COURSE OBJECTIVES
The Professional Postgraduate Master’s Degree Course in Interventional Cardiology – level 2 (Italian system) provides participants with a thorough and up-to-date theoretical and practical preparation in the field of Interventional Cardiology, enabling them to define the correct treatment indications in light of technical progress in percutaneous and surgical revascularisation techniques and to perform simple and complex angioplasty procedures as the main surgeon. Candidates will also be exposed to the related interventional techniques of direct myocardiac revascularisation for valvular cardiomyopathy and obstructive hypertrophic cardiomyopathy. The educational results will be verified through daily practice and attendance in the catheterisation lab, and preparation of an experimental dissertation.

Direttore del Master
Prof. Paolo Camici

Method of admission

On the basis of the preliminary assessment of the qualifications indicated below, the commission shall decide on the suitability of the candidates and their admissibility to the written test, if they have attained the minimum of 7 points.

The written test shall be held only if the number of admissible applications is greater than the number of places available.

The candidates shall take a multiple-choice test in English, consisting of 60 questions. Maximum points: 6.0.

A classification will then be drawn up on the basis of the results of this written test and evaluation of the qualifications indicated below.

The maximum points in the event of the written test being held is in any case 20.

Maximum points: 14
• Educational CV (clinical activities) and degree dissertation: maximum points 6.0
• Specialisation in cardiology and/or cardiac surgery: maximum points 2.0
• CV with relevant scientific publications: Maximum points 6.0

Course Organisation

General Structure of the Learning Activities and Internships

 

Title of Courses
HOURS ECTS-credits ACTIVITIES
1. Myocardial ischaemia without stenosis of the epicardial vessels.
hours:

3

ECTS:

0.12

MED 11
2 Vascular approaches to interventional cardiology: selection, closure and prevention methods, recognising and treating complications.
hours:

3

ECTS:

0.12

MED11
3 Anti-aggregation and anti-coagulation during endovascular surgery.
hours:

3

ECTS:

0.12

MED11
4 The coronary stent: design, materials, polymers, drugs and future platforms.
hours:

3

ECTS:

0.12

MED11
5 Treatment of bifurcations.
hours:

3

ECTS:

0.12

MED11
6 Treatment of chronic total occlusions.
hours:

3

ECTS:

0.12

MED11
7 Optimising DES results.
hours:

3

ECTS:

0.12

MED11
8 Common arterial trunk treatment.
hours:

3

ECTS:

0.12

MED11/MED23
9 BVS: platform, clinical data and real-world experience.
hours:

3

ECTS:

0.12

MED11
10 IVUS, IVUS- VH, OCT and other intracoronary imaging techniques.
hours:

3

ECTS:

0.12

MED11/MED36
11 Extracoronary cardiac procedures in adults: ASD and PFO closure.
hours:

3

ECTS:

0.12

MED11
12 Extracoronary endovascular treatments for the cardiologist: angioplasty techniques for the lower extremities and for saving limbs.
hours:

3

ECTS:

0.12

MED22
13 Alternatives to atrial fibrillation treatment: Percutaneous closure of the auricle.
hours:

3

ECTS:

0.12

MED11/MED22
14. Treatment of aortic valvulopathies: from valvuloplasty to percutaneous replacement (TAVI).
hours:

3

ECTS:

0.12

MED11/MED23
15 Percutaneous treatment of mitral valvulopathy.
hours:

3

ECTS:

0.12

MED11/MED23
16 Statistical analysis applied to interventional cardiology: statistical plan and final analysis.
hours:

3

ECTS:

0.12

MED 01
17 Patient selection and implantation techniques for aortic prostheses in pathologies of the thoracic and abdominal aorta.
hours:

3

ECTS:

0.12

MED 22
18 Percutaneous treatment of mitral insufficiency.
hours:

3

ECTS:

0.12

MED 11
19 JOINT INTERVENTIONAL MEETING. 
hours:

50

ECTS:

2

MED11/MED23
 20 JOURNAL CLUB MEETING.
hours:

50

ECTS:

2

MED11
TOTAL
hours:

154

ECTS:

6.16

 

JOURNAL CLUB MEETING
This is held weekly, involving presentation of the most recent scientific advances reported in the literature for topics of interest to interventional cardiology. The meetings are organised by two senior staff members. To facilitate students’ ability to work independently, each topic is prepared by one of the Master’s Degree course students, with the selected material and lines of presentation supervised by one of the two staff members.

JOINT INTERVENTIONAL MEETING
The Catheterisation Department, in collaboration with the Cardiology Department of Columbia University, New York, University Hospital Bonn, Germany and the Royal Brompton Hospital in London, organises a yearly theoretical and practical course. Held in Rome over three days, it includes a total of 30 hours of lessons, debates, theory and practical sessions and live presentation of cases.

Other Forms of Training

 

Type of activity  SSD HOURS ECTS-credits ACTIVITIES
Department, Theatre and Lab activities
SSD:

MED/11

hours:

300

ECTS:

12

PRACTICAL ACTIVITIES
SSD:

MED/11

hours:

300

ECTS:

12

PRACTICAL ACTIVITIES
SSD:

MED/36

hours:

300

ECTS:

12

PRACTICAL ACTIVITIES

1 Department, Theatre and Lab activities

This programme requires full-time attendance five days a week, and at the weekend in the department and operating theatre on the basis of weekly shifts, with shadowing by a permanent staff member for night-time and holiday on-call availability for catheterisation emergencies. Each participant in the Master’s Degree course shall be assigned a tutor, chosen from the teaching staff, who will ensure they make adequate lab progress, reporting any difficulties in maintaining the pre-established qualitative and quantitative standards to the course co-ordinators and lab head.

The training shall be performed in the following stages, with verification that the corresponding skills have been acquired:

First semester: completion of haemodynamic diagnostic skills in congenital heart disease in adolescents and adults, valve defects and ischaemic heart disease. Course participants, who will already have been required to perform and interpret simple haemodynamic and coronography investigations during the course of their specialisation in cardiology, will complete their preparation by performing complex studies (post-surgery patients, urgent exams for unstable conditions, patients with diffuse atherosclerosis, renal insufficiency etc.) and discussing referral of the cases with one of the permanent staff physicians. The Master’s Degree course participants will also take responsibility for the appropriateness of the arterial access closure manoeuvres (manual compression or closure using devices), and will check their results remotely and manage relationships with the clinics where the patient has been referred, as well as cardiac surgeons in the event there are indications to operate. The participants will then participate as assistants in simple angioplasty procedures, familiarising themselves with the materials used and the operating strategies (at least 100 procedures). Part of the interventional activities will include reporting of angioplasties and defining the subsequent treatment direction, in agreement with the referring cardiologist, and providing explanations to the patient.

Second semester: Independent completion of complex diagnostic procedures with supervision of the final report. Performing simple angioplasties as the lead surgeon under direct supervision of a scrubbed-in permanent staff member (at least 100 procedures). Activity as scrubbed-in assistant in complex angioplasty procedures (complex multivessel procedures, with the use of filter devices, arthrotomy, medicated and absorbable stents) (at least 100 procedures) or extracardiac procedures with coronary stents (at least 30 procedures) or percutaneous treatment of valvular heart disease (at least 30 procedures).

Educational Internship Activities

 

Type of activity  SSD HOURS ECTS-credits ACTIVITIES
DISCUSSION OF CLINICAL CASES AND LAB ACTIVITIES
SSD:

MED/11

hours:

151

ECTS:

6.04

Internship
STAFF MEETINGS AND SKILLS MEETINGS
SSD:

MED/11

hours:

60

ECTS:

2.40

Internship
DEPARTMENTAL MEETINGS
SSD:

MED/11

hours:

60

ECTS:

2.40

Internship

 

Type of activity

DISCUSSION OF CLINICAL CASES AND LAB ACTIVITIES

Discussion generally lasting 1 hour. The various cases to be treated on the day are discussed and illustrated. This allows clarification of the specific treatment programmes to be implemented.

Four hours a week for 40 weeks.

STAFF MEETINGS AND SKILLS MEETINGS

These last one hour and are held every two weeks. The topics include: presentation of new interventional techniques; presentation of new controlled clinical trials; reviews of interesting cases in previous days or to be performed, re-evaluating or deciding on the treatment approach identified. On a monthly basis, one of these meetings will be open to nursing and technical staff for discussion of the complications which occurred in the operating theatre during the previous month and the methods to avoid any repetition of these and manage them more effectively in the future.

DEPARTMENTAL MEETINGS

These are held monthly and last one hour, before the start of the clinical activity; they are organised in rotation by the Interventional Cardiology, Clinical Cardiology, Cardiac Surgery, Arrhythmology and Vascular Surgery departments. The meetings involve presenting new diagnostic and treatment techniques, reviewing cases with an interdisciplinary approach, and proposing new diagnostic and treatment protocols for revision of the guidelines.

Type of activity  SDS HOURS ECTS-credits ACTIVITIES
Preparation of Experimental Clinical Dissertation MED/11 175 7 Final Exam/Dissertation

 

REGULAR ASSESSMENTS AND FINAL EXAM

The assessment tests and final exams are not graded, they only offer a “pass” (with honours, where applicable), or “fail”. In the event the exam is failed, it can be repeated once only; the methods for repeating the exam, also in terms of the time frame, are laid out by the Master’s Degree Course Teaching Committee

 

Regular assessments

Regular assessments of the progress in learning the interventional techniques shall be performed via discussion of revascularisation strategies and the necessary materials for selected cases. Checks on measurements of the diameters and lengths will also be performed via CT for the appropriate choice of vascular endoprostheses to exclude abdominal and thoracic aneurysms.

 

Final Exam

The Master’s Degree course is awarded upon completion of the 60 ECTS-credits provided for, including those for passing a final exam designed to assess whether the overall skills have been acquired, also taking the internship activity into account.

Formulation, design and drafting of an interventional cardiology protocol, with the preparation of a experimental/clinical Master’s Degree course dissertation:

Each participant shall be set an independent research project which evaluates the application of new devices in interventional cardiology, applied in specific subgroups of patients/conditions, in comparison with other diagnostic or treatment methods. Participants are expected to check the completeness of the acquired data, learn the specific analysis methods, such as quantitative angiography techniques, reconstruction/segmentation of 3D ultrasound or computerised analysis of the intracoronary pressure/flow velocity signals, as well as the statistical methods for the final analysis. Each participant shall be assigned a tutor who will help them to understand the structure of the existing database and methods for exporting and processing the data, guiding them through their research and the preparation of the final abstracts/paper. An expert statistician will also be available to guide them through the trial design and the choice of the most appropriate statistical tools for analysing the results. Upon completion of the study, the student will also be expected to present it at international congresses in the form of an abstract and to prepare a report to be sent as an original article to a peer-reviewed journal.

On completion of their dissertation, the student will be assigned 7 ECTS-credits.

GRADUATORIA

I candidati in Graduatoria possono procedere con l’Immatricolazione entro il 30 Novembre 2016 seguendo la seguente procedura:

1. Collegarsi alla pagina intranet.unisr.it del sito di Ateneo e procedere con la registrazione online dei dati anagrafici. Al termine della registrazione online verranno rilasciate al candidato le credenziali per accedere all’area riservata.
2. Effettuare il Login e cliccare alla voce “Immatricolazioni”.
3. Presentarsi al Front Office della Segreteria Studenti con la documentazione richiesta in questa pagina:

  • Domanda di Immatricolazione stampabile al termine dell’Immatricolazione online compilata e sottoscritta;
  • Copia della ricevuta di pagamento della prima rata di tasse e contributi da effettuarsi alle coordinate indicate alla pagina “Tasse e Contributi”;
  • Fotocopia della Carta di Identità in corso di validità;
  • Fotocopia del Codice Fiscale;
  • 2 Fotografie formato tessera identiche tra loro e firmate sul retro.

L’inizio del Corso è previsto per il 5 dicembre 2016.

Il Front Office della Segreteria Master osserva i seguenti orari di apertura:

Dal Lunedì al venerdì dalle 9.00 alle 11.30
Il Martedì, Mercoledì e Giovedì anche dalle 13.30 alle 14.30
Contatti e informazioni amministrative: segreteria.master@unisr.it