UBC Postgraduate Program in Cardiology Goals and Objectives, Adult Congenital July 1, 2013 ADULT CONGENITAL CARDIOLOGY: ROLES Medical Expert/Clinical Decision Maker Objectives To increase knowledge base regarding congenital cardiac abnormalities. To learn to clinically recognize a viariety of congenital cardiac abnormalities To learn the treatment options available for patients with a variety of congenital cardiac abnormalities. Strategies Communicator Learn to communicate appropriately with patients and their families regarding diagnosis, management options and clinical course. Maintain communication with other members of the Health Care Team including the patient’s Family Doctor. Maintain complete and accurate documentation on the patient’s hospital chart and outpatient file. Study appropriate references and/or do literature searches to become familiar with the basic science and clinical aspects of a wide variety of congenital cardiac conditions. Attend all Adult Congenital Heart Disease Clinics during the Pediatric and Nuclear rotations Review histories and physical findings with the Attending Cardiologist(s) and correlate examination findings with the diagnostic tests. Attend Pediatric Outpatient Clinic two half days per week while on the Pediatric Cardiology Rotation. Review histories and physical findings with the Attending Pediatric Cardiologist and correlate examinations findings with the ECHO findings. Attend the Pediatric ECHO Laboratory and participate in performance and interpretation of pediatric ECHO studies. Attend the Adult Congenital Heart Clinic at St. Paul’s Hospital while on the Nuclear Rotation. For patients seen and assessed, be prepared to discuss the patient’s diagnosis, clinical course and management with the patient or the patient’s family as appropriate. Keep complete and accurate notes in the patient’s hospital chart. Maintain communication, when appropriate, with nursing staff and other members of the Health Care Team regarding the patient’s condition and management plan. Contact Referring/Family Doctor directly, when appropriate, to UBC Postgraduate Program in Cardiology Goals and Objectives, Adult Congenital July 1, 2013 Collaborator Collaborator Manager Health Advocate Scholar Professional Learn to work closely with other members of the Team (Attending Staff and Junior House staff). Learn to work closely and cooperatively with the nursing staff and other members of the Health Care Team. Understand the cost effectiveness of the various management strategies used in the management of cardiac inpatients. Learn strategies to effectively educate patients and their families regarding the patho-physiology of the patient’s illness and the importance of compliance and the potential for future risk. Learn strategies to educate patients and their families regarding healthy cardiac behaviors. Enhance knowledge base regarding a variety of congenital cardiac condition. Develop a strategy for literature review/search for a wide variety of congenital cardiac conditions. To deliver care of the highest quality with integrity, honesty and compassion. To learn the ethical, legal, and professional obligations in the context of management of patient with congenital cardiac abnormalities. provide details of the patient’s diagnosis, management plan and follow-up. Respect the roles of all members of the Health Care Team. Seek consultation from other members of the Health Care Team when appropriate. Be efficient and effective in the investigation and management of patients seen in the various clinics. Initiate discussion or be available for patients and their families to discuss the patient’s illness with regards to pathophysiology and the importance of compliance to the prescribed regimen. Initiate or be available to discuss with patients and their families regarding healthy cardiac behaviors as appropriate. Establish and maintain reference resources including textbooks, journals and internet (e.g. Medline). Establish and adhere to a study program as it relates to the care of a variety of congenital cardiac conditions. Maintain professional relationships with all members of the Health Care team. When appropriate seek advice and assistance. Present and discuss case(s) at Cardiology Rounds with a focus on the legal or ethical aspects of a congenital cardiac case.