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Cardiology NOTES

VIEWS: 235 PAGES: 54

									NOTES



   1. This handbook must be read in
      conjunction with the University Guide
      and Regulations and Rila regulations as
      relevant. The University regulations are
      also available on the website at
      http://www.mdx.ac.uk/regulations/.

   2. The material in this handbook is as
      accurate as possible at the date of
      production.

   3. Your comments on any improvements
      are welcome – please put them in
      writing (with the name of the handbook)
      and hand them to the Programme Co-
      ordinator.




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POSTGRADUATE DIPLOMA IN CARDIOLOGY
           (PGDIPCARD)


(In association with Rila Publications Ltd. London)


        Validated by Middlesex University

           Programme Handbook




                                                      3
CONTENTS



    The Programme Team…………………………………………………………5

    Programme Philosophy and Aims……………………………………………..6-10

    Admission & Entry Criteria                                                                             7

    Teaching and Learning strategies……………………………………………...11

    Operation of the Programme…………………………………………………..12-13

    Design, Organisation and Structure of the Programme………………………..14-17

    Assessment strategy……………………………………………………………18-22

    Guidelines for the submission of Clinical Case Studies……………………….23-24

    Student Support and feedback………………………………………………….25-26

    Quality Monitoring…………………………………………………………......27

    Modules Section

    RILA 400 – Foundation Cardiology……………………………………………28

    RILA 401 – Lower Intermediate Cardiology………………………………......30

    RILA 402 – Intermediate Cardiology…………………………………………..32

    RILA 403 – Higher Intermediate Cardiology…………………………………..34

    RILA 404 – Advanced Cardiology 1……………………………………….......36

    RILA 405 – Advanced Cardiology 2……………………………………….......38

    Appendices

    Equal Opportunities Policy…………………………………………………….40
    Programme Specification………………………………………………………41-47
    Programme Evaluation Report…………………………………………………48
    Application Form..............................................................................................49
    Referee’s Report………………………………………………………………50/51
    Mentor/Clinical supervisor Agreement Form……………………………….52
    Statement of qualifications……………………………………….………...…53
    English Language requirements……………………………………………...54




                                                                                                                       4
THE PROGRAMME TEAM


Medical Faculty
Dr. Roxy Senior              Programme Director, Consultant Cardiologist, Northwick Park
                             Hospital, London, UK

Dr Avijit Lahiri             Consultant Cardiologist, Wellington Hospital, London UK

Dr Raj Khattar               Consultant Cardiologist, Manchester Royal Infirmary,
                             Manchester, UK

Professor Jagdish Mohan      Director & Chief Cardiologist, Ridge Heart Centre, New Delhi,
                             India

Dr Ravi Ratan Kasliwal       Director of Cardiology, Escorts Heart Institute & Research Centre,
                             New Delhi, India

Professor Ram Dhillon        Middlesex University, London & Northwick Park Hospital,
                             London, UK

Administrative contacts:

       India:

Ms Deepa Nair                Middlesex University Office, 301/17, Bhanot House (3rd Floor)
                             Commercial Complex, Gulmohar Enclave, near Yusuf Serai
                             New Delhi- 110049, India
                             Tel: + 91 11 460 66015       Fax: + 91 11 416 51420
                             Email: delhi@mdxsouthasia.com subject: “PG Dip Cardiology”
       UK

Gina Taylor                  Middlesex University Link Tutor
                             Base: Middlesex University, Enfield Campus, UK
                             Tel: + 44 (0) 20 8411 5000

Georgina Da Cambra           Institutional Link Tutor
                             Base: Rila Publications Ltd (PGDipCard India)
                             Tel: + 44 (0) 20 7631 1299        Fax: + 44 (0)20 7580 7166
                             Email: admin@rila.co.uk subject: “PG Dip Cardiology India”

Rinald Mamachev              Programme Co-ordinator
                             Base: Rila Publications Ltd (PGDipCard India)
                             Tel: + 44 (0) 20 7631 1299        Fax: + 44 (0) 20 75807166
                             Email: admin@rila.co.uk subject:”PG Dip Cardiology India”
Programme Calendar
Please refer to full details in the separate “Programme Calendar”, which includes
commencement and examination dates together with locations.




                                                                                              5
1. PROGRAMME PHILOSOPHY AND AIMS


1.1     THE PROGRAMME___________________________________________________________

The programme is provided by Rila Publications Ltd and validated by Middlesex University. This means
that if you successfully complete all parts of the programme you will receive the Middlesex University
qualification of Postgraduate Diploma Cardiology, and may if you wish attend the appropriate Middlesex
University graduation ceremony. You will enrol as a student of Rila Publications Ltd and will be
registered with the University. If you do not complete the full programme you will be given a transcript
recording of any individual elements of the programme successfully completed.

The programme is supervised by University‟s School of Health and Social Sciences (Dean of School, Jan
Williams) based at Enfield Campus, Queensway, Enfield, Middlesex Tel: 020 8411 5000. overall
management of this postgraduate programme rests with the Dean of School Executive team, to whom
Rila Publications is accountable in relation to the delivery of this programme.

1.2     RATIONALE FOR THE PROGRAMME__________________________________________

The nature of health care is changing rapidly in Britain, as it is throughout the world. But in Britain there
have been a particular range of both internal and external factors, which have influenced the development
of the Postgraduate Cardiology.

     There has been a changing focus of provision with the move away from hospital towards primary
      care that has led to the recognition of the need to strengthen primary care

     Change and developments in the organisation of health care such as the introduction of Primary
      Care Trusts (PCTs), the development of clinical directorates, and the remodelling of the interface
      between hospital and primary care have highlighted improved ways in which health care can be
      delivered


     Health care professionals are taking a more pro-active approach to their continuing professional
      education, and the commitment of Professional bodies to the concept of life long leaning provides
      a potent driving force for programmes of this kind


     In particular, the introduction of a new intermediate level of specialist care, provided by a
      specialist GP or Nurse or Allied Health Professional (AHP), is an important way in which the
      quality and accessibility of services can be improved. It will also enable the NSF in Coronary
      Heart Disease to be more readily implemented.

     On an International level the delivery of and the need for cardiological services is rapidly
      accelerating due to the epidemiological changes seen in disease patterns. Improvements in public
      health, increase in economic wealth and changes in lifestyle has led to the emergence and
      increasing prevalence of certain clinical disorders, including those related to the cardiovascular
      system




                                                                                                           6
1. PROGRAMME PHILOSOPHY AND AIMS



BENEFITS TO PATIENTS:____________________________________________________________
 Improved patient access as an increasing number are managed in primary and secondary care
 Improved waiting times for consultations and initial treatments
 Increased cases seen as a one stop service, or reduced visits to primary and secondary care
 More appropriate cases referred to secondary sector
 Improved standard of care in the primary sector

BENEFITS TO PRACTITIONERS:_____________________________________________________
 Provides the clinician with enhanced skills and sub-specialty interest
 Provides a route for improving standards of clinical care
 Enhances their professional standing, linking with Clinical Governance and continuing professional
  development
 Achieves a PGDip with a major clinical practice component
 The core of clinicians in the area with this PGDip would form a special interests group, thereby
  providing internal support and an on-going learning forum
 Practitioners would be welcomed into a national association of Cardiology and this would provide
  further on-going professional and educational support. Liaison with national specialist organisations
  is envisaged
 Postgraduate diplomates would be encouraged to mentor future students

BENEFITS TO PCTs:_________________________________________________________________
 Fulfil the need to treat appropriately cases in primary and secondary care, thereby having a
  potentially positive effect on cost savings
 Improved patient access in primary care, and in the secondary sector due to reduced referrals
 Patients being seen by a sub-specialist will raise the levels of care provided within the healthcare
  system.
 The programme is designed and structured in a way that makes it suitable for clinicians who wish to
  extend their clinical knowledge and skills to the level at which they are equipped to undertake the
  role of a specialty practitioner in Cardiology.

1.3      ADMISSION & ENTRY CRITERIA______________________________________________

Students admitted to this programme must be:

     In possession of an MBBS or equivalent medical degree. The form on page 53 MUST be completed
      as indicated and returned with the application form and

     Provide evidence of a formal English Language qualification or fluency in English. The evidence
      required is detailed on page 54 and this MUST accompany your application form.

     Provide all the following documentation:
                       - Completed application- page: 49
                       - Evidence of your medical qualification: page 53
                       - Referee‟s report: pages 50/51
                       - English language requirements: page 54
                       - Agreement of mentor/clinical supervisor: page 52
                       - Include fees payable: check on www.apwsi.co.uk and click on India on the
                           Homepage




                                                                                                        7
1. PROGRAMME PHILOSOPHY AND AIMS




1.4       PROGRAMME PHILOSOPHY__________________________________________________

The philosophy of the programme rests on a set of explicit values and beliefs about you, the student, the
nature and context of clinical practice and the facilitation of learning necessary to enable enhanced
professional practice in primary care:

     Clinical practice is a highly skilled and valued activity into which each practitioner brings a personal
      and professional contribution that is enhanced by reflection on, and in, practice, critical appraisal and
      evidence based enquiry

     Professionals are expected to practice in a primary care setting

1.5       RELATIONSHIP WITH PROFESSIONAL BODIES________________________________

Rila Publications Ltd and the core programme team actively consults with the professional bodies and
relevant organisations in relation to the development and delivery of its programmes. These bodies
include the Royal College of General Practitioners.

The extent of involvement varies and is partially governed by each body/organisation‟s own relations and
controls. Involvement ranges from consultative advice in the development and maintenance of
programmes to conjoint validations and professional recognition of awards.

1.6       INTERNATIONAL LINKS______________________________________________________

Rila Publications Ltd have developed international links of an interprofessional dimension so that this
programme may be delivered overseas, including India




                                                                                                              8
1. PROGRAMME PHILOSOPHY AND AIMS



1.7       THE NATURE OF THE POSTGRADUATE DIPLOMA CARDIOLOGY_______________

To acquire the necessary skills for the PGDip Cardiology, your development needs to take place in a
number of different domains:

     Intellectual – which incorporates the concept of reflection in and on clinical practice, critical
      appraisal of existing knowledge and the construction of new frameworks

     Medico-political – clinical practice is enacted in a realm influenced by both micro and macro medical
      politics. The postgraduate practitioner requires knowledge of this environment in order to enable the
      development of a strategic overview of their own professional practice within the NHS framework.

     Ideological – the creation of new tenets for clinical practice requiring new skills for continuing
      professional development. This domain is recognised as providing the driving force for innovation
      and change, as well as direction for the acquisition of new practical skills and working practices

     Clinical skills – the clinician wishing to develop their skills to the intermediate care level needs to
      build on existing knowledge and skills, and integrate new advanced knowledge and skills to enhance
      their clinical practice.


1.8       OVERALL PROGRAMME AIM_________________________________________________

Overall the programme aims to afford you the opportunity to develop enhanced professional
specialization in cardiology and to promote an effective approach to health care delivery.


1.9       SPECIFIC PROGRAMME AIMS________________________________________________

     To enhance clinical practice by critical reflection and the interprofessional discourse

     To promote interprofessional collaboration and to maximise health care gain

     To expand the knowledge base of clinical practice through acquisition of advanced knowledge and
      practical skills

     To benefit clinical provision through the delivery of high quality clinical care




                                                                                                            9
1. PROGRAMME PHILOSOPHY AND AIMS



1.10    PROGRAMME LEARNING OBJECTIVES_______________________________________

At the end of the programme you will be able to:

   Critically appraise the effectiveness of clinical care from your own and other professional
    perspectives

   Critically evaluate the impact of the standard of clinical practice on patient care and the consequent
    impact on service delivery

   Effectively manage patients with Cardiovascular disorders

   Construct frameworks for excellence in clinical practice delivery


1.11    DEVELOPMENT OF INDIVIDUAL INTERESTS__________________________________

Individual interests may be accommodated in the programme by utilising the following opportunities.
However, the over-riding emphasis is to develop the range of skills required to practice cardiology at an
intermediate tier level of care:

   Discuss your interests with your mentor. Additional training may be available through the local
    cardiology department

   Choose the clinical case studies to reflect your individual areas of interest

   Ensure that the references for additional reading and the internet sites pertaining to your studies are
    relevant to your area of interest




                                                                                                          10
TEACHING and LEARNING STRATEGIES



2.1       THE STRATEGY FOR TEACHING AND LEARNING______________________________

The aims and outcomes of the programme relate to enhanced knowledge, reflective practice,
interprofessional understanding, co-operation and excellence in clinical care. It is anticipated that a
variety of teaching and learning strategies will be designed to meet the individual needs of students. The
focus has been on developing approaches which encourage student centred learning and interprofessional
collaboration.

Workshops will be used primarily to introduce concepts and theories. You will work collaboratively
through peer teaching, seminar presentation, case study, role play and exercises.

Strategies to facilitate the development of advanced clinical practice for primary care will involve
hospital based mentorship. Clinical activity and submission of clinical case studies will assist in
heightening your core knowledge and practical clinical skills. You will spend a minimum of 16 sessions
in the clinical outpatient setting, and this will usually involve up to 3-4 sessions per module, but we
recognize that sometimes this may need to be adjusted according to the local situation. Previous
experience shows that most students exceed this number of sessions

2.2       SPECIFIC TEACHING AND LEARNING STRATEGIES____________________________

These will include:

     Introductory workshops with practicals, basic sciences related to cardiology and core lectures

     Resource based learning through directed and verifiable study. This will account for the majority of
      knowledge acquisition during the programme and is deliver ed this via the internet

     Direct contact and teaching, particularly of the practical aspects, by cardiology hospital specialists
      i.e. conferences, clinical cases and demonstrations prior to the concluding part of the programme

     Assistance to identify a locally based specialist tutor/mentor. Contact on a regular basis, but also
      through e-mail etc.

     Direct contact with patients in the clinical setting, with a locally based, named cardiology
      consultant(s) and mentor

     Use of library facilities

     The clinical case studies will involve a working knowledge of medical statistics and evidence based
      medicine. This will also be true of the verifiable resource based learning as the questions posed will
      involve these disciplines




                                                                                                               11
3. OPERATION OF THE PROGRAMME



2.3       THE AUTONOMOUS LEADER_________________________________________________

The term autonomous learner means that you have responsibility for, and the opportunity to manage,
your own learning, and thus is inextricably linked with lifelong learning. Within your postgraduate
programme we will help you to do this in the following ways:

         By providing mentor support related to your individual needs

         By incorporating self directed study as an integral part of your modules

         By working with you and your practice mentor to ensure that your learning is relevant to, and
          maximised in, the delivery of clinical cardiology to an intermediate care level

2.4       LEARNING IN PRACTICE SETTINGS___________________________________________

This programme recognises the value of the clinical practice setting to provide an environment which is
conductive to reflection and learning. It is envisaged that you will remain within your own local area, but
will be working with your mentor, attending hospital based clinical sessions to enhance your knowledge
and practice skills.

You will be given assistance to identify an appropriate mentor, usually a local cardiology consultant(s).
In order for a mentor to meet your needs, the following criteria will need to be met in identifying suitable
mentors:

     The mentor will be at a level in the healthcare sector which enables them to access learning
      opportunities for you.

     The mentor is likely to hold a postgraduate cardiology qualification, or have equivalent experience

     The mentor is willing and able to spend time with you on a regular basis

     The mentor will have experience and training in teaching methods

The role of mentors is a facilitative one, which allows you opportunities to engage in critical reflection
within the cardiology setting. Preparation of mentors to undertake their role will be organised by the
Programme Team. It is envisaged that approximately 45 minutes per week will be required in addition to
the general clinical activity and skilling the student in the core competencies as indicated in the “Clinical
Skills Record” booklet.

2.5 STUDENTS WITH
DISABILITIES_____________________________________________________

We welcome the opportunity to support students with disabilities whilst they undertake this programme.
If you have any physical difficulty, long term medical condition, sensory impairment or specific learning
difficulty (e.g. dyslexia) please make your situation known at the earliest opportunity to a member of the
programme team to ensure that suitable support is provided. Support can include, but is not restricted to:
advice on programme, study needs, arranging support, liaison with mentors. Confidentiality will be
respected and relevant details will only be disclosed with your permission. In exceptional circumstances
Rila Publications will contact the University Disability Support Service for advice.




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3. OPERATION OF THE PROGRAMME


3.1     MEMBERS OF THE PROGRAMME MANAGEMENT GROUP______________________

        Dr Avijit Lahiri                            Wellington Hospital, London, UK

        Dr Raj Khattar                              Manchester Heart Centre, Manchester, UK

        Prof Ram Dhillon                            Northwick Park Hospital, London, UK

        Prof Jagdish Mohan                          Ridge Heart Centre, New D elhi, India

        Dr Ravi Ratan Kasliwal                      Director of Cardiology, Escorts Heart Institute &
                                                    Research Centre, New Delhi, India


Programme Director

        Dr Roxy Senior                                       Northwick Park Hospital, London, UK


Programme Co-ordinators

        Ms Georgina Da‟Cambra                                Rila Publications Ltd, London, UK

        Rinald Mamachev                                      Rila Publications Ltd, London, UK


Institutional Link Tutor

        Ms Georgina Da‟Cambra                                Rila, London, UK

Middlesex University Link, India

        Ms Deepa Nair                                        Middlesex University, New Delhi, India

Middlesex University Link Tutor, UK

        Ms Gina Taylor                                       Middlesex University, Enfield Campus, UK




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3. OPERATION OF THE PROGRAMME


3.2     PROGRAMME MANAGEMENT STRUCTURE___________________________________

Broken Line denotes an advisory relationship


                                Academic Board


 Student Group                       School Board                 Sub-committees
                                                                    e.g. Equal
                                                                   Opportunities
                                                                    Academic
                                                                   Development




Board of Studies                                                  Assessment Board



Health Care Provider                 Programme                    Professional Bodies
                                  Management Group



3.3  COLLABORATIVE PARTNERSHIP BETWEEN THE INSTITUTE AND THE
UNIVERSITY________________________________________________________________________

Georgina Da‟Cambra as the Institutional Link Tutor and Ms Gina Taylor as the University Link Tutor are
responsible for monitoring the operation and delivery of the programme. The Institute will provide the
resources for delivering the programme and supporting you as a student whilst undertaking the
programme, and the University will monitor the quality of the programme. As a student registered with
the University you will have been given, on enrolment, a copy of the Middlesex University Charter for
Students on Collaborative Programmes, which outlines what you can expect from the University as a
registered student.




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4. DESIGN, ORGANISATION AND STRUCTURE OF THE PROGRAMME


4.1       PROGRAMME DESIGN________________________________________________________

The intention is to provide a programme which allows you as a clinician to undertake an academic and
clinical training that will equip you with the necessary advanced knowledge and skills, underpinned by
practice experience, to enable you to practice effectively as a Practitioner with a Special Interest in
cardiology.

In order to be eligible for the award of PGDip Cardiology you are required to successfully complete all 6
modules (120 level 4 credits).

     Experience has indicated that a minimum equivalent of 1 day a week be set aside for the level of
      study required in this programme.


4.2       PROGRAMME ORGANISATION AND DELIVERY________________________________

This programme is offered on a part-time one year basis. Recognising that as a clinician working at an
intermediate tier specialist level you need to develop the skills and experience most relevant to the local
setting, the programme is offered on resource learning basis, with local clinical placement. Modules run
consecutively, and each module is formally assessed independently. You are required to submit clinical
case studies and attend structured clinical sessions with your local mentor as part of each module.
Introductory and concluding workshops are mandatory. There will be a full day of final clinical
assessments.

The introductory workshops provide an opportunity to introduce the student to the programme and the
clinical sciences that underpin the practice of intermediate level cardiology. The role of mandatory
assessments in the programme will be discussed in detail as will the importance of the outpatient/clinical
skills activity. The framework for early identification of any student problems or difficulties will be
highlighted. Following the introductory workshops each of the six modules will be delivered using a
combination of directed learning and clinical training:

 Directed learning – you will be provided with learning materials relating to the content of the module
which you are undertaking. This learning material will comprise of a course reader which will outline the
key knowledge required in relation to the module content, and identify the recommended reading in
relation to this content. The specific learning outcomes of the module in relation to knowledge
development will be assessed through the short answer questions.

 Clinical training – the clinical placement requirements and the clinical skills which need to be
developed during this are outlined in the clinical skills booklet. During the clinical placement you will
work under the supervision of your clinical mentor to develop those skills identified. You must attend a
minimum of 18 clinical sessions although most students do far in excess of this number. The specific
learning outcomes in relation to clinical skills are assessed both by your clinical mentor, who signs your
clinical skills booklet and through reflection on those skills within your clinical case studies.

 Other workshops held during the course provide an opportunity for you to consolidate the learning,
in terms of both theory and practice, achieved within the modules that you have taken, and to
demonstrate this achievement you will have a final summative assessment comprising a combination of
Extended Matching Questions(EMQs)/Multiple Choice Questions(MCQs), a Clinical Quiz and a
structured Viva Voce.




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4. DESIGN, ORGANISATION AND STRUCTURE OF THE PROGRAMME



4.3       FINAL AWARD_______________________________________________________________

The Postgraduate Diploma Cardiology is awarded on the following basis:

     You are normally expected to attain a minimum of 50% of available marks in each of the
      assessments related to the directed learning/subject area in each module

     All of your clinical case studies are assessed at levels a, b or c (see section 5.3)

     You are awarded a pass grade in the final clinical assessment (EMQs/MCQs/Clinical Quiz/Viva
      Voce)

     You have complied with the locally based clinical activity and clinical skills competency
      requirements as indicated in the Clinical Skills Booklet (see section 5.1)




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   4. DESIGN, ORGANISATION AND STRUCTURE OF THE PROGRAMME


   4.4         STRUCTURE OF THE PROGRAMME___________________________________________


    Module 1                     Module 2          Module 3          Module 4          Module 5          Module 6
               RILA 400          RILA 401          RILA 402          RILA 403          RILA 404          RILA 405
               Foundation        Lower             Intermediate      Higher            Advanced          Advanced
               Cardiology        Intermediate      Cardiology        Intermediate      Cardiology 1      Cardiology 2
                                 Cardiology                          Cardiology

               5 Directed        5 Directed        5 Directed        4 Directed        3 Directed        4 Directed                     Final
               Learning          Learning          Learning          Learning          Learning          Learning                     assessments
               Assessments       Assessments       Assessments       Assessments       Assessments       Assessments
                                                                                                                                      EMQs
               1 clinical        1 clinical        1 clinical        1 clinical        1 clinical                           Final
Introductory   case study        case study        case study        case study        case study                          Workshop   MCQs
workshops
                                                                                                                                      Clinical Quiz

                                                                                                                                      Viva Voce
               Clinical          Clinical          Clinical          Clinical          Clinical          Clinical
               activity          activity          activity          activity          activity          activity

               Clinical skills   Clinical skills   Clinical skills   Clinical skills   Clinical skills   Clinical skills

               Mentoring         Mentoring         Mentoring         Mentoring         Mentoring         Mentoring



                                                All Modules 20 Level 4 Credits Total: 120 Level 4 credits




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5. ASSESSMENT STRATEGY


5.1     ASSESSMENT AS A LEARNING STRATEGY_____________________________________

This programme utilises assessment as a way of enhancing learning and not merely as a method of
testing learning. Modules offer a range of ways in which learning is both enhanced and assessed. Section
5.2 outlines the process of summative assessment, in addition to this your progress on the programme
will be continuously formatively assessed by your mentor.

5.2     METHODS OF ASSESSMENT__________________________________________________

Assessment of directed learning topics

Each module contains between 3-5 topics/subjects that are the focus of directed learning. Each of these
will be assessed, and contribute to the final award. The pass mark is usually 50%. In the case of a fail
grade being awarded at the first attempt you will be entitled to one further resubmission attempt (the date
of which will be advised), during which time you may continue on the programme. Failure at the second
attempt will result in discontinuation of the programme.

Clinical case studies

Presentation of clinical case studies should be submitted in the format indicated during the introductory
workshop and as detailed in sections 5.2 – 5.9. Each clinical case study must be assessed at level a, b or c
(section 5.3) in order to achieve a pass. In the case of a fail grade being awarded at the first attempt you
will be entitled to one further resubmission attempt (the date of which will be advised), during which
time you may continue on the programme. Failure at the second attempt will result in discontinuation of
the programme.

Clinical activity/Clinical skills

This will involve working as part of the clinical team at a local hospital and must participate in a
minimum of 18 clinical sessions. Most students participate in a number far in excess of this. You will be
required to see patients, perform procedures and other activities as appropriate e.g. seminars, lectures etc.
A record, in your clinical skills booklet, will be required of your participation in this clinical activity and
you will need to be assessed as competent in the mandatory components, outlined in your clinical skills
booklet, by your mentor. You will not be eligible to sit the final assessments (EMQs/MCQs/Clinical
Quiz/Viva voce) unless you have complied with this component of the programme.




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5. ASSESSMENT STRATEGY


Extended Matching Questions(EMQs) and Multiple Choice Questions(MCQs)

These form part of final assessment. Core skills will be objectively tested, on a pass/fail basis, utilising a
criterion referenced marking system. In the case of a fail grade being awarded at the first attempt you will
be entitled to one further attempt (the date of which will be advised). Failure at the second attempt will
result in an outright fail and the whole programme must be repeated.

Clinical Quiz

This forms a component part of the final assessment. It tests core diagnostic and management skills, on a
pass/fail basis, utilising a criterion referenced marking system. In the case of a fail grade being awarded
at the first attempt you will be entitled to one further attempt( the date of which will be advised). Failure
at the second attempt results in an outright fail and the whole programme must be repeated.

Viva Voce

This is an oral examination in which you must demonstrate that you have consolidated the knowledge,
skills and experience necessary to practice independently as an intermediate tier cardiology specialist in
primary care. This will be marked on a pass/fail basis. In the case of a fail grade being awarded at the
first attempt you will be entitled to one further attempt (the date of which will be advised). Failure at the
second attempt results in an outright fail and the whole programme must be repeated.

5.3      GRADING OF CLINCAL CASE STUDIES________________________________________

All clinical case studies are independently marked using a criterion referenced marking system. The
grading descriptors related to level of achievement are as follows:

     Grade a – Completely competent in all major aspects
     Grade b – Competent in most major aspects, only minimal deficits
     Grade c – Competent in most major aspects, some minor omissions
     Grade d – Inadequate in most major aspects, some major omissions
     Grade e – Not competent in most major aspects, significant omissions

The pass grades for all clinical case studies are a, b and c. Individual special interests may be developed
by careful selection of clinical case studies and case report. Assistance of your mentor should be sought
in this decision. In the case of a fail grade being awarded at the first attempt you will be entitled to one
further resubmission attempt (the date of which will be advised), during which time you may continue on
the programme. Failure at the second attempt will result in discontinuation of the programme.




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5. ASSESSMENT STRATEGY


5.4       PROGRAMME ASSESSMENT POLICY__________________________________________

All assessed components of the programme are marked in the following way:

     The assessment of directed learning is electronic marking with an instant downloadable result, via
      online

     The clinical case studies, which must be submitted online, are marked by a member of the
      programme team. 10% are dual marked to ensure fairness and consistency. A sample of no less than
      10% percent, representing the full range of achieved grades, are made available to the external
      examiner

     Clinical activity – the clinical skills developed in the clinical setting are assessed by the local mentor
      using the clinical skills booklet guidelines

     The EMQs/MCQs, the Clinical Quiz is assessed by members of the programme team using a
      criterion referenced marking scheme. The external examiner samples the process

     The Viva Voce is conducted by two examiners with the external examiner sampling the process.

If unsuccessful at the first attempt of any component of assessment, you will be entitled to only one
further attempt (see 5.8). You are entitled to have any extenuating circumstances considered by the
Assessment Board (see 5.7). On completion of each module you will be issued with provisional results,
and if you have been unsuccessful in any component you will be advised of the arrangements for re-
submission/assessment.

If you fail any assessment component at a second attempt you will not be able to continue the course. A
transcript of your performance to date will be provided.


5.5       THE ROLE OF THE INSTITUTE’S ASSESSMENT BOARD_________________________

The Assessment Board, which is chaired by a member of the Institute who is not a member of the
programme team, meets in the afternoon of the final assessment day. The meeting is a two-part one, the
first part ratifying the results for all modules and the second part making award decisions in respect of the
PGDip Cardiology. Rila will provide the University with a list of the award decisions which have been
made, and the University will make the award.




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5. ASSESSMENT STRATEGY


5.6     THE UNIVERSITY’S ROLE IN ASSESSMENT____________________________________

Middlesex University Regulations for Academic Misconduct and Appeals apply to your programme of
study. These are set out in the Middlesex University Guide and Regulations Sections F & G. The
terminology may not be familiar in all cases as it refers to Middlesex University staff and committees. If
you are involved in any action under these regulations and do not understand the process involved, please
contact either Georgina Da-Cambra (Institutional Link Tutor) or Gina Taylor (University Link Tutor).

In relation to the clinical case studies whilst MU regulations apply it should be noted that in relation to
penalties for Academic misconduct are as follows:
 Where the MU regulations refer to a grade 20, this would be a grade e
 Where the MU regulation refer to a grade 16, this would be a grade c

In relation to the assessment of directed learning topics:
 Where the MU regulations refer to a grade 20, this would be 0%
 Where the MU regulations refer to a grade 16, this would be 50%

5.7     EXTENUATING CIRCUMSTANCES_____________________________________________

We recognise that on occasions your ability to undertake a module assessment can be adversely affected
by exceptional circumstances. In order that you are not disadvantaged by circumstances beyond your
control you always need to ensure that you follow the correct procedure outlined below. If you have any
circumstances affecting your performance and/or any extenuating circumstances in existence at the time
you undertake the assessment, then this must be notified in writing to Georgina Da‟Cambra at Rila
Publications PGDipCardiology, 73 Newman Street, London W1A 4PG (on or before the submission
date). These circumstances can then be considered by the Assessment Board when ratifying your
assessment/examination.

5.8     RE-SIT ASSESSMENTS________________________________________________________

If you have not achieved a pass grade at your first attempt you may re-submit the assessment at the next
available opportunity, which will be advised, during which time you may continue on the programme. If
you do not achieve a pass grade at the second attempt you will fail the module and not be eligible for any
further attempts, or to continue on the programme.




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5. ASSESSMENT STRATEGY


5.9     PLAGIARISM_________________________________________________________________

Plagiarism is the presentation of someone else‟s work as if it were your own. This occurs in several ways.
The most obvious is handing work which was written by someone else; however, this is extremely
unusual. More commonly plagiarism arises as the result of making unacknowledged quotations from the
work of any author other than yourself. This also includes the extensive use of someone else‟s
presentations or ideas e.g. lecture notes, without due acknowledgement. Since it is a central principle of
all examination systems that the work submitted is that of the candidate, plagiarism is very severely
punished by Assessment Boards, and normally leads to the award of a fail grade whatever the overall
merits of the work.

5.10    AVOIDING PLAGIARISM______________________________________________________

Plagiarism is very easy to avoid. The standard method, which is acceptable in all academic institutions is
to acknowledge your sources. This can be done by listing all sources used in preparing your work in a
clear and detailed reference section at the end of your work, using the Vancouver style of referencing.




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6. GUIDLELINES FOR SUBMISSION OF CLINICAL CASE STUDIES


6.1       PRESENTATION OF WORK____________________________________________________

General guidelines for the presentation of your clinical case studies are:

     If you have extenuating circumstances which are affecting the completion of your work you should
      follow the guidance in section 5.4

     Your work should be word processed, spell checked and MUST be submitted online

     Photographs must not submitted

     A front sheet should be included on all submissions clearly stating it is PGDip Cardiology, your
      name, GMC/UKCC number, address, module number, case study number and a clinical title

     The submitted file name must NOT contain any apostrophes or other punctuation as such a
      document cannot be opened.

     Pages should be numbered consecutively throughout

     Do not identify patients

     Use only generic drug names

     Please ensure that your submissions follow the framework guidelines, with headings, as suggested on
      the next page.

     Samples of good quality clinical case studies can be viewed by participating students on the website
      dedicated to this programme.




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6. GUIDLELINES FOR PRESENTING CLINICAL CASE STUDIES AND CASE REPORT


6.2       CONTENT OF CLINICAL CASE STUDIES_______________________________________

The clinical case studies are an important component of your programme. In the course of the
programme you are required to submit 5 clinical case studies (1 in each of the first 5 modules). These
MUST be submitted online

Clinical case studies (1 in each of the first 5 modules)

     Choosing your patients. Please choose cases that have good educational and clinical features. Do not
      choose uncommon or rare clinical disorders. (you may wish to discuss your choices with your
      mentor).

You are required to submit 5 clinical case studies in total. These will form part of a „portfolio of
practice‟. These clinical case studies should reflect a range of cardiovascular diseases that you have
encountered, with no duplication of diagnoses or presenting complaints.

     Framework for the clinical case studies

Each case study should be around up to 1500 words and the following structure should be
employed.

      -   Title; this could be the diagnosis, a treatment, complications etc
      -   Patient details (age, sex, etc.)
      -   History of complaint
      -   Investigation
      -   Diagnosis
      -   Management
      -   Follow-up (if any)
      -   Discussion; indicating why the patient was of interest
      -   Practical lessons learnt
      -   References; 3-5 required (Vancouver style)


Submission Deadlines for Clinical Case Studies
Please refer to separate Programme Calendar


NB Clinical Case Studies MUST be submitted online




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7. STUDENT SUPPORT AND FEED BACK


7.1       RILA PUBLICATIONS LTD____________________________________________________

As a student of Rila you can expect the following:

     Directed learning material related to the content of each module and details of how you can obtain
      additional advice and academic support, through a dedicated e-mail address

     An electronic discussion forum will be established during the programme

     Assistance to obtain a clinical cardiology attachment with a named mentor who will supervise and
      support your clinical skills development, and ensure that you have access to the local postgraduate
      library

     Feedback on your performance is provided through a combination of mentoring activity and written
      feedback on your clinical case studies etc.

     If you do not already hold an Honorary or other appropriate status with the local Hospital, this will be
      required. Rila will, with the mentor, indicate the process for obtaining the relevant documentation.


7.2       MIDDLESEX UNIVERSITY____________________________________________________

Your programme is validated by Middlesex University, and you are registered with the University and
can expect that:

     You will be issued with a copy of the University Guide and Regulations and the Student Charter for
      Students on Collaborative Programmes, which identifies your rights and expectations as a student
      registered with the University

     If you successfully complete all parts of the programme you will receive the Middlesex University
      award of Postgraduate Diploma Cardiology

     You may, if you wish, attend the appropriate Middlesex University graduation ceremony.

     If you do not complete the full programme you will be given a transcript recording any individual
      elements of the programme successfully completed

     If you have any concerns that cannot be dealt with by the Institutional Link Tutor or the University
      Link Tutor you are entitled to raise these concerns with the Dean of School of Health, Biological and
      Environmental Sciences




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7. STUDENT SUPPORT AND FEED BACK


7.3      OTHER SUPPORT_____________________________________________________________

Additional sources of support include:

     Postgraduate libraries in your hospital attachment, facilitated by your local mentor

     Pubmed search facility on-line

     The mentor, and cardiology department to which you are attached, will provide additional support in
      your clinical development by accessing educational activities such as meetings, audit etc.

7.4      BOARD OF STUDIES__________________________________________________________

The purpose of the Board of Studies is to provide a forum for discussion between you and staff involved
in the delivery of the programme about any aspect of it. As this is a resource based programme and
because students studying the programme travel from many different locations and on similar
programmes have not attended face-to-face meetings, the Board of Studies will be hosted on a discussion
board on the programme website and is available at any time to post comments. This will be moderated
by the Programme Leader and the Link Tutors for Rila and Middlesex University.

You are all strongly encouraged to take part in this process as it is only if your views are shared with us
that we are able to continue to develop the programme to meet your needs.

Views expressed and any responses/actions arising from these will be recorded and these will be included
in the annual monitoring report compiled by Rila Publications and forwarded to the University where
issues and actions taken may be identified in the School of Health and Social Sciences Collaborative
Annual Monitoring Report as appropriate.




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8. QUALITY MONITORING


8.1     MONITORING THE QUALITY OF THE PROGRAMME___________________________

On completion of your programme you will be asked to complete a Programme Evaluation
Report which measures your degree of satisfaction with the overall programme. The
Institutional Link Tutor is responsible for compiling the Programme Annual Monitoring Report
that is submitted to the University.




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MODULE OUTLINES – MODULE 1


Module Code:                               RILA 400
Module Title:                              Foundation Cardiology
Level:                                     4
Credit Points:                             20
Pre-Requisite:                             MBBS or equivalent medical degree, English qualification if
                                           required
Teaching/Learning Strategies:              Workshops, clinical activity, case studies, directed study,
                                           mentorship
Total Study Hours:                         180 (This comprises time spent in clinical activity, directed
                                           learning, assessments, clinical case studies submissions,
                                           mentoring and other activity in primary and secondary care)

RATIONALE AND AIMS______________________________________________________________
The rationale for the development of the modules which form the PGDipCardiology relates to the
requirement to provide an intermediate tier of specialist cardiology care. The modules which make up the
PGDip Cardiology provide the opportunity to acquire the knowledge and skills required to practice as an
intermediate cardiology specialist. The aim of this module is to lay the foundation of basic cardiology
practice and thus enable the student to develop higher levels of clinical acumen.

LEARNING OUTCOMES_____________________________________________________________
On successful completion of this module the student will be able to:

1. Demonstrate an in-depth knowledge and understanding of the scientific foundation of cardiology
   practice.

2. Demonstrate mastery of the core practice skills relating to a CV risk (lifestyle factors);
   cardiovascular epidemiology; cardiovascular physiology; congenital heart disease and rheumatic
   heart disease

3. Critically appraise the role of evidence-based medicine in the practice of cardiology.

4. Extrapolate and inter-relate a comprehensive knowledge base in relation to CV risk (lifestyle
   factors); cardiovascular epidemiology; cardiovascular physiology; congenital heart disease and
   rheumatic heart disease




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MODULE OUTLINES – MODULE 1


OUTLINE OF CONTENT_____________________________________________________________
 Medical sciences relating to cardiology and understanding of cardiovascular physiology.
 Pathophysiology, prevention, diagnosis and treatment of:
                                          CV risk: lifestyle factors
                                          Cardiovascular epidemiology
                                          Congenital Heart Disease
                                          Rheumatic Heart Disease
 Clinical skills in relation to the diagnosis and treatment of:
                                          CV risk: lifestyle factors
                                          Cardiovascular epidemiology
                                          Congenital Heart Disease
                                          Rheumatic Heart Disease

TEACHING/LEARNING STRATEGIES_________________________________________________
Teaching/learning strategies will include workshops to introduce key concepts/ideas and directed study to
enhance knowledge related to cardiology disorders. Students will be encouraged to participate in
practical procedures, initially under the supervision of their clinical mentor in the cardiology outpatient
placement and in their own clinicial practice, to enable skills for cardiology practice to be developed
alongside the knowledge which is being acquired.

ASSESSMENT_______________________________________________________________________
The assessment for this module is three-part, all of which normally have to be passed:

   Assessment of directed learning (5 topics) – multiple choice questions – to demonstrate achievement
    of learning outcomes 1 and 4
   1 clinical case study (up to 1500 words) – to demonstrate achievements of learning outcome 3
   Verification of clinical competence – to demonstrate achievement of learning outcome 2

KEY READING______________________________________________________________________
Course reader
References supplied as part of resource learning.




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MODULE OUTLINES – MODULE 2


Module Code:                               RILA 401
Module Title:                              Lower Intermediate Cardiology
Level:                                     4
Credit Points:                             20
Pre-Requisite:                             RILA 400
Teaching/Learning Strategies:              Clinical activity, case studies, directed study, mentorship
Total Study Hours:                         180 (This comprises time spent in clinical activity, directed
                                           learning, assessments, clinical case studies submissions,
                                           mentoring and other activity in primary and secondary care)

RATIONALE AND AIMS______________________________________________________________
The rationale for the development of the modules which form the PGDipCardiology relates to the
development of an intermediate specialist in cardiological care. The modules which make up the PGDip
Cardiology provide the opportunity to acquire the knowledge and skills required to practice as a
cardiology specialist. This module aims to build on the knowledge base developed in Module 1, with
particular emphasis on basic clinical anatomy, pathology and physiology as pertaining to cardiology, and
further enhance practical skills.

LEARNING OUTCOMES_____________________________________________________________
On successful completion of this module the student will be able to:

1. Diagnose and treat cardiology patients under supervision

2. Demonstrate mastery of the core practice skills relating to cardiac anatomy, diagnostic investigations
   (electrocardiology, echocardiography, stress ECHO, carotid ultrasound and nuclear and CT/MRI
   imaging), chest pain assessment, and acute coronary syndromes.

3. Critically evaluate the resources and facilities necessary to enhance clinical standards

4. Extrapolate and inter-relate a comprehensive knowledge base in relation to cardiac anatomy,
   diagnostic investigations (electrocardiology, echocardiography, stress ECHO, carotid ultrasound and
   nuclear and CT/MRI imaging), chest pain assessment, and acute coronary syndromes.




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MODULE OUTLINES – MODULE 2


OUTLINE OF CONTENT_____________________________________________________________
 Knowledge and Pathophysiology:
                                          Cardiac anatomy
                                          Diagnostics 1 : Electrocardiography, ECHO, stress ECHO,
                                          carotid ultrasound
                                          Diagnostics 2 : Nuclear & CT/MRI imaging
                                          Chest pain assessment
                                          Acute Coronary Syndromes
 Clinical skills in relation to the diagnosis and treatment of:
                                          Cardiac anatomy
                                          Diagnostics 1 : Electrocardiography, ECHO, stress ECHO,
                                          carotid ultrasound
                                          Diagnostics 2 : Nuclear & CT/MRI imaging
                                          Chest pain assessment
                                          Acute Coronary Syndromes
 Clinical Standards

TEACHING/LEARNING STRATEGIES_________________________________________________
The main teaching/learning strategies employed in this module will be directed learning, clinical
placement and exploring evidence-based medicine. Students will continue to be encouraged to participate
in practical procedures, both with their mentor in their cardiology outpatient placement and in their own
primary care practice, to enable further skills for cardiology practice to be developed alongside the
knowledge which is being acquired.

ASSESSMENT_______________________________________________________________________
The assessment for this module is three-part, all of which normally have to be passed:

   Assessment of directed learning (5 topics) – multiple choice questions – to demonstrate achievement
    of learning outcomes 4
   1 clinical case study (up to 1500 words) – to demonstrate achievements of learning outcome 3
   Verification of clinical competence – to demonstrate achievement of learning outcome 1 and 2

KEY READING______________________________________________________________________
Course reader
References supplied as part of distance learning.




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MODULE OUTLINES – MODULE 3


Module Code:                               RILA 402
Module Title:                              Intermediate Cardiology
Level:                                     4
Credit Points:                             20
Pre-Requisite:                             RILA 400, RILA 401
Teaching/Learning Strategies:              Clinical activity, case studies, directed study, mentorship
Total Study Hours:                         180 (This comprises time spent in clinical activity, directed
                                           learning, assessments, clinical case studies submissions,
                                           mentoring and other activity in primary and secondary care)

RATIONALE AND AIMS______________________________________________________________
The rationale for the development of the modules which form the PGDipCardiology relates to the
development of a specialist cardiologist. The modules which make up the PGDip Cardiology provide the
opportunity to acquire the knowledge and skills required to practice as a cardiology specialist and begin
to make independent clinical decisions.

LEARNING OUTCOMES_____________________________________________________________
On successful completion of this module the student will be able to:

1. Diagnose and treat cardiology patients with minimal supervision
2. Critically appraise care pathways with particular reference to cardiology
3. Critically evaluate pharmaceutical usage in caring for patients with cardiology disorders
4. Demonstrate mastery of the core practice skills relating to the diagnosis and treatment of:
                                         Coronary angiography/intervention
                                         Cardiac surgery
                                         Cardiac rehabilitation
                                         Heart failure
                                         Stable Angina
5. Extrapolate and inter-relate a comprehensive knowledge base in relation to the knowledge, diagnosis
   and treatment of:
                                         Coronary angiography/intervention
                                         Cardiac surgery
                                         Cardiac rehabilitation
                                         Heart failure
                                         Stable Angina
6. Demonstrate the ability to access a range of information sources necessary to manage cardiology
   patients effectively




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MODULE OUTLINES – MODULE 3


OUTLINE OF CONTENT_____________________________________________________________
 Knowledge and Pathophysiology of:
                                     Coronary angiography/intervention
                                     Cardiac surgery
                                     Cardiac rehabilitation
                                     Heart failure
                                     Stable Angina
 Clinical skills in relation to:
                                     Coronary angiography/intervention
                                     Cardiac surgery
                                     Cardiac rehabilitation
                                     Heart failure
                                     Stable Angina
 Pharmacology related to cardiology disorders
 Care pathways in cardiology
 Utilising databases

TEACHING/LEARNING STRATEGIES_________________________________________________
The main teaching/learning strategies employed in this module will be directed learning, clinical
placement and exploring evidence-based medicine. Students will continue to be encouraged to participate
in practical procedures, both with their mentor in their cardiology outpatient placement and in their own
practice, to enable further skills for cardiology practice to be developed alongside the knowledge which
is being acquired.

ASSESSMENT_______________________________________________________________________
The assessment for this module is three-part, all of which normally have to be passed:

   Assessment of directed learning (5 topics) – multiple choice questions – to demonstrate achievement
    of learning outcomes 2 and 5
   1 clinical case study (up to 1500 words) – to demonstrate achievements of learning outcome 3 and 6
   Verification of clinical competence – to demonstrate achievement of learning outcome 1 and 4

KEY READING______________________________________________________________________
Course reader
References supplied as part of distance learning.




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MODULE OUTLINES – MODULE 4


Module Code:                               RILA 403
Module Title:                              Higher Intermediate Cardiology
Level:                                     4
Credit Points:                             20
Pre-Requisite:                             RILA 400, RILA 401, RILA 402
Teaching/Learning Strategies:              Clinical activity, case studies, directed study, mentorship
Total Study Hours:                         180 (This comprises time spent in clinical activity, directed
                                           learning, assessments, clinical case studies submissions,
                                           mentoring and other activity in primary and secondary care)

RATIONALE AND AIMS______________________________________________________________
The rationale for the development of the modules which form the PGDipCardiology relates to the
development of specialist cardiological care. The modules which make up the PGDip Cardiology provide
the opportunity to acquire the knowledge and skills required to practice as an intermediate cardiology
specialist in primary care, with regard to heart failure, hypertension and valvular disease.

LEARNING OUTCOMES_____________________________________________________________
On successful completion of this module the student will be able to:

1. Diagnose and treat cardiology patients with only indirect supervision, demonstrating recognition of
   the need to have dialogue and liase with colleagues in relation to difficult and complex clinical
   problems

2. Demonstrate the use of critical judgement skills in the recognition and management of specific
   cardiovascular pathologies

3. Critically apply the principles of evidence based medicine to raise clinical standards, with particular
   reference to the Cardiology Cochrane Collaboration Unit in Oxford, UK

4. Demonstrate mastery of the core practice skills relating to the diagnosis and treatment of:
                                      Cardiovascular Prevention – Drug therapies
                                      Hypertension – Treatment
                                      Diabetes & CVD
                                      Valvular Heart Disease
                                      Endocarditis/Cardiomyopathy/Pericardial Disease

5. Extrapolate and inter-relate a comprehensive knowledge base in relation to the diagnosis and
   treatment of:
                                        Cardiovascular Prevention – Drug therapies
                                        Hypertension – Treatment
                                        Diabetes & CVD
                                        Valvular Heart Disease
                                        Endocarditis/Cardiomyopathy/Pericardial Disease




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MODULE OUTLINES – MODULE 4


OUTLINE OF CONTENT_____________________________________________________________
 Pathophysiology, prevention diagnosis and treatment of:
                                          Cardiovascular Prevention – Drug therapies
                                          Hypertension – Treatment
                                          Diabetes & CVD
                                          Valvular Heart Disease
                                          Endocarditis/Cardiomyopathy/Pericardial Disease
 Clinical skills in relation to the diagnosis and treatment of:
                                          Cardiovascular Prevention – Drug therapies
                                          Hypertension – Treatment
                                          Diabetes & CVD
                                          Valvular Heart Disease
                                          Endocarditis/Cardiomyopathy/Pericardial Disease


TEACHING/LEARNING STRATEGIES_________________________________________________
The main teaching/learning strategies employed in this module will be directed learning, clinical
placement and further exploration evidence-based medicine. Students will continue to be encouraged to
participate in practical procedures, both with their mentor in their cardiology outpatient placement and in
their practice, to enable further skills for cardiology practice to be developed alongside the knowledge
which is being acquired.

ASSESSMENT_______________________________________________________________________
The assessment for this module is three-part, all of which normally have to be passed:

   Assessment of directed learning (4 topics) – multiple choice questions – to demonstrate achievement
    of learning outcomes 5
   1 clinical case study (up to 1500 words) – to demonstrate achievements of learning outcome 3
   Verification of clinical competence – to demonstrate achievement of learning outcome 1,2 and 4

KEY READING______________________________________________________________________
Course reader
References supplied as part of distance learning.




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MODULE OUTLINES – MODULE 5




Module Code:                               RILA 404
Module Title:                              Advanced Cardiology 1
Level:                                     4
Credit Points:                             20
Pre-Requisite:                             RILA 400, RILA 401, RILA 402, RILA 403
Teaching/Learning Strategies:              Clinical activity, case studies, directed study, mentorship
Total Study Hours:                         180 (This comprises time spent in clinical activity, directed
                                           learning, assessments, clinical case studies submissions,
                                           mentoring and other activity in primary and secondary care)

RATIONALE AND AIMS______________________________________________________________
The rationale for the development of the modules which form the PGDipCardiology relates to the
development of specialist cardiological care. This module provides the opportunity to acquire the
knowledge and skills, in relation to arrhythmias, required to practice as a cardiology specialist.

LEARNING OUTCOMES_____________________________________________________________
On successful completion of this module the student will be able to:

1. Diagnoses and treat cardiology patients independently within the boundaries of their professional
   role

2. Critically appraise the need to work in multidisciplinary teams

3. Demonstrate competency in the practice skills required to deliver Cardiovascular services at the
   primary care tier level

4. Demonstrate mastery of the core practice skills reaklating to the diagnosis and treatment of:
                                      Arrhythmias: mechanisms/clinical aspects
                                      Atrial Fibrillation
                                      Temporary & Permanent Pacing
                                      Electrophysiology

5. Extrapolate and inter-relate a comprehensive knowledge base in relation to the diagnosis and
   treatment of:
                                        Arrhythmias: mechanisms/clinical aspects
                                        Atrial Fibrillation
                                        Temporary & Permanent Pacing
                                        Electrophysiology




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MODULE OUTLINES – MODULE 5




OUTLINE OF CONTENT_____________________________________________________________
 Pathophysiology, prevention diagnosis and treatment of:
                                          Arrhythmias: mechanisms/clinical aspects
                                          Atrial Fibrillation
                                          Temporary & Permanent Pacing
                                          Electrophysiology
 Clinical skills in relation to the diagnosis and treatment of:
                                          Arrhythmias: mechanisms/clinical aspects
                                          Atrial Fibrillation
                                          Temporary & Permanent Pacing
                                          Electrophysiology


TEACHING/LEARNING STRATEGIES_________________________________________________
The main teaching/learning strategies employed in this module will be directed learning, clinical
placement and utilisation of evidence-based medicine. Students will continue to be encouraged to
participate in practical procedures, both with their mentor in their cardiology outpatient placement and in
their clinicial practice, to enable further skills for cardiology practice to be developed alongside the
knowledge which is being acquired.

ASSESSMENT_______________________________________________________________________
The assessment for this module is three-part, all of which normally have to be passed:

   Assessment of directed learning (3 topics) – short answer questions – to demonstrate achievement of
    learning outcomes 5
   1 clinical case study (up to 1500 words) – to demonstrate achievements of learning outcome 2, 3 and
    6
   Verification of clinical competence – to demonstrate achievement of learning outcome 1 and 4

KEY READING______________________________________________________________________
Course reader
References supplied as part of distance learning




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MODULE OUTLINES – MODULE 6


Module Code:                               RILA 405
Module Title:                              Advanced Cardiology 2
Level:                                     4
Credit Points:                             20
Pre-Requisite:                             RILA 400, RILA 401, RILA 402, RILA 403, RILA 404
Teaching/Learning Strategies:              Clinical activity, case studies, directed study, mentorship
Total Study Hours:                         180 (This comprises time spent in clinical activity, directed
                                           learning, assessments, clinical case studies submissions,
                                           mentoring and other activity in primary and secondary care)

RATIONALE AND AIMS______________________________________________________________
The rationale for the development of the modules which form the PGDipCardiology relates to the
development of specialist cardiological care. The modules which make up the PGDip Cardiology provide
the opportunity to acquire the knowledge and skills required to practice as a cardiology specialist, with
regard to heart failure, hypertension and valvular disease..

LEARNING OUTCOMES_____________________________________________________________
On successful completion of this module the student will be able to:

1. Demonstrate the advanced practice skills necessary to effectively manage the delivery of
   intermediate cardiology services in secondary and primary care

2. Demonstrate mastery of the core practice skills relating to the diagnosis and treatment of:
                                      Stroke
                                      Peripheral Vascular Disease
                                      Aneurysms: risk & management
                                      Cardiac Disease in Pregnancy

3. Extrapolate and inter-relate a comprehensive knowledge base in relation to the diagnosis and
   treatment of:
                                        Stroke
                                        Peripheral Vascular Disease
                                        Aneurysms: risk & management
                                        Cardiac Disease in Pregnancy

4. Demonstrate an in-depth knowledge of local and central health care policy decision making, and
    utilise this knowledge to raise the standards of delivery of Cardiovascular practice

5. Critically consider the redesign of services that may be required to take into account modern
   developments and practice

6. Critically appraise their continuing professional development needs in relation to the maintenance of
    satisfactory levels of competence to practice




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MODULE OUTLINES – MODULE 6


OUTLINE OF CONTENT_____________________________________________________________
 Pathophysiology, prevention diagnosis and treatment of:
                                          Stroke
                                          Peripheral Vascular Disease
                                          Aneurysms: risk & management
                                          Cardiac Disease in Pregnancy
 Clinical skills in relation to the diagnosis and treatment of:
                                          Stroke
                                          Peripheral Vascular Disease
                                          Aneurysms: risk & management
                                          Cardiac Disease in Pregnancy

TEACHING/LEARNING STRATEGIES_________________________________________________
The main teaching/learning strategies employed in this module will be directed learning, clinical
placement and utilisation of evidence-based medicine. Students will continue to be encouraged to
participate in practical procedures, both with their mentor in their cardiology outpatient placement and in
their own clinicial practice, to enable further skills for cardiology practice to be developed alongside the
knowledge which is being acquired.

ASSESSMENT_______________________________________________________________________
The assessment for this module is three-part, all of which normally have to be passed:

   Assessment of directed learning (4 topics) – short answer questions – to demonstrate achievement of
    learning outcomes 3 and 5
   Extended matching questions and MCQs – to demonstrate achievement of learning outcome 1
   Clinical quiz – to demonstrate achievement of learning outcomes 1, 2 and 3
   Viva Voce – to demonstrate achievements of learning outcomes 4, 5 and 6
   Verification of clinical competence – to demonstrate achievement of learning outcome 2

KEY READING______________________________________________________________________
Course reader
References supplied as part of distance learning




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APPENDIX 1


                                           Rila Publications Ltd.
                                         Equal Opportunities Policy

The Equal Opportunities Policy of Rila Publications Ltd states that in the recruitment, selection,
education and assessment of students, and in the recruitment, development and training, appraisal and
promotion of staff, the only consideration must be that the individual meets, or is likely to meet, the
requirements of the programme, course or post.

The requirements being met, no student or employee will be discriminated against on the basis of their
gender, race, colour, ethnic origin, nationality (within current legislation), disability, sexual orientation,
marital status, caring or parental responsibilities, age or beliefs on any matter such as religion or politics.

Rila Publications Ltd is committed to providing a learning working and social environment in which the
rights and dignity of all its members are respected, and which is free from discrimination, prejudice,
intimidation and all forms of harassment including bullying.

Rila is committed to a programme of action to ensure that its policy is implemented and monitored at an
organisational and individual level.

WHY DOES RILA NEED TO HAVE AN ACTIVE EQUAL OPPORTUNITIES POLICY?

Apart from concern for natural justice and the desire to respect the dignity of all, there are organisational
grounds as follows:

       Compliance with the Law: anti-discrimination laws in the UK make it unlawful to discriminate
        on the grounds of sex, race or disability

       Trouble shooting: a positive policy of equal opportunity coupled with a programme of action can
        be a good way of overcoming problems or preventing their occurrence

       Encouraging good management: the removal of discriminatory barriers is likely to improve how
        the organization works as a whole, not simply for specific groups within the organization

       Effective use of human resources: recruitment and development of women, ethnic minorities and
        the disabled significantly expands the pool of talent and skill available

       Social responsibility: Rila has a responsibility to reflect the values of the community we serve
        and our multicultural clientele

       Sense of injustice: persistent discrimination and denial of equal opportunity can create a sense of
        injustice amongst affected groups. This can lead to breakdown in communication and poor
        working relations




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APPENDIX 2


Programme Specifications:
PGDip Cardiology

1.   Awarding institution                                    Middlesex University
2.   Teaching institution                                    Rila Publications
3.   Programmes accredited by                                Royal College of General Practitioners
4.   Final Award                                             Postgraduate Diploma
5.   Programme                                               PGDip Cardiology
6.   UCAS code (or other relevant coding system)             N/A
7.   Relevant QAA subject benchmark group                    Medicine and Allied Subjects
8.   Date of production/revision                             December 2004/6


9.      REFERENCE POINTS_________________________________________________________
    The New NHS Modern, Dependable (DoH 1997)
    A First Class Service – Quality in the New NHS (DoH 1998)
    The NHS Plan (DoH 2001)
    Working Together (DoH 2001)
    The NSF in Coronary Heart Disease (DoH 2000)
    The NHS White Paper (DoH 2006)
    University and School Teaching, Learning and Assessment Policies
    Middlesex University Guide and Regulations
    Middlesex University Student Charter

10.     EDUCATIONAL AIMS OF THE PROGRAMME___________________________________
This programme aims to:
 Enhance clinical practice by critical reflection and interprofessional discourse
 Promotion of interprofessional collaboration to maximise health care gain
 Expansion of the knowledge base of clinical practice through acquisition of advanced knowledge and
    practical skills relevant to Cardiology practice
 Benefits to service provision through the delivery of high quality clinical care

11.  PROGRAMME OUTCOMES – THE PROGRAMME OFFERS OPPORTUNITIES FOR
STUDENTS TO ACHIEVE AND DEMONSTRATE THE FOLLOWING LEARNING
OUTCOMES_________________________________________________________________________

A. Knowledge                                              Teaching and learning methods
On successful completion of this programme the
student will be able to:                                  Students gain knowledge and understanding
1. Demonstrate an in-depth knowledge and                  through lectured, workshops, distance learning and
understanding of the scientific foundations of            supervised practice
cardiology practice
2. Critically assess the pathophysiology of cardiac       Assessment
disease
3. Demonstrate effective clinical decision-making         Students‟ knowledge and understanding is assessed
in relation to pharmacology related to cardiac            by short answer question papers and clinical case
disease                                                   studies
4. Critically practice evidence based cardiology
5. Critically consider rehabilitation in relation to
cardiac disease




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APPENDIX 2


B. Cognitive (thinking) skills                            Teaching and learning methods
On successful completion of this programme the
student will be able to:                                  Students learn cognitive skills through resource
                                                          based learning and practice under supervision
1. Critically appraise clinical standards in
cardiology
2. Utilise critical judgement in diagnosing and           Assessment
treating cardiovascular disorders
3. Employ effective clinical decision making in           Students cognitive skills are assessed by clinical
relation to cardiology                                    case studies, clinical assessment
4. Critically reflect on practice of self and others

C. Practical Skills                                       Teaching/ learning methods
On successful completion of this programme the            Students learn practical skills through
student will be able to:                                  demonstration, workshops and supervising
1. Critically appraise and assess cardiological risk      practices
2. Diagnosing cardiovascular disorders
3. Treat cardiovascular disorders                         Assessment
4. Promote cardiovascular health
5. Manage the delivery of intermediate tier               Students‟ practical skills are assessed by Clinical
cardiology services                                       assessment, EMQs/MCQs, clinical quiz & viva
                                                          voce

D. Graduate skills                                        Teaching/ learning methods
On successful completion of this programme the
student will be able to:                                  Students learn key skills through workshops,
(or equivalent for postgraduate programmes)               distance learning and supervised practice
1. Communicate effectively within the
multidisciplinary team
2. Lead an interprofessional team in intermediate         Assessment
care
3. Demonstrate the acquisition of effective lifelong      Student‟s key skills are assessed by short answer
learning skills                                           question papers, clinical case studies
4. Critically utilise relevant information technology     EMQs/MCQs, clinical quiz and viva voce
5. Critically utilise statistical evidence in practice    Clinical assessment
6. Engage in personal and career development




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APPENDIX 2


12.  PROGRAMME STRUCTURES AND REQUIREMENTS, LEVELS, MODULES,
CREDITS AND AWARDS_____________________________________________________________

12.1    OVERALL STRUCTURE OF THE PROGRAMME_________________________________

This programme is offered on a part-time one year basis. Recognizing that clinicians working at an
specialist level need to develop the skills and experience most relevant to the local setting, the
programme is offered on resource learning basis, with local clinical placement. Modules run
consecutively, and each module is formally assessed independently. Students are required to submit
clinical case studies and attend structured clinical sessions with their local mentor as part of each module.
Introductory and concluding workshops are mandatory. There will be a full day of final clinical
assessment.

The introductory workshops provide an opportunity to introduce the student to the programme and the
clinical sciences that underpin the practice of cardiology. The framework for early identification of any
student problems or difficulties is highlighted. Following the introductory workshops each of the six
modules will be delivered using a combination of directed learning and clinical training:

   Directed learning – students will be provided with learning materials relating to the content of the
    module which they are undertaking. This learning material will compromise of a course reader which
    will outline the key knowledge required in relation to the module content, and identify the
    recommended reading in relation to this content. The specific learning outcomes of the module in
    relation to knowledge developed will be assessed through the multiple choice questions.
.
   Clinical training – the outpatient clinical placement requirements and the clinical skills which need to
    be developed during this are outlined in the clinical skills booklet. You are required to attend a
    minimum of 18 sessions although most students exceed this number. During the clinical placement
    the student will work under the supervision of their clinical mentor to develop those skills identified.
    Initially the student will be expected to observe the delivery of cardiology care by their mentor, then
    to practice under direct supervision, then to practice with minimal supervision before being expected
    to practice independently in the delivery of cardiology care. The specific learning outcomes in
    relation to clinical skills are assessed both by the clinical mentor, who signs the student‟s clinical
    skills booklet and through reflection on those skills within the clinical case studies.

Additional workshops provide an opportunity for the student to consolidate the learning, in terms of both
theory and practice, achieved within the modules that they have taken, and to demonstrate this
achievement they will, in the final assessment, be assessed by means of EMQs/MCQs/Clinical Quiz and
a viva voce.




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APPENDIX 2


12.2    Levels And Modules____________________________________________________________
This section should contain a more detailed description level-by-level of the programme structure,
modules, credits and awards. There would be a row for each level of award. Note that all modules will be
determined to be compulsory, designated or optional with regard to any programmes or major/minor
subjects of which they are a part. Compulsory and designated modules can be regarded as the core
modules or subject major/minor.
Level 4
COMPULSORY¹                          DESIGNATED²                           OPTIONAL³                            PROGRESSION
                                                                                                                REQUIREMENTS
Students must take all of            Students must also choose             Students may also choose
the following:                       at least XX from the                  from the following:
                                     following:

RILA 400 –
Foundation Cardiology

RILA 401 –
Lower Intermediate
Cardiology

RILA 402 –
Intermediate Cardiology

RILA 403 –
Higher Intermediate
Cardiology

RILA 404 –
Advanced Cardiology 1

RILA 405 –
Advanced Cardiology 2


1.    Compulsory modules are those that must be taken, that is, the award cannot be made unless these modules have been successfully
      completed. Each of these modules makes a unique contribution to the learning objectives of the programme or subject major/minor.
2.    Designated modules are those from which a specified minimum number must be taken, that it, the award cannot be given unless this
      specified minimum number of designated modules have been successfully completed. Each of the possible combinations of designated
      modules will make a similarly unique contribution to the achievement of the learning objectives of the programme or subject major/minor.
3.    optional modules are modules that may be taken at the discretion of the student. It is not necessary to complete optional modules to achieve
      the award (assuming other awarding condition are met). Optional modules make a non-unique contribution to the achievement of the
      learning objectives of the programme or subject major/minor.


13.        A CURRICULUM MAP RELATING LEARNING OUTCOMES TO MODULES_- (p. 49)

14.        ENTRY CRITERIA FOR ADMISSION TO THE PROGRAMME_____________________

Students admitted to this programme must be:
 In possession of an MBBS or equivalent medical degree
 Provide evidence of a formal English Language qualification or fluency if English was NOT the
    primary medium of teaching in the undergraduate medical degree. This evidence could be a formal
    reference from a lawyer, doctor, your referee or other professional individual. Also acceptable would
    be a qualification such as IELTS (International English Language Testing System), with a minimum
    score 6.5 or TOEFL(Test of English as a Foreign Language)
 Provide all the documentation listed on page 7


NB. Experience has indicated that an allocation of the no more than 1 day (2 sessions) a week is required
for the level of study and clinical activity in this programme.


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APPENDIX 2


15.      INFORMATION ABOUT ASSESSMENT REGULATIONS__________________________

All assessed components of the programme are marked in the following way:
 The assessment of directed learning is marked electronically and records a percentage grade – pass
    mark is 50%
 Clinical case studies are marked by a member of the programme team. 10%, representing the full
    range of achieved grades are available for review by external examiner – pass grades are a, b and c
 Clinical activity – the clinical skills developed in the clinical setting are assessed by the local mentor
    using the clinical skills booklet guidelines – assessed as pass/fail
 Examiners using a criterion referenced marking scheme assess the EMQs/MCQs. The external
    examiner samples the process – assessed as pass/fail
 The Clinical Quiz is assessed using a criterion marking system. The external examiner samples the
    process – assessed as pass/fail
 The viva voce will be conducted by the examiners in the presence of the external examiner as an
    observer – assessed as pass/fail

If unsuccessful at the first attempt one further attempt will be allowed

16.      INDICATORS OF QUALITY____________________________________________________

     Successful validation in 2001
     Student feedback
     External examiner reports
     Accredited for Higher Professional Development (HPD) by the Royal College of General
      Practitioners, London, UK
     Approved for accredited learning for CPD by the Royal College of General Practitioners, London,
      UK

17.      PARTICULAR SUPPORT FOR LEARNING______________________________________

Students on this programme will have the following provided:
 Directed learning material related to the content of each module, and details of how to obtain
    additional advice and academic support, through a designated e-mail address
 An electronic discussion forum will be established during the programme
 Assistance to identify an clinical cardiology attachment with a named mentor who will supervise and
    support your clinical skills development and ensure that you have access to the local postgraduate
    library

18.  METHODS FOR EVALUATING AND IMPROVING THE QUALITY AND
STANDARDS OF LEARNING_________________________________________________________

     All modules and the overall programme is formally evaluated by both staff and students, and this
      evaluation is used to refine the modules/programme
     The
      Comments received through the online Board of Studies facility are fed into the Annual Monitoring
      Report
     The external examiner‟s report is fed into the Annual Monitoring Report




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APPENDIX 2


19.  PLACEMENT OPPORTUNITIES, REQUIREMENTS AND SUPPORT (IF
APPLICABLE)_______________________________________________________________________

All students are allocated a locally based clinical mentor to supervise and guide them through the
programme, and to ensure their clinical skills development. All students are required to undertake a
minimum of 16 clinical cardiology sessions.

20.  FUTURE CAREERS: HOW ACHEIVEING THE QUALIFICATION WILL SUPPORT
FUTURE CAREER DEVELOPMENT___________________________________________________

This programme will equip clinicians with the knowledge, skills and experience necessary to enable them
to practice at a specialist level.

21.     OTHER INFORMATION_______________________________________________________

Please note: this specification provides a concise summary of the main features of the programme and the
learning outcomes that a typical student might reasonably be expected to achieve if s/he takes full
advantage of the learning opportunities that are provided. More detailed information can be found in the
Programme handbook




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APPENDIX 2


CURRICULUM MAP FOR PGDIP CARDIOLOGY_______________________________________
This map shows the main measurable learning outcomes of the programme and the modules in which they are
assessed.

Module         Code   A1   A2   A3   A4   A5   B1   B2   B3   B4   C1   C2   C3   C4   C5   D1   D2   D3   D4   D5   D6
Foundation     RILA   X              X    X                   X    X              X         X         X    X         X
Cardiology     400
Lower          RILA        X                   X    X    X    X         X    X              X    X                   X
Intermediate   401
Cardiology
Intermediate   RILA        X    X    X              X    X    X         X    X              X    X                   X
Cardiology     402
Higher         RILA        X         X         X    X    X    X         X    X              X    X                   X
Intermediate   403
Cardiology
Advanced       RILA        X                        X    X    X         X    X              X    X                   X
Cardiology 1   404
Advanced       RILA                            X    X    X    X         X    X         X    X    X    X         X    X
Cardiology 2   405




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POSTGRADUATE DIPLOMA IN CARDIOLOGY (PGDIPCARDIOLOGY)


                                       Programme Evaluation Report
                  (to be completed at the end of the course, you may photocopy this page)

Institutions:             Middlesex University & Rila Publications

Date:_______________________________________________________________________________

Student information: please complete as appropriate (optional)
Name:______________________________________________________________________________
Address:____________________________________________________________________________
____________________________________________________________________________________



                                                              Good    Acceptable     Poor      Comments
1. Ease of access to PGDipCardiology organising staff:
   a. Formal
   b. Informal
2. Organisation:
   a. Directed learning
   b. Seminars
   c. Assessment / Exams
   d. Mentor / hospital activity
   e. Clinical dissertations
   f. Administration
3. Quality of taught material- lectures and seminars:
   a. Informative value
   b. Structure, clarity and presentation
   c. Interest
   d. Handouts
4. Other facilities: RILA/local
   a. Library
   b. Computing
   c. Medline
   d. Internet
5. Supervision
   a. Clinical
   b. Core knowledge
   c. Personal development
   Informal: feedback from mentors
6. Did you feel welcome at the local hospitals                Yes/No (Delete as appropriate)
7. Overall do you feel the course has been a useful
    learning experience?                                      Yes/No (Delete as appropriate)
8. Was the time allowed for clinical skills acquisition
     sufficient?                                              Yes/No (Delete as appropriate)
9. Was the time allowed for personal study sufficient?        Yes/No (Delete as appropriate)
10. Who paid your fees?
Confidential
Please give your comments or suggestions to improve the course in the space below




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Please attach attested copies of documents marked with * below and the duly completed “Mentor‟s
Agreement” and the registration fee, as stipulated in the Fees Structure, and return to the Middlesex
University(PG Dip Card), 301/17, Bhanot House(3rd Floor), Commercial Complex, Gulmohar Enclave,
near Yusuf Serai, New Delhi 110049, India

                                                                                                               Please attach 2
                                                                                                               passport size
                                                                                                               photographs in
         POSTGRADUATE DIPLOMA in CARDIOLOGY                                                                    this box. Write
                     Please use BLOCK CAPITALS (type or use black ink)                                         your name on
                                                                                                               the reverse
Name of your Medical Council :________________________________________________

Your Medical Council Registration number/identification:____________________________________________

Title ______Surname:_________                         ____________________________________________________

Forenames:_________________________________________________________________________________

Date of birth (day/month/year)                                 Sex male/female_____________________________
Correspondence address


                                                               Post code__
Hospital/Practice Name
Address
                                                               Post code
Telephone contact:                                             Fax contact:                                           ______
Email address:                                                                                               ____
*Name of University & Year of Medical Degree: see page 7                                                              ______
*Postgraduate Qualifications and year of award – if any:______________________________________________
*English Language reference or qualification. See page: 7                                                             ______
Outline previous experience in cardiology             ___________                                                     ______
____________________________________________________________________________________
Name/Address of referee( who should complete & forward the referee‟s report):pages 50/51_________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Name / contact details of your mentor( who should complete the *Mentor‟s Agreement):page 52______________


                                                                                                    ___________________
SIGNATURE                                                                DATE                                         _____
(Signing this binds you to accepting the regulations as detailed in the course programme handbook and in the Fees structure.
Please note that the organisers reserve the right to alter, amalgamate, change and cancel courses without notice.




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                          SECTION A : REFEREE’S REPORT
                                           (may be photocopied)

        Proposed Course: Postgraduate Diploma in Cardiology

Please complete this section in BLOCK CAPITALS and then send it, together with section B on the next page,
to your referee indicating that the whole reference should be returned to the student in a sealed envelope and
signed by the referee across the seal. The student should forward it with all the other documentation to the address
given at the foot of this page.

Section A (to be completed by the applicant                                                                             .

Your Surname                               __________________________________________________________
Forenames:_________________________________________________________________________________
Correspondence Address




                                                             Post code
Date of Birth (day/month/year)                               Nationality
Medical School or Institute;                                                                                  ______
        ____________________________________________________________________________________
Medical Degree & year of Award:
__________________________________________________________________________________________--
Postgraduate Qualifications (if any):
___________________________________________________________________________________________
English Language Qualification( if appropriate)__________________________________________________
___________________________________________________________________________________________
Date of Commencement of proposed course:                                                             ____________
Name of referee:

The above named applicant has applied to follow the Postgraduate Diploma in Cardiology course, offered by
Middlesex University and Rila Publications, London. Your name has been given as a referee. We should be
grateful if you could forward, in confidence, your opinion as to the candidate‟s suitability for the course of study.
The Diploma requires the applicant to work in a dedicated and self-disciplined manner over a total of about 40
weeks using resource based learning/work based techniques. The information you provide is of great importance
in considering the application. We thank you in advance for your cooperation.

Section B- next page (to be completed by the referee)                                                                   .

The student should return the sealed envelope containing the referee‟s report to:
Middlesex University Office (PG Dip Cardiology)
301/17, Bhanot House (3rd Floor)
Commercial Complex, Gulmolar Enclave
Near Yusuf Serai, New Delhi 110049
India

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SECTION B – REFEREE’S REPORT                                             )                                 .

1) How long have you known the applicant and in what capacity?




2) Please indicate the suitability of the applicant for this Diploma Course (Please also indicate, if you are
able to, the candidates fluency in the English Language if the primary medical degree was NOT through
the English medium)




Referee’s Name
Title/Status
Address




Signature                                                         Date
Please return this whole report, Section a and B to the student in a sealed envelope and sign the envelope
across the seal

Official stamp/Attestation




                          Agreement to act as a mentor/clinical supervisor
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                                   Postgraduate Diploma in Cardiology

Clinical activity and work is the major focus of the above programme that leads to the award of
Postgraduate Diploma in Cardiology. It is in such activity that candidates demonstrate their professional
expertise and integrity within their specialised area of cardiology.

During the 10 month programme candidates benefit from the support and advice from a number of
sources. This includes:
   - Programme course leaders
   - During workshops and seminars
   - UK and Indian consultant cardiologists‟ feedback and comments on submitted work
   - Local Indian Cardiologist: acting as a mentor/clinical supervisor. This would be your role.

The mentor/clinical supervisor will be an experienced member of a department of cardiology and who
will be able to provide clinical educational opportunities and advise to the candidate, occasionally
delegating such activity to other appropriate colleagues, for the duration of the programme.

In particular this activity would comprise the following elements, some of which may be delegated to
appropriate colleagues:
    - Accessing clinical opportunities to acquire competency in the core elements listed in the
        “Clinical Skills Booklet”, and signing these once achieved.
    - Ensuring that the minimum “Clinical Activity Sessions”, are achieved by the conclusion of the
        programme. Most candidates far exceed this minimum requirement.
    - Advising on the selection and content of “Clinical Case Studies”.
    - Ring fencing time for addressing the “Discussion Topics”.
    - Generally advising the candidate.

The programme handbook on www.apwsi.co.uk has information on the mentor/clinical supervisor role.

Please fill in the details below indicating your acceptance of the role of mentor/clinical supervisor for the
duration of the course, and return to the student for onward transmission to Middlesex University.
                         Please complete in block capitals

Student‟s Surname:__________________________________________________________________

Other names_______________________________________________Date of birth_______________

Mentor/Clinical supervisor
name/qualifications:__________________________________________________________________

Mentor/Clinical supervisor
title/clinical position:__________________________________________________________________

Mentor/Clinical supervisor
address: __________________________________________________________________________



________________________________________________________Tel_______________________

Fax:_____________________________Email:____________________________________________

Mentor/Clinical supervisor
signature_____________________________________________Date__________________________


STATEMENT OF MEDICAL QUALIFICATION In respect of a postgraduate application
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To be completed on behalf of the candidate by the awarding university or institution and returned to the
student for onward transmission to the Middlesex University. This form should only be used to certify that the
candidate has definitely been awarded or recommended for the award of the qualification concerned. It should not
be used to notify results of intermediate examinations.

Surname ............................................................................................ Date of birth.....................................................

Other names in full.......................................................................................................................................................

Title of Medical degree/qualification............................................................................................................................


Subjects passed(if applicable) .......................................................................... Date of Award .................................

Name of University, College or Institution....................................................................................................................


Official stamp
of certifying
authority




PLEASE NOTE:

This statement is to be signed by the Registrar, Examinations Officer or appropriate officer in the central
administration of the awarding body.

(Signatures of academic staff concerned in teaching or supervising the candidate will NOT be accepted).


CERTIFIED

Signature.....................................................................................................................................................................................

Name............................................................................................................................................................................................

Official Position.......................................................................................................................................................................

Date ..............................................................................................................................................................................................




                                         ENGLISH LANGUAGE REQUIREMENTS



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To obtain maximum benefit from studies you must have full command of the English Language.
Students joining the programme must normally have taken an English Language test and achieved an acceptable
grade or score before admission can be confirmed. The Middlesex University and Rila has approved the tests set
out below. Other evidence of oral and written competence in the English Language will, exceptionally, be
considered.

Please note that the scores or grades indicated are the minimum levels generally acceptable.
Students must make arrangements to take the appropriate test well in advance of the start of the course.

Places will not be confirmed and students will not be allowed to register until confirmation of an
acceptable result has been received. Any one of the following is acceptable evidence. Your attested
certificate MUST accompany the application form.

(a) A grade of not less than C in English or English Language in GCSE or GCE „O‟ Level or in the Irish Leaving
Certificate Examination, or a grade of not less than 3 in the Scottish Standard Grade examination.

(b) British Council IELTS Test
For postgraduate courses, a score of not less than 6.5 including a score of 5.0 or better in the written
English element of the test. Outside the UK please contact your nearest British Council Office. If you are in the
UK, please consult the IELTS website [http://www.ielts.org] for details of where you can take the test.

(c) TOEFL
For postgraduates - a score of not less than 600 (250 in the computer-based test) to include a
minimum score of 4.5 in the written English.
Further details: Educational Testing Service, Rosedale Road, Princeton, NJ 08541 USA; website:
http://www.toefl.org

(d) A grade of 65% in English in the final examinations of the European Baccalaureate.

(e) A grade of 5 out of 7 in English (either Subsidiary or Higher) in the International Baccalaureate (for those not
taking examinations in the medium of English).

(f) A grade of 12 out of 20 in English in the final examinations of the International Option of the French
Baccalaureate (OIB). (The OIB requires English to be the second language.)

(g) A grade of not less than C in the Cambridge Certificate of Proficiency in English.

(h) A pass in the University Test of English for Speakers of Other Languages (UETESOL).

(i) Indian CBSE/ISCE test score in English of 70% or higher

(j) Mature students, over 21 years of age, may have their English Language competency assessed on a case by
case basis, provided their graduation was in the English medium




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