CQUniversity Unit Profile
ECHO13008 Advanced Cardiac Assessment Skills
Advanced Cardiac Assessment Skills
All details in this unit profile for ECHO13008 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student).
The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.
General Information

Overview

In this unit you will compare and contrast the methodology and outcomes of several advanced echocardiographic and cardiac catheterisation procedures and alternative cardiac testing modalities including MRI, CT and Nuclear medicine. You will apply this knowledge to a variety of common cardiovascular pathologies frequently first assessed with echocardiography, within the setting of best practice and patient safety. You will evaluate a variety of cardiac assessment data, formulating differential diagnoses and management strategies.

Details

Career Level: Undergraduate
Unit Level: Level 3
Credit Points: 6
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Pre-requisites:ECHO12003 Principles of Cardiac AssessmentANDECHO12004 Cardiac Assessment Skills 1 ANDECHO12005 Cardiac Clinical Unit 2ANDCo-requisite:ECHO13006 Adult Echocardiography

Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).

Offerings For Term 1 - 2021

Online

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Class and Assessment Overview

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

1. Group Work
Weighting: 40%
2. Online Test
Weighting: 60%

Assessment Grading

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.

Previous Student Feedback

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback from Unit evaluation survey

Feedback

Students appreciated the relevance of learning about alternative testing modalities and their applications clinically, to support echocardiographic assessment

Recommendation

Content resources and clinical cases will continue to be developed, refined, and implemented to contextualize delivery, demonstrating the relevance of content to clinical practice.

Feedback from Unit evaluation survey

Feedback

Students reported the audio quality of many lectures impacted their learning and engagement.

Recommendation

Lectures will be redeveloped. Lecture recordings will be checked to ensure appropriate sound quality prior to publishing.

Feedback from Unit evaluation survey

Feedback

Students reported that their learning experience was impacted because recommended reading resources were excessive, lecture recordings were brief, and content was not evenly delivered across term weeks.

Recommendation

Lectures will be redeveloped with the inclusion of clearly defined weekly learning objectives. Lectures will be chunked into a series of short weekly presentations. Content delivery will be reviewed and delivered at a consistent rate throughout the term. Provided reading resources will be condensed and scrutinized to ensure they enhance learning rather than clouding objectives with surplus information.

Feedback from Unit evaluation survey

Feedback

Some students found the group task challenging, citing difficulties managing group dynamics and individual responsibilities remotely.

Recommendation

This assessment item will be unpacked with additional resources to clarify individual obligations and relevance to clinical practice. The importance of social innovation will be highlighted, along with the need to be able to work and communicate effectively within a multidisciplinary team upon graduation. The assessment rubric will be reviewed to see if additional clarification can be incorporated surrounding individual student responsibilities.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Discuss the clinical assessment and management strategy for a variety of cardiac conditions, with consideration of pathophysiological processes, best practice guidelines and patient safety
  2. Compare and contrast the methodology and outcomes of various cardiac assessment modalities, identifying discordant data
  3. Analyse case-based cardiac assessment data to formulate differential diagnoses
  4. Demonstrate professional communication skills.

Linked to the Australian Sonographer Accreditation Register Standards for Cardiac Sonography:

Foundation Units of Competence

  • Unit 1: Deliver safe, patient centred service
  • Unit 2: Practice within professional and ethical frameworks
  • Unit 3: Locate, analyse and synthesise information to support evidence based practice
  • Unit 4: Contribute to workplace health and safety and quality assurance
  • Unit 5: Communicate effectively

Critical Practice Unit of Competence

  • Unit 8: Cardiac

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Group Work - 40%
2 - Online Test - 60%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4
1 - Communication
2 - Problem Solving
3 - Critical Thinking
4 - Information Literacy
5 - Team Work
6 - Information Technology Competence
7 - Cross Cultural Competence
8 - Ethical practice
9 - Social Innovation

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8 9
1 - Group Work - 40%
2 - Online Test - 60%
Textbooks and Resources

Textbooks

Supplementary

ASE's Comprehensive Echocardiography 2nd (2016)

Authors: Lang, Goldestein, Kronzon, Khandheria, Mor-avi
Elsevier Saunders
Philadelphia Philadelphia , PA , USA
ISBN: 978-0-32326011-4
Binding: Other
Supplementary

A Sonographer's Guide to the Assessment of Heart Disease 1st (2014)

Authors: Bonita Anderson
MGA Graphics
Brisbane Brisbane , Queensland , Australia
ISBN: 9780992322205
Binding: Other

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
Referencing Style

All submissions for this unit must use the referencing style: Vancouver

For further information, see the Assessment Tasks.

Teaching Contacts
Sudeepthi Singarayar Unit Coordinator
s.singarayar@cqu.edu.au
Schedule
Week 1 Begin Date: 08 Mar 2021

Module/Topic

Stress Echocardiography and Dobutamine Stress Echocardiography in Ischaemic Heart Disease

Chapter

ESSENTIAL READING:

ASE: Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography (2020)

SUPPLEMENTARY READING:

ASE's Comprehensive Echocardiography Section XIII Stress Echocardiography (2016)

Events and Submissions/Topic

Week 2 Begin Date: 15 Mar 2021

Module/Topic

Stress Echocardiography Applications in Non-Ischaemic Heart Disease


Chapter

ESSENTIAL READING:

• ASE: Clinical Recommendations The Clinical Use of Stress Echocardiography in Non-Ischaemic Heart Disease: Recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography (2017)

SUPPLEMENTARY READING:

The Role of Stress Echocardiography in Valvular Heart Disease: A Current Appraisal (2017)

• ASE's Comprehensive Echocardiography pg 246-247, 255-256 (2016)

Events and Submissions/Topic

Week 3 Begin Date: 22 Mar 2021

Module/Topic

Fractional Flow Reserve (FFR)

Chapter

ESSENTIAL READING:

• Clinical Outcomes and Cost-Effectiveness Analysis of FFR Compared with Angiography in Multivessel Disease Patient (2019)

• Analysis of FFR Measurement Clinical Impact and Cost-Effectiveness Compared to Angiography In Multi-Arterial Patients Undergoing PCI (2019)

• FFR in 2017: Current Status in PCI Management (2017)

Events and Submissions/Topic

Week 4 Begin Date: 29 Mar 2021

Module/Topic

Ultrasound Enhancing Agents (UEA’s) and Bubble Studies

Chapter

ESSENTIAL READING:

ASE: Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography (2018)

ASE: Guidelines for the Cardiac Sonographer in the Performance of Contrast Echocardiography (2014)

SUPPLEMENTARY READING:

ASE's Comprehensive Echocardiography pg 91-106 (2016)

Events and Submissions/Topic

Week 5 Begin Date: 05 Apr 2021

Module/Topic

Strain

Chapter

ESSENTIAL READING:

Anderson B. A Sonographer's Guide to the Assessment of Heart Disease. Chapter 14, pg. 287-293. (2014)

Events and Submissions/Topic

Vacation Week Begin Date: 12 Apr 2021

Module/Topic

Chapter

Events and Submissions/Topic

Week 6 Begin Date: 19 Apr 2021

Module/Topic

Transoesophageal Echocardiography

Chapter

ESSENTIAL READING:

• ASE: Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists (2013)

Events and Submissions/Topic

Individual section of group assignment due week 6 Monday 19th April 6 pm (AEST)

Week 7 Begin Date: 26 Apr 2021

Module/Topic

3D Echocardiography

Chapter

ESSENTIAL READING:

ASE: Recommendations for Image Acquisition and Display Using Three-Dimensional Echocardiography (2012)

JACC: 3-Dimensional Echocardiography Latest Developments and Future Directions (2018)

Events and Submissions/Topic

Week 8 Begin Date: 03 May 2021

Module/Topic

Device closure of ASD and PFOs

Chapter

ESSENTIAL READING

ASE: Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions (2015)

Events and Submissions/Topic

Week 9 Begin Date: 10 May 2021

Module/Topic

 
Percutaneous valve replacement

Chapter

ESSENTIAL READING:
• ASE: Recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease (2011)
ASE: Guidelines for the Evaluation of Valvular Regurgitation After Percutaneous Valve Repair or Replacement A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance (2019)

Events and Submissions/Topic

Group Assignment due week 9 Friday 14th May 6 pm (AEST)

Self and Peer Assessment due week 9 Friday 14th May 6 pm (AEST)

Week 10 Begin Date: 17 May 2021

Module/Topic

CT and MRI

Chapter

See eReading list via Moodle

Events and Submissions/Topic


Week 11 Begin Date: 24 May 2021

Module/Topic

Nuclear Medicine

Chapter

See eReading list via Moodle

Events and Submissions/Topic

Week 12 Revision Begin Date: 31 May 2021

Module/Topic

Chapter

Events and Submissions/Topic

Online Test opens 8 am (AEST) Friday 4 th June and closes 8 pm (AEST) Monday 7 th June

Term Specific Information

Unit Coordinator and Contact Details

The Unit Coordinator for ECHO13008 is Sudeepthi Singarayar. The preferred method for contacting Sudeepthi is via the Learning Community Q&A Forum located on the Moodle site for content-related questions. If the query is of a personal nature, please email s.singarayar@cqu.edu.au, or phone (02) 9324 5036. Sudeepthi's workdays are Wednesday, Thursday and Friday and she is based at the Sydney Campus.

Unit Tutorials

Tutorials for this unit will be delivered 'live' online using ZOOM (the links required for accessing the tutorials are provided on the Moodle site under the Virtual Classes tile). The tutorials will focus on clarification of theoretical concepts and assessment requirements. Clinical case studies will also be shown, demonstrating practical application of the theoretical content.

Tutorials are designed to complement the theories and principles presented in lectures. Tutorials provide an opportunity for discussion and interaction with other students and with your tutor. It is important students make the most of these interactive sessions and participate fully in order to broaden knowledge and experience with the course material.

Note: Tutorials are recorded for educational purposes. Recordings of Zoom tutorials may be uploaded and appear on YouTube, Moodle and Microsoft Teams. If you have any concerns about being recorded please turn off your webcam or audio, or both, during the session. Your participation will signify your consent to the recording and publication for educational purposes.

Unit Study Commitment

As per Australian educational standards, there is an expectation of 150 hours of engagement required to complete learning and assessment tasks associated with this 6 credit point unit. (i.e. 12.5 hours per week) Weekly revision material will be provided. Attempting all provided revision material will help you prepare for your online test. No new lecture material will be presented during week 12 of term. This week will be used to prepare for the final assessment.

Assessment Tasks

1 Group Work

Assessment Title
Group Work

Task Description

Feedback from employers rates the ability to work in a team as a desirable employee attribute. This is an attribute highly regarded within health professions that work predominantly in teams to promote good practice and reduce medical errors.

In this task, you will work in a group to achieve this assessment task outcome. This task is designed to give you experience in preparing and delivering an in-house lecture to fellow colleagues in your future career as a clinical cardiac sonographer.  The target audience for this presentation will be fellow students and the unit coordinator.

To replicate the team environment encountered by cardiac sonographers in the workplace, the unit coordinator will randomly assign students to a group for this assessment task.

Each group will be assigned a topic for evaluation in which they will need to research the routine echocardiography findings and provide other imaging modalities that can be used to assess the disease.

Each team member will individually research the topic. You will then collaborate as a team to create a PowerPoint and a 15 minute recording to present findings.

The topics that the group could be assigned include:

Amyloidosis

Cardiovascular toxicity in cancer patients

Fabry’s disease


The weighting for this assessment is distributed across three assessment components:

Part A: Individual component (20% of the assessment weighting)

You will be required to research the provided topic area and write a 500 (+/- 10%) word essay.

The essay should include:

• A definition of the disease allocated

• Echocardiography findings of the disease

Define one other multi-modality imaging technique that can be used to diagnose the disease and the findings of this modality in regards to the disease.

This can then be used to aid in the development of your group presentation. A minimum of 5 references should be included. References do not form part of individual word counts.

Students will receive an individual mark for this task component.


Part B: PowerPoint and Recorded Presentation – Group Work (15% of the assessment weighting)

It is expected that you will share the work of this assessment task part B equally between group members so that an even spread of input between group members is achieved.  If any issues arise within the group, members of the group should contact the unit coordinator as soon as possible so that a resolution can be achieved.

All oral presentations are to be submitted using Zoom video conferencing recording – in this way no groups can be advantaged nor disadvantaged by their IT skills.


Recorded Presentation

• The presentation must be no longer than 15 minutes in length (+/-1 minute).

Define the disease allocated

Discuss the diagnostic evaluation of the disease and how to differentiate between the disease and other diseases with similar echocardiographic findings

Echocardiography findings of the disease

Define other multi-modality imaging that can be used to diagnose the disease. Include at least two to three multi-modality imaging techniques. No more than three multi-modality imaging techniques

All team members will receive the same mark for this task component.

The PowerPoint slides should:

Contain appropriate key information, diagrams, cardiac images, and referencing as required

Contain captions and tables that are clear and succinct

Not use abbreviations or acronyms without initial explanation in presentation

Not be overloaded with written content or visual graphics, simplistic styling is recommended


Part C: Self and Peer Assessment (SPA) tool (5% of the assessment weighting)

To assess each member's contribution to the group work, you will need to complete a self and peer assessment activity. Each person within the group will score themselves and other team members for their degree of contribution to the group work activity.

All students will be required to individually complete a SPA tool. Students will be emailed a SPA Tool access link via email. SPA submission details are confidential and are not made available to other members of the group.


Assessment Due Date

The individual submission are due week 6 Monday 19th April 6 pm (AEST). Group submissions are due week 9 Friday 14th May 6pm (AEST). Self and peer assessment (SPA) are due week 9 Friday 14th May 6pm (AEST)


Return Date to Students

Individual component will be returned Week 8 Friday 7 th May 2021


Weighting
40%

Assessment Criteria

The individual marking rubric can be found on the unit's Moodle site.

Part A: Individual Component
  • Have you prioritised relevant information for inclusion?
  • Is the information included accurate and evidence-based with relevant references?
  • Does the information provided indicate that you understand the topic and the multi-modality technique that you have chosen?
  • Have you used images that are relevant?
  • Is your spelling and grammar exemplary?
  • Have you adhered to the correct referencing style?

The Group work mark rubric can be found on the unit's Moodle site

Part B: PowerPoint and recorded presentation

  • Are your PowerPoint slides well collated with no breaches of academic integrity? Do not copy and paste information from other sources
  • Is the information included accurate and evidence-based with relevant references?
  • Have you prioritised relevant information for inclusion?
  • Does your content indicate that you understand the topic?
  • Have you used images and graphics which are relevant and of satisfactory quality?
  • Have you clearly taken into account your specific audience?
  • Do all speakers show confidence with voice and body language, to provide an engaging presentation, which is clearly audible?
  • Is your spelling and grammar exemplary?
  • Have you adhered to the correct referencing style and provided adequate acknowledgment to sources?
  • Do all speakers speak clearly?


Referencing Style

Submission
Online

Submission Instructions
Each student is to individually submit all parts of the assessment task. A step by step guide will be available on Moodle

Learning Outcomes Assessed
  • Discuss the clinical assessment and management strategy for a variety of cardiac conditions, with consideration of pathophysiological processes, best practice guidelines and patient safety
  • Compare and contrast the methodology and outcomes of various cardiac assessment modalities, identifying discordant data
  • Analyse case-based cardiac assessment data to formulate differential diagnoses
  • Demonstrate professional communication skills.


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Team Work
  • Ethical practice
  • Social Innovation

2 Online Test

Assessment Title
Online Test

Task Description

The online test will assess your understanding of the content presented within this unit. Questions may be drawn from lectures, additional resources provided (e.g.prescribed readings) or tutorial presentations.

  • Perusal time and online test duration will be 130 minutes in total.
  • It is recommended that you have a calculator available when sitting the online test.
  • Once started, the online test cannot be paused or restarted. Only one attempt is permitted.
  • The online test will automatically close and submit completed student answers once the allocated time has elapsed.
  • The duration of this test is tailored to promote recall of fact, rather than research of answers unknown.
  • You will be required to answer a variety of online questions. Questions may include multiple-choice, short answer, essay style or image interpretation format.

The number of marks allocated for each question will be indicated within the online test. Question marks are allocated based on the accuracy, depth and breadth of required responses.

Students are reminded that IT support from the University Information and Technology Division (TASAC) is only available during AEST business hours. It is recommended that the online test is completed during business hours.

Students are advised to refer to the 'Assessment Policy and Procedure (Higher Education Coursework) document for additional university guidelines regarding assessments.

This assessment is to be undertaken as an individual. As with all other university examination, colluding with other students on non-group work tasks is considered academic misconduct, and may lead to action being taken by the Deputy Dean of Learning and Teaching HMAS.

Please note that the online test must be completed before the due date listed below. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five percent per day. Students will receive a mark of zero (or fail) for this assessment if you have not completed it by the scheduled date and time and do not have an extension.



Assessment Due Date

The online test will be open from 8:00am (AEST) on Friday 4th of June (week 12) and will close at 8:00pm (AEST) Monday 7th June. This test will assess the topics covered during weeks 1 to 12.


Return Date to Students

Marks will be released at Certification of grades. The online test question pool in its entirety will not be released to students.


Weighting
60%

Minimum mark or grade
50%

Assessment Criteria

You will be required to answer a variety of online questions

Question responses will be assessed according to the student's:
  • use of appropriate terminology and descriptors as well as grammar and spelling.
  • ability to appropriately interpret presented sonographic images and cardiac assessment data.
  • ability to succinctly respond with accurate answers.




Referencing Style

Submission
Online

Submission Instructions
The online test will be accessible through the assessment tab on Moodle

Learning Outcomes Assessed
  • Discuss the clinical assessment and management strategy for a variety of cardiac conditions, with consideration of pathophysiological processes, best practice guidelines and patient safety
  • Compare and contrast the methodology and outcomes of various cardiac assessment modalities, identifying discordant data
  • Analyse case-based cardiac assessment data to formulate differential diagnoses
  • Demonstrate professional communication skills.


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Ethical practice

Academic Integrity Statement

As a CQUniversity student you are expected to act honestly in all aspects of your academic work.

Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.

When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.

Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.

As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.

What is a breach of academic integrity?

A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.

Why is academic integrity important?

A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.

Where can I get assistance?

For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.

What can you do to act with integrity?