Goals and Objectives Cardiac Rehabilitation

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UBC Postgraduate Program in Cardiology
Goals and Objectives, Cardiac Rehabilitation
July 1, 2013
Roles
Medical Expert/
Clinical Decision
Maker
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Objectives
To understand the role of risk
factors in the development of
vascular disease
To understand the principles
and practice of cardiac
rehabilitation
Learn to screen patients who
are referred for cardiac
rehabilitation efficiently and
effectively.
To gain knowledge and
understanding regarding the
risk stratification of patients
referred for cardiac
rehabilitation.
To develop knowledge and
skills necessary to monitor
patients throughout their
Cardiac Rehabilitation
Program.
Learn the appropriate risk
stratification strategies for
patients with or at risk for
cardiovascular disease.
To gain knowledge and
experience in appropriately
treating patients with or at
risk for cardiovascular
disease.
Learn to safely and expertly
apply non- pharmacologic
therapies to patients in a
Cardiac Rehabilitation
Program.
To learn what resources are
available to manage patients
with cardiovascular disease
following discharge from a
Cardiac Rehabilitation
Program.
Strategies
• Study appropriate references
and/or do literature searches
to become familiar with the
basic science and clinical
aspects of a wide variety of
cardiac conditions relevant to
cardiac rehabilitation.
• Attend the Cardiac
Rehabilitation Intake Clinic.
• Take a history and perform a
physical examination on all
patients referred to the
Cardiac Rehabilitation Clinic,
including identification of
cardiac risk factors,
medications, allergies and
past/other medical issues.
• Supervision of exercise stress
tests of patients entering the
cardiac rehab program
• Provide appropriate follow-up
for patients while they work
through the Cardiac
rehabilitation Program.
• Reassess patients prior to
discharge from the Cardiac
Rehabilitation Program,
including a review of blood
work, stress test etc. The
discharge plan is then
discussed with the patient.
• Present cases encountered
during the Cardiac
Rehabilitation Rotation at one
or more of the scheduled
Cardiology Training Program
rounds.
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UBC Postgraduate Program in Cardiology
Goals and Objectives, Cardiac Rehabilitation
July 1, 2013
Communicator
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Acquire the knowledge and
skills required to inform and
discuss the cardiovascular
diagnosis with the patient
and family.
To be able to discuss and
inform the patient and family
regarding the role of the
Cardiac Rehabilitation
Program in the patient
management, including the
roles of the individual
members of the Cardiac
Rehabilitation Team.
To be able to inform and
discuss with the patient and
family the goals of the
Cardiac Rehabilitation
Program and the process by
which these goals will be
achieved.
To maintain appropriate
contact with the patient and
family throughout the cardiac
rehabilitation process and to
keep the Health Care Team,
including the Family Doctor
appropriately informed.
Collaborator
• Learn to work closely and
cooperatively with other
members of the Cardiac
Rehabilitation Team,
including the Family Doctor.
Manager
• Learn to use the resources of
the Cardiac Rehabilitation
Facility appropriately.
• Understand the cost
effectiveness of the various
management strategies used
in the management of
• Initiate contact with patients
at the time of their initial
presentation and provide
information regarding
diagnosis and management
plan.
• Be available whenever
possible to discuss the
patient’s clinical course with
the patient or the patient’s
family as appropriate.
• Keep complete and accurate
notes in the patient’s Cardiac
Rehabilitation Clinic File.
• Maintain verbal
communication when
appropriate with nursing staff
and other members of the
Health Care Team in the
Cardiac Rehabilitation
Program regarding the
patient’s condition and
management plan.
• Contact Referring/Family
Doctor directly when
appropriate to provide details
of the patient’s progress in
the Cardiac Rehabilitation
Program and
discharge/follow-up plan.
• Respect the roles of all
members of the Health Care
Team.
• Seek consultation from other
members of the Health Care
Team when appropriate.
• With supervision of the
Attending Cardiologist in the
Cardiac Rehabilitation Clinic,
allocate the resources of the
Cardiac Rehabilitation
Program efficiently,
recognizing the limited
UBC Postgraduate Program in Cardiology
Goals and Objectives, Cardiac Rehabilitation
July 1, 2013
cardiac rehabilitation
patients.
Health Advocate
Scholar
Professional
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• Learn strategies to effectively
educate patients and their
families regarding the pathophysiology of the patient’s
illness and the importance of
compliance and the potential
for future risk.
resources available.
• 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.
• Learn strategies to educate
patients and their families
regarding healthy cardiac
behaviors.
• Initiate or be available to
discuss with patients and
their families regarding
healthy cardiac behaviors as
appropriate.
• Enhance knowledge base
regarding a variety of cardiac
conditions in the context of
cardiac rehabilitation.
• Establish and maintain
reference resources including
textbooks, journals and
internet (e.g. Medline).
• Develop a strategy for
literature review/search for a
wide variety of cardiac
conditions with reference to
cardiac rehabilitation issues.
• Establish and adhere to a
study program as it relates to
the care of a variety of
cardiac conditions relevant to
cardiac rehabilitation.
• To deliver care of the highest
quality with integrity, honesty
and compassion.
• Maintain professional
relationships with all
members of the Health Care
team.
• To learn the ethical, legal and
professional obligations in
the context of cardiac
rehabilitation.
• When appropriate seek
advice and assistance.
• Present and discuss case/s
at Cardiology Rounds with a
focus on the legal or ethical
aspects of the Case.
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