Let \[ 2 \cos^{-1} \left( \frac{2}{\sqrt{5}} \right) = \theta. \]
\[ \frac{2}{\sqrt{5}} = \cos \frac{\theta}{2} \]
Therefore, \[ \tan \frac{\theta}{2} = \frac{1}{2}. \]
\[ \tan \sin^{-1} \left( \frac{3}{5} \right) = \frac{3}{4}, \quad \tan \cos^{-1} \left( \frac{2}{\sqrt{5}} \right) = \frac{4}{3}. \]
\[ \tan \left( \sin^{-1} \frac{3}{5} - \cos^{-1} \frac{2}{\sqrt{5}} \right) = \frac{\frac{3}{4} - \frac{4}{3}}{1 + \frac{3}{4} \cdot \frac{4}{3}} \]
\[ = \frac{\frac{9}{12} - \frac{16}{12}}{1 + \frac{12}{12}} \] \[ = \frac{-7}{24} \]