Rotations

Phase II Cardiac Rehabilitation

• Patient orientation 
• Patient education and risk factor modification
• Telemetry monitoring
• Rest and exercise blood pressures
• Titrating patient workloads according to heart rate and rating of perceived exertion

Phase III Cardiac Rehabilitation

• Exercise leadership
• Rest and exercise blood pressures
• Patient education
• Chart reviews
• Monitoring of patient progression/maintenance
• Rhythm strips
• Pool program
• Optimal Aging (OA)
• Women Exercising to Live Longer (W.E.L.L.)
• Advanced Training Program (ATP)

Stress Testing Parts I and II (8 weeks total)

Time is split between the Corewell Health and Wellness Center- Coolidge and the main Royal Oak campus

• Observation of various cardiac procedure 
• Echocardiographic procedures (2D, TEE)
• Pacemaker clinic
• Electrophysiology (EP) lab
• Cath lab (PCI/stent)
• Coronary Bypass Graft Surgery (CABG)
• Telemetry monitoring system (TMS)
• Nuclear Medicine (MUGA)
• Enhanced External Counter Pulsation therapy (EECP)
• Hands-on participation in the stress labs at both locations (regular GXTs, exercise and pharmacologic MPIs and stress echos, VO2 testing and resting metabolic rate testing)
• EKG prep
• Medical history taking
• Explanation of all test types/protocols
• Resting and exercise blood pressures
• Monitoring 12-lead EKGs
• Test supervision
• Test interpretation
• Relaying results to patients

Other Requirements

• Weekly lecture series
• Rotation quizzes/exams
• Comprehensive final exam
• 12-lead EKG interpretation packet
• Newsletter article
• Written and oral case studies
• Mock mini lecture