Level-3
These modules are designed to be used by undergraduate medical students during their third-year internal medicine clerkship. They allow one-on-one experience with important cardiac and pulmonary disorders which they may have not been able to work-up on their inpatient or outpatient services. The course director may select tutorials which are to be required.
Please use headphones or earbuds when listening to the heart and lung sounds used in this program.
| Type | Topic | Title |
|---|---|---|
| Skill Proficiency Assessment | Assess learner's level 3 knowledge | Level 3 Assessment - Version A |
| Skill Proficiency Assessment | Assess learner's level 3 knowledge | Level 3 Assessment - Version B |
| Tool Box | A bank of common sounds and murmurs | Heart Sound and Murmur Library |
| Basic Science Correlation | Starling's Law | Basic Science Correlation: Starling's Law (8:30 min) |
| Basic Science Correlation | Valsalva Maneuver | Basic Science Correlation: The Physiologic Effect of the Valsalva Maneuver (5 min) |
| Basic Science Correlation | Squatting Maneuver | Basic Science Correlation: The Physiologic Effect of Squatting (10 min) |
| History Roadmap | Chest Pain - Angina | Cardiovascular History Roadmap - Chest Pain to Angina (15 min) |
| History Roadmap | Palpitation - Panic | Cardiovascular History Roadmap - Palpitation to Panic Attack (15 min) |
| History Roadmap | Palpitation - Supraventricular Tachycardia | Cardiovascular History Roadmap - Palpitation to Supraventricular tachycardia (15 min) |
| History Roadmap | Syncope - Bradycardia | Cardiovascular History Roadmap - Syncope to Bradycardia (15 min) |
| History Roadmap | Syncope - Neurocardiogenic | Cardiovascular History Roadmap - Syncope to Neurocardiogenic (15 min) |
| History Roadmap | Chest Pain - Pericarditis | Cardiovascular History Roadmap - Chest Pain to Pericarditis (15 min) |
| History Roadmap | Chest Pain - Pulmonary Embolism | Cardiovascular History Roadmap - Chest Pain to Pulmonary Embolism (15 min) |
| History Roadmap | Palpitation - Atrial Fibrillation | Cardiovascular History Roadmap - Palpitation to Atrial Fibrilation (15 min) |
| History Roadmap | Palpitation - Premature Beats | Cardiovascular History Roadmap - Palpitation to Premature Beats (15 min) |
| History Roadmap | Syncope - Orthostatic Hypotension | Cardiovascular History Roadmap - Syncope to Orthostatic Hypotension (15 min) |
| History Roadmap | Syncope - Tachycardia | Cardiovascular History Roadmap - Syncope to Tachycardia (15 min) |
| History Roadmap | Chest Pain - GERD | Cardiovascular History Roadmap - Chest Pain to GERD (15 min) |
| Clinical Case | Aortic Stenosis and coronary artery disease | Clinical Case 1: Preoperative Evaluation of a 70-year-old Man with Colon Cancer (40-60 min) |
| Clinical Case | Mitral Regurgitation | Clinical Case 2: An Asymptomatic 54-year-old Appraiser with a Systolic Murmur on Routine Examination (40-60 min) |
| Clinical Case | Atrial Fibrillation | Clinical Case 3: A 68-year-old Retired Engineer with Recent Fatigue and Dyspnea (40-60 min) |
| Clinical Case | Panic Attack | Clinical Case 4: A 29-year-old Graduate Student with Palpitation and Dyspnea (40-60 min) |
| Clinical Case | The Athlete's Heart | Clinical Case 5 - Cardiovascular evaluation of a 17-year-old varsity athlete with a systolic murmur (40-60 min) |
| Clinical Case | Acute Diastolic Heart Failure | Clinical Case 6 - A 62-year-old office worker with the abrupt onset of severe dyspnea. (40-60 min) |
| Clinical Case | Aortic Regurgitation | Clinical Case 7: Routine Examination of a 16-year-old High School Athelete (30-50 min) |
| Clinical Case | Mitral Valve Prolapse | Clinical Case 8: A 22-year-old Law Student with Chest Pain and a Heart Murmur (40-60 min) |
| Clinical Case | Hypertrophic Cardiomyopathy | Clinical Case 9: A 39-year-old Bus Driver with an Abnormal ECG (40-60 min) |
| Clinical Case | Acute CHF due to infero-posterior myocardial infarction | Clinical Case 10: A 52-year-old Farmer with Severe, Diffuse Chest Pain (30-50 min) |
| ECG Prob Set | Acute Anteroseptal Myocardial Infarction, Right bundle branch block, Sinus bradycardia, Acute anterior myocardial infarction, Ventricular premature contractions, Supraventricular tachycardia, Acute myocardial ischemia, Atrial fibrillation, Acute inferior myocardial infarction, Left bundle branch block, Normal adult ECG. | Problem Set 1 (15-30 min) |
| ECG Prob Set | Acute myocardial ischemia, Acute anterior myocardial infarction, First degree atrioventricular block, Atrial flutter, Old myocardial infarction, Supraventricular tachycardia, Ventricular pacemaker, Right bundle branch block, Left ventricular hypertrophy, Atrial fibrillation. | Problem Set 2 (15-30 min) |
| ECG Prob Set | Normal adult ECG, Left bundle branch block, Old myocardial infarction, Ventricular tachycardia, Atrial fibrillation, Acute anterior myocardial infarction, Supraventricular tachycardia, Ventricular pacemaker, Acute myocardial ischemia, Hyperkalemia. | Problem Set 3 (15-30 min) |
| ECG Prob Set | Ventricular premature beats, Complete AV block, Supraventricular premature beats, Atrial flutter, Supraventricular tachycardia, Sinus tachycardia, Ventricular pacemaker, Sinus bradycardia, Ventricular tachycardia, Atrial fibrillation. | Problem Set 4 (15-30 min) |
| ECG Prob Set | Acute myocardial ischemia, Left ventricular hypertrophy with repolarization abnormality, Within normal limits, Atrial fibrillation, Complete right bundle branch block, Acute anteroseptal myocardial infarction, Complete left bundle branch block, Nonspecific T wave abnormality, Acute inferior injury (myocardial infarction), Old posterior infarct. | Problem Set 5 (15-30 min) |
| ECG Prob Set | Acute myocardial ischemia, Left ventricular hypertrophy with repolarization abnormality, Within normal limits, Atrial flutter, Complete left bundle branch block, Nonspecific T wave abnormality, Supraventricular tachycardia, Atrial fibrillation, Ventricular tachycardia, Ventricular electronic pacemaker. | Problem Set 6 (15-30 min) |
| ECG Tutorial | Normal Q wave in lead III | ECG Case 1 (5-10 min) |
| ECG Tutorial | Atrial Flutter | ECG Case 2 (5-10 min) |
| ECG Tutorial | Acute Inferior Myocardial Infarction | ECG Case 3 (5-10 min) |
| ECG Tutorial | Lead Reversal aVR and aVF | ECG Case 4 (5-10 min) |
| ECG Tutorial | Atrial Fibrillation with a Ventricular Pacemaker | ECG Case 5 (5-10 min) |
| ECG Tutorial | Complete Left Bundle Branch Block | ECG Case 6 (5-10 min) |
| ECG Tutorial | Complete Left Bundle Branch Block with Acute Myocardial Infarction | ECG Case 7 (5-10 min) |
| ECG Tutorial | Supraventricular Tachycardia | ECG Case 8 (5-10 min) |
| ECG Tutorial | Wolff-Parkinson-White Syndrome | ECG Case 9 (5-10 min) |
| ECG Tutorial | Acute Anteroseptal Myocardial Infarction | ECG Case 10 (5-10 min) |
| ECG Tutorial | Complete Right Bundle Branch Block | ECG Case 11 (5-10 min) |
| Full Length Clinical Case (Pulm) | Cough Variant Asthma | Case 1 - A 32-year-old Teacher with Chronic Nocturnal Cough (40-60 min) |
| Full Length Clinical Case (Pulm) | Acute Pulmonary Embolus | Case 2 - A 30-year-old Journalist with Sudden Onset of Dyspnea and Weakness (40-60 min) |
| Full Length Clinical Case (Pulm) | Acute Bronchitis | Case 3 - A 38-year-old Librarian with a Severe Productive Cough of Ten Days Duration (40-60 min) |
| Full Length Clinical Case (Pulm) | Pneumonia and Pleural Effusion | Case 4 - A 38-year-old Librarian with a Severe Productive Cough of Ten Days Duration (40-60 min) |
| Full Length Clinical Case (Pulm) | COPD | Case 5 - A 59-year-old Factory Worker with COPD, who Now Requires Supplemental O2 (40-60 min) |