Tbilisi State Medical University

Syllabus of Master degree

Tbilisi State Medical University33, Vazha-Pshavela av. 0177 Tbilisi Georgia

web-site: www.tsmu.edu

Master – program in Cardiology

Program Coordinator –Prof. Ia Avaliani MD., Ph.D

Local Coordinators:

Prof. Rusudan Rukhadze - Tbilisi State Medical University

Dr. Khatuna Jalabadze - Cardiological Clinic “GULI”

Dr. Rusudan Jandagashvili Cardiological Clinic “GULI”

Dr. Tea Todua- Cardiological Clinic “GULI”

Prof. Irakli Metreveli M.D., PhD - The Jo Ann Medical Center

Prof. Avtandil Tsintsadze, M.D., PhD- The Jo Ann Medical Center

Dr. George Kacharava- The Jo Ann Medical Center

Dr. Ramaz Batavani - The Jo Ann Medical Center

Dr. Irakli Gogorishvili - The Jo Ann Medical Center

Dr. Sergo Orjonikidze MD., Ph.D – City Cardiological Clinic

Dr. Tamaz Shaburishvili – MD., Ph.D – S. Khechinashvili University

Clinic

Prof. Malkhaz Mizandari - MD., Ph.D – S. Khechinashvili University

Clinic

CARDIOLOGY — D M

Study Duration : 3 years (36 months)

BASIC SUBJECTS

Teaching and attaining proficiency in applied Anatomy (including developmental anatomy), Physiology and Pathology related to the cardiovascular system.

CLINICAL CARDIOLOGY

Etiopathology, hemodynamics, clinical evaluation, noninvasive and invasive evaluation and management strategies for the following disorders:

1. Coronary artery disease2. Rheumatic heart disease3. Congenital heart disease and other paediatric cardiac disorders4. Pericardial diseases5. Cardiac arrhythmias6. Heart failure7. Peripheral vascular disorders8. Pulmonary thromboembolism and pulmonary hypertension9. Systemic hypertension10. Systemic diseases involving heart11. Heart muscle diseases12. Traumatic heart disease13. Tumors of heart14. Genetics, molecular biology and immunology related to cardiology15. Geriatric heart disease16. General anaesthesia and non cardiac surgery in patients with heart disease17. Pregnancy and heart disease18. Epidemiology and preventive cardiology

Non-invasive Technique

To perform and interpret various non invasive techniques including:1. Electrocardiography2. Radiography – routine and specialized areas like CT and MRI3. Stress testing – tread mill test, stress related and other nuclear techniques

4. Holter monitoring for arrhythmias and ischemic disorders5. Echocardiography – M-mode, Two dimensional, Doppler, color flow imaging, transesophagealechocardiography and echo directed hemodynamic studies.

Invasive Cardiology

- Experience in cardiac catheterization to calculate and interpret various hemodynamic parameters- Right and left heart cath and coronary angiography procedures in adults and children- To perform temporary pacemaker insertion.- To assist in various interventions including valvuloplasty, coronary and congenital interventions.- Electrophysiology: To interpret electrophysiological data and assist in electrophysiology procedures, permanent pacemaker implantation.

Biomedical Aspects

To understanding the functional principles of various bio-medical equipments used for the invasive and non invasive cardiology.

Research Projects

As of now each DM student is completing four research projects during the course.

I It is recommended that the number of projects be reduced to two, however at least one of these projects must be prospective in nature. In addition, one of the projects must be submitted for publication in an indexed journal before submission. Special credit should be given for additional published case reports, published articles.

II The candidate should write two reviews as the topics presented by him on seminars.

Academic and Clinical Work Requirements

Publications – minimum 3 (1 per yaer)

Minimum No. of ProceduresNumber of Echo’s done — 200Number of TMT procedures — 100

No. of temporary pacemakers done — 30Number of Holter analysed — 50Number of permanent pacemakers assisted or done — 5Number of cardiac cath procedures includingInterventions assisted or done — 100(The Head of the department should certify this)

Duration of the study program

Ward + CCU 11 monthsCath Lab 8 monthsEcho 4 monthsTMT/Holter 4 monthsElectrophysiology/pacemaker 2 monthsCardiac Surgery 1 monthNuclear Cardiology 1 monthPediatric Cardiology 4 monthsDuration of the training programme: 3 years i.e. – 36 months.The D M exam at the end of 36 months of training.

Educational Qualifications and eligibility:

A candidate must possess M.D in Medicine awarded by Tbilisi state Meical University or any other WHO Accredited Oversea University

Age Limit: No age limit

METHOD OF SELECTION

Selections for DM is through a 3 – stage performance evaluation:

Stage I:

Candidates will appear for an entrance examination (theory test) for 90 marks, of 90 minutes duration in the subject. The result will be displayed the following day on the notice board of examination section. No individual communication will be sent.

Stage II: Based on the performance in the theory test (stage I), candidates 3 times the number of seats advertised will be called for Department clinical assessment on the third day to assess the suitability of the candidate, keeping in view the practical knowledge of the candidate, ability to attain the high academic level in the discipline and aptitude for research and teaching. A maximum 90 marks have been

determined for Departmental Clinical assessment.

Stage III:

Those candidates who secure 50% marks (out of 180 marks) or above in theory plus departmental clinical assessment will be finally interviewed on the fourth/fifth day by the selection committee under the chairmanship of Director. A maximum of 20 marks have determined for the interview.Candidates who fail to attend any of the three stages mentioned above or secure less than 50% aggregate marks in the above three stage performance evaluation, will not be considered for admission.