There are a variety of ways of evaluating a studentâs progress and achievement in the internship. These include an evaluation of work by the on-site supervisor, a studentâs self-evaluation, a visit to the work site by the faculty sponsor, and specific academic requirements fulfilled by the student.
Regurgitation/Insufficiency (leaky valve) - the valve does not close properly and allows blood to flow backward as well as forward in the heart. The valves in your heart may be damaged due to infection, rheumatic heart disease, wear and tear, tissue weakening or deterioration, or birth (congenital) defects.egurgitation/Insufficiency (leaky valve) - the valve does not close properly and allows blood to flow backward as well as forward in the heart. The valves in your heart may be damaged due to infection, rheumatic heart disease, wear and tear, tissue weakening or deterioration, or birth (congenital) defects.
Your doctor may recommend repairing or replacing your heart valve(s), even if your heart valve disease isnât causing symptoms. Repairing or replacing a valve can prevent lasting damage to your heart and sudden death. The decision to repair or replace heart valves depends on many factors, including: 1  The severity of your valve disease.  Whether you need heart surgery for other conditions, such as bypass surgery to treat coronary heart disease. Bypass surgery and valve surgery can be performed at the same time.