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The University of Southampton

HLTH6187 Work-based Training cardiac Rhythm Management 1

Module Overview

This module is designed to offer you a flexible and practice-based approach to learning Cardiac Rhythm Management in Brady devices (Pacemaker and CRT-P). it will enable you to gain academic credit for knowledge and skills acquired and developed in your workplace. This practice based module complements the Cardiac Rhythm Management 1 module. This module provides work-based experience in the treatment/management of cardiac patients. You will build upon your prior work-based experience, integrate theoretical knowledge and skills learnt in the academic module into the practice environment and utilise transferable cognitive, affective and practical skills. It will provide you with the opportunity for personal and professional development as part of a master’s programme or as continuing professional development.

Aims and Objectives

Learning Outcomes

Knowledge and Understanding

Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:

  • Critically review and evaluate department protocols in relation to the Cardiac rhythm management service including health and safety and quality assurance.
  • Discuss the role of Cardiac rhythm management in improving health outcomes.
  • Discuss the underpinning principles of routine cardiac investigations integrating knowledge of basic and clinical science.
  • Critically review the rationale for referral.
  • Discuss the fundamentals of electronics, including the knowledge of quantities and haemodynamic effects.
  • Engage with research activity by evaluating research outcomes in cardiac physiology and judiciously applying them to professional practice.
  • Adopt systematic approaches to the analysis, evaluation and synthesis of published research evidence and demonstrate an ability to draw reasoned conclusions concerning its’ significance to clinical practice.
Subject Specific Practical Skills

Having successfully completed this module you will be able to:

  • Demonstrate increased knowledge, understanding and confidence in application in clinical practice, communication skills, self-management and quality assurance.
  • Demonstrate competence to performing a pacemaker implant including: - Indications - Appropriate device / leads choice - Obtaining and evaluating measurements obtained - Accessing and optimising different pacing modes
  • Demonstrate competence in obtaining case studies relating to the following pathologies: - Complete Heart Block - Atrial fibrillation - Sick Sinus Syndrome - Heart Failure
  • Critically apply the scientific principles covered in the academic module within your own practice.
  • Justify the appropriate choice of equipment for the procedure.
  • Optimise the equipment to produce the highest quality results.
  • Perform patient investigations in a safe manner whilst undertaking appropriate infection control techniques.
  • Undertake and document measurements for follow up and produce of a factual technical report.


There is no taught content within the module as it is designed to offer you flexible, contextualised learning embedded within your practice. You will integrate your knowledge, development skills and attitudes specific to your speciality and build on your previous experience. The components you will study reflect the four sections of practice - safety, interpersonal, clinical and management skills as defined in the practice placement assessment criteria. A detailed indicative content is contained in the Practice Placement Education Student Handbook.

Learning and Teaching

Teaching and learning methods

Learning will be facilitated by work-based accredited cardiac physiologists. A variety of teaching and learning methods may include the following: - Demonstration by a recognised clinical educator in the workplace - Supervised patient contact using mentorship - Staff and student led presentations - Case presentations - Ward rounds - Attendance at clinics and opportunities to observe specialist treatments such as surgical interventions - Departmental in-service programmes - Peer support in the university and practice-based setting. - Support from practice educators and university tutors. - E-learning resources: Blackboard site - Learning resources in workplace area.

Independent Study250
Total study time250

Resources & Reading list

Llewelyn, H., Ang,H., Lewis,K. and Al-Abdullah,A (2009). Oxford Handbook of Clinical Diagnosis. 

Barold SS, Stroobandt RX, Sinnaeve AF (2003). Cardiac Pacemakers Step by Step: An Illustrated Guide. 

Ellenbogen KA, Kay GN, Wilkoff BL, Lau CP. Clinical Cardiac Pacing and Defibrillation. 

Hayes DL, Friedman RA (2008). Cardiac Pacing, Defibrillation and Resynchronization: A Clinical Approach. 

Dains,J., Ciofu L , Scheibel,P (4th). Advanced Health Assessment and Clinical Diagnosis in Primary Care. 

Katz, D. (2001). Clinical Epidemiology and Evidence Based Medicine. Fundamental principles of clinical reasoning and research. 

Barold, S et al (2010). Cardiac Pacemakers and Resynchronisation.. 

Brauwald, E. (2014). A Textbook of Heart Disease. 

Brown, Hilary (1997). Physiology and Pharmacology of the Heart. 

Connelly, D et al (2006). Implantable Cardiac Pacemakers and Defibrillators: all you wanted to know. 

Kumar,P. and Clark,M. (2012). Clinical Medicine. 

Ellenbogen, KA et al (2008). Cardiac Pacing and ICDs. 

Dains,J., Ciofu L , Scheibel,P. (2011). Bates Guide to Physical Examination and History Taking. 

Hayes, D et al (2013). Cardiac Pacing, Defibrillation and Resynchronisation. 



MethodPercentage contribution
Clinical Portfolio 50%
Practice Based Clinical Assessment 50%

Repeat Information

Repeat type: External


Costs associated with this module

Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.

In addition to this, students registered for this module typically also have to pay for:


Cost for student providing their own folder.

Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at

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