and interact with peers and Faculty
  8. Self-assess and communicate to peers and faculty their understanding of Anatomy
  9. Engage in teaching through interactive laboratory settings.
Rotation Activities:
N/A
Patient Encounters:
N/A
Evaluation:
Evaluation is based on completion of the assignments. Please see the syllabus. 
Syllabus:
Elective Syllabus MDE 8521.pdf
Visiting Students:
No
Special Instructions:
SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.
USFMS
 1, 3 - 11
None
No Limit
6
40
2
Bharadwaj, Srinivas
Basic Science 
Anat
 
 MDE 8522 Applied Anat of the MSK System
 Click here for additional course information
Contact:
Dr. Hector Lopez-Cardona
lopezh@health.usf.edu
Report to:
Contact Dr. Bharadwaj  at snagaraj@health.usf.edu
Description:
Applied Anatomy of Musculoskeletal System is an elective course designed to provide prospective students with an opportunity to review relevant anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.
Objectives:
  1. Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines
  2. List the major pathologic processes that has a distinct gross anatomic correlate
  3. Outline the anatomic basis of procedures and associated complications
  4. Understand the structural organization of the human body to the interpretation of disease processes
  5. Develop experience and demonstrate competence in dissection/prosection techniques
  6. Develop in depth understanding of three-dimensional presentations of anatomy through prosection
  7. Develop the ability to work independently and responsibly, and interact with peers and Faculty
  8. Self-assess and communicate to peers and faculty their understanding of Anatomy
  9. Engage in teaching through interactive laboratory settings.
Rotation Activities:
N/A
Patient Encounters:
N/A
Evaluation:
Evaluation is based on completion of the assignments. Please see the syllabus. 
Syllabus:
Elective Syllabus MDE 8522.pdf
Visiting Students:
No
Special Instructions:
SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.
USFMS
 1, 3 - 11
None
No Limit
6
40
2
Bharadwaj, Srinivas
Basic Science 
Anat
 
MEL 9999A Indep Study - Anatomy
USFMS
 1 - 11
None
No Limit
0
44
2,4
Bharadwaj, Srinivas
Indep Study
Anesth
 
 MDE 8700 Anesthesiology Elective
 Click here for additional course information
Contact:
Nan.Schwann@lvhn.org
(484) 866-9581
Report to:
CC OR – Anesthesia work room
Description:
The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student. Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.
Objectives:
The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 
Rotation Activities:
Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery. Preoperative examinations and assessments of patients are expected. Participation in the decisions of anesthetic drugs and anesthesia choice are required. Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthestic agents, and learn to problem solve basic anesthetic situations. Emphasis on airway management include placement of LMAs, LTDs, masking patients, and intubation via direct laryngoscopy and video laryngosocpy. Invasive procedures include arterial line insertions and central line placement. An introduction to peripheral regional blocks will be included for those students that express an interest. Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care. 
Patient Encounters:
Preoperative / Intraoperative Patients - Multiple
Evaluation:
Oral, practical, and/or written evaluations of medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.
Syllabus:
 
Visiting Students:
No
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
1
0
50
2,4
Schwann, Nan
Clinical
Anesth
 
 MDE 8700 Anesthesiology Elective
 Click here for additional course information
Contact:
Thomas Finney
Thomas.Finney@moffitt.org
Dr. Raymond Evans
Raymond.Evans@moffitt.org
Report to:
Second Floor MCB Anesthesia Department
12902 Magnolia Dr., Tampa, FL 33612
Description:
The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student. Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.
Objectives:
The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 
Rotation Activities:
Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery. Preoperative examinations and assessments of patients are expected. Participation in the decisions of anesthetic drugs and anesthesia choice are required. Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthestic agents, and learn to problem solve basic anesthetic situations. Emphasis on airway management include placement of LMAs, LTDs, masking patients, and intubation via direct laryngoscopy and video laryngosocpy. Invasive procedures include arterial line insertions and central line placement. An introduction to peripheral regional blocks will be included for those students that express an interest. Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care. 
Patient Encounters:
 
Evaluation:
Oral, practical, and/or written evaluations of medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.
Syllabus:
 
Visiting Students:
No
Special Instructions:
N/A
MCC
 1 - 11
Yr 4 Status
1
0
50
4
Evans, Raymond
Clinical
Anesth
 
 MDE 8700 Anesthesiology Elective
 Click here for additional course information
Contact:
Dr. Leland Lee
Leland.Lee@va.gov
(813) 972-2000, ext. 5157
(813) 610-9258 (cell phone)
Report to:
James A. Haley VA Medical Center
Room 2C-211 (second floor)
Monday at 8:00 AM (except for holidays)
Description:
The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine.  The course emphasis will be tailored to the medical specialty the extern expects to enter and skill set of the student.  Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.
Objectives:
The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 
Rotation Activities:
Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery.  Preoperative examinations and assessments of patients are expected.  Participation in the decisions of anesthetic drugs and anesthesia choice are required.  Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthetic agents, and learn to problem solve basic anesthetic situations.  Emphasis on airway management include placement of laryngeal mask airways, esophageal airway devices, bag masking patients, and intubation via both direct laryngoscopy and video laryngoscopy.   Invasive procedures include arterial line insertions and central line placement.  An introduction to peripheral regional blocks will be included for those students that express an interest.  Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care.
Patient Encounters:
The patient case types will depend on the medical specialty the extern plans to enter.
Evaluation:
Oral, practical, and/or written evaluations of the medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.
Syllabus:
 
Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Yr 4 Status
1
0
50
4
Lee, Leland
Clinical
Anesth
 
MEL 7320Z Externship - Anesthesiology
EXT
 1 - 10
Yr 4 Status
No Limit
0
44
4
Klein, Malcolm
Externship
Card
 
 MDE 8224 Consultative Cardiology
 Click here for additional course information
Contact:
Kelly Frenziz
(610) 402-3212
Report to:
Cardiology Cath Lab office on 3C at Cedar Crest
Call the Cardiology Fellow on Cardiology Teaching Service at (610) 402-2044 on first day of rotation.
Description:
This elective offers an opportunity to develop skills in the evaluation of patients referred for cardiology teaching service including primary cardiology patients and cardiac consults on the cardiology step down unit.
Objectives:
1. Demonstrate the knowledge and skills necessary to obtain a proper cardiac history. The student will pay special attention to and record medications, medication compliance, diet compliance, and risk factors for various cardiac diseases
2. Demonstrate proficiency in proper bedside physical examination
3. Be able to accurately assess the presence or absence of congestive heart failure, cardiac tamponade, basic murmurs of valvular heart disease such as mitral regurgitation, mitral stenosis, aortic stenosis, aortic regurgitation and tricuspid regurgitation, and the presence or absence of peripheral vascular disease and abdominal aortic aneurysms
4. Demonstrate basic electrocardiographic skills including an understanding of basic arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, multi-focal atrial tachycardia, ventricular tachycardia, and a basic diagnosis on the 12 lead ECG such as right and left bundle branch block, left ventricular hypertrophy, acute myocardial infarction, ischemia, WPW, and hyperkalemia
5. Infer heart size, presence of cephalization, infiltrate, pleural effusions, and pneumothorax by looking at a chest X-ray
6. Identify medical, interventional, and surgical therapies for basic cardiac syndromes such as myocardial infarction, unstable angina, chronic angina, congestive heart failure, valvular heart disease, hypertension, hyperlipidemia, and arrhythmia
7. Name and utilize a variety of clinical pathways and practice guidelines
8. Access and critically evaluate current medical information and scientific evidence
9. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education
10. Explain the principles of primary, secondary prevention and risk modification
11. Summarize the indications and diagnostic yield of various cardiac studies and therapeutics
Rotation Activities:
Students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated.
Students will participate in daily teaching rounds with intern, medical resident, cardiology fellow and teaching cardiologist.  
Attendance at various other weekly Cardiology Department teaching conferences is required.
Patient Encounters:
 
Evaluation:
Evaluation will be performed using the USF 4th year medical student evaluation form.
Syllabus:
 
Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
2
0
44
2,4
Jacobs, Larry
Clinical
Card
 
 MDE 8224 Consultative Cardiology
 Click here for additional course information
Contact:
Twyla Sumpter
tsumpter@usf.edu
Report to:
Contact Twyla Sumpter at least one week prior to the start of the rotation to determine your Cardiology Fellow.
Description:
The Cardiology Consultative elective rotation is an experiential patient based rotation with integrative didactics that exist, in part, from the ongoing curriculum designed for the education and training of fellows in Cardiovascular Diseases. The learner on rotation shall be a full participant on the Cardiology Consultative Service as directed by the supervising Fellow and Attending Physician.  Attendance and participation at Fellow’s Block Didactics, Heart Team Multidisciplinary Revascularization and Valve Conferences (each on a weekly basis) will provide for the organization, literature correlation and understanding of knowledge that is relevant to concurrent patient management. Team science will be a coincidently experienced and learned.
At the completion of the rotation it shall be expected that a face to face “360” between learner and teacher(s) will be provided to assure the learners goals and objectives have been realized and deficiencies identified, so that future learner plans may be derived. 
Objectives:
Learners shall:
1. Understand the question(s) framed from the originators of the consultative request and the answers to be provided for best outcomes of multidisciplinary care
2. Develop and perform the focused cardiovascular interview question(s) and review of cardiovascular systems that are relevant to the consultative request
3. Practice and refine the 5-point cardiovascular exam physical findings- general physical findings, interpretation of jugular venous pulse waveforms and pressure estimates, assessment of carotid pulse contour and dynamics, inspection and palpation of the precordium, and auscultation of normal heart sounds, abnormalities of heart sounds, and distinguishment of heart murmurs associated with valvular heart disease
4. Integrate the history and physical exam into efficient, appropriate, and cost effective test ordering for new diagnosis and ongoing management of prior or contemporarily defined cardiovascular problems
5. Interpret, with supervision, the objective testing performed including ECG, imaging modalities including chest X ray, echocardiography, cardiac CT and MRI scanning, and invasive testing including cardiac catheterization with associated hemodynamic and angiographic findings.
6. Provide differential diagnosis and understand the classification of disease states that pertain to the major burden of encountered diseases in an inpatient cardiovascular consultative service.  This would include, but not be limited to etiology, as well as Stages and Functional Class of Heart Failure(HF), Symptomatic Ischemic heart disease(SIHD), and therapies to be applied including pharmacologic, interventional, and surgical solutions for best patient outcomes.
7. Recognition and interpretation of ECG rhythms (heart blocks, tachyarrhythmias) and appropriate use of telemetry will be developed given the contemporary high utilization of inpatient telemetry. This will, when necessary, provide for collaboration with advanced electrophysiologic services.
8. Participate in an environment of inquiry (including psychological safety) for the development of research questions and projects that may provide for future professional training and research endeavors in cardiovascular diseases
9. Develop the communication and cooperation skills for collaborative care with the requesting service and other sub-specialty services (Critical Care Medicine, Infectious Diseases, etc.)
10. Recognize the need for ongoing management of patients with multiple co-morbidities and the timeliness of continuity of care and/or withdrawal from the care path of individual patients. 
Rotation Activities:
Students will perform all cardiology patient care activities as associated with the consultative service under the tutelage of the fellows.
Patient Encounters:
 
Evaluation:
The faculty will make performance evaluations from data derived from clinical discussions and didactic presentations by the student.
Syllabus:
 
Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Prida, Xavier
Clinical
Card
 
 MDE 8224 Consultative Cardiology
 Click here for additional course information
Contact:
Twyla Sumpter
tsumpter@usf.edu
Report to:
Contact Twyla Sumpter at least one week prior to the start of the rotation to determine your Cardiology Fellow.
Description:
The Cardiology Consultative elective rotation is an experiential patient based rotation with integrative didactics that exist, in part, from the ongoing curriculum designed for the education and training of fellows in Cardiovascular Diseases. The learner on rotation shall be a full participant on the Cardiology Consultative Service as directed by the supervising Fellow and Attending Physician.  Attendance and participation at Fellow’s Block Didactics, Heart Team Multidisciplinary Revascularization and Valve Conferences (each on a weekly basis) will provide for the organization, literature correlation and understanding of knowledge that is relevant to concurrent patient management. Team science will be a coincidently experienced and learned.
At the completion of the rotation it shall be expected that a face to face “360” between learner and teacher(s) will be provided to assure the learners goals and objectives have been realized and deficiencies identified, so that future learner plans may be derived. 
Objectives:
Learners shall:
1. Understand the question(s) framed from the originators of the consultative request and the answers to be provided for best outcomes of multidisciplinary care
2. Develop and perform the focused cardiovascular interview question(s) and review of cardiovascular systems that are relevant to the consultative request
3. Practice and refine the 5-point cardiovascular exam physical findings- general physical findings, interpretation of jugular venous pulse waveforms and pressure estimates, assessment of carotid pulse contour and dynamics, inspection and palpation of the precordium, and auscultation of normal heart sounds, abnormalities of heart sounds, and distinguishment of heart murmurs associated with valvular heart disease
4. Integrate the history and physical exam into efficient, appropriate, and cost effective test ordering for new diagnosis and ongoing management of prior or contemporarily defined cardiovascular problems
5. Interpret, with supervision, the objective testing performed including ECG, imaging modalities including chest X ray, echocardiography, cardiac CT and MRI scanning, and invasive testing including cardiac catheterization with associated hemodynamic and angiographic findings.
6. Provide differential diagnosis and understand the classification of disease states that pertain to the major burden of encountered diseases in an inpatient cardiovascular consultative service.  This would include, but not be limited to etiology, as well as Stages and Functional Class of Heart Failure(HF), Symptomatic Ischemic heart disease(SIHD), and therapies to be appli