EDUCATIONAL GOALS AND OBJECTIVES
CARDIOLOGY
PGY-2 and PGY-3 – CORE MEDICINE
Principle Objectives
To further develop clinical skills and judgement by exposure to in-patients and
emergency referrals to the cardiology service. To further develop supervisory skills by
overseeing the evaluations and management of patients on the in-patient service
performed by the PGY-1s and clinical clerks, as well as to develop teaching skills by
being responsible for the clinical education of these housestaff.
To also gain experience in the role of a consultant by working on a cardiology service
and presenting cases for discussion with the responsible attending physicians. To
expand skills in acute cardiac care by being responsible for the assessment and
management of cases in the coronary care unit.
CanMEDS 2000 Role/Specific Objectives
Medical Experts/Clinical Decision Maker
1. To obtain experience in the assessment and management of a wide variety of acute
cardiac problems by seeing patients referred directly to cardiology in the emergency
department or by the emergency room physicians. Common problems will include
patients with chest pain, arrythmias, syncope, cardiogenic shock and congestive
heart failures.
2. To gain experience in the management of acute cardiac emergencies in the initial
phase of treatment while providing coverage to the emergency department referrals
and the in-patient cardiology service. To gain indepth experience in interpreting
electrocardiograms by having to assess emergency problems and in turn discuss the
interpretation with the fellow or attending physicians as required.
3. To manage acute coronary syndromes presenting to the CCU.
4. To gain procedural skills with more complicated procedures such as pacemaker
insertion, Swan-Ganz insertion, cardioversion, arterial line insertion, and
pericardiocentesis under the supervision of the cardiology speciality resident or
attending physicians.
Educational Goals and Objectives
CARDIOLOGY – PGY2 & PGY3 – CORE INTERNAL MEDICINE
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Communicator
1. When a patient presents with a cardiac problem, the PGY2/PGY3 should be able to:
a) To perform a complete and thorough history with emphasis on the detailed history of
the present problem.
b) To perform a general physical examination including a detailed examination of the
cardiovascular system.
c) To identify and interpret the significant of any abnormal physical findings related to
diseases of the cardiovascular system.
2. To document clearly and concisely utilizing progress notes, procedural notes and
clinic letters, the basic essential components of all clinical encounters. The
synthesis and management plans should be recorded at a level in keeping with the
PGY-2/3 training.
3. To be aware of the importance of clear and effective communication with patients as
well as the involved family members and other members of the health care team.
Collaborator
1. To recognize and integrate the roles of other health care providers into the
management of the patients.
2. To continue to develop respect and appreciation for the importance of
communication with the allied health care workers and referring physicians in the
care of the patients.
Manager
1. To gain supervisory experience by reviewing elective and non-elective patients with
the PGY-1s and medical students with respect to their diagnostic assessment and
management plans. This will also require summarizing a brief admission note on the
chart.
2. To obtain an in-depth experience in acute cardiac care by being responsible for the
management of patients in the coronary care unit.
3. To further enhance the experience in emergency care by supervising PGY-1s and
medical students on the cardiology service managing acute problems occurring on
the in-patient cardiology service.
4. To supervise PGY-1s and medical students performing basic cardiac procedures,
such as ECGs, venipuncture, central line insertion.
Educational Goals and Objectives
CARDIOLOGY – PGY2 & PGY3 – CORE INTERNAL MEDICINE
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Health Advocate
1. To recognize the role played by physicians in the care of patients with cardiac
disease in the health care system.
2. To appreciate the autonomy of the patient and the religious, ethnic and psychosocial
factors which influence the physician-patient relationship, and to incorporate these
factors into account when pursuing problems and understanding decisions made by
patients and their families.
Scholar
1. To develop teaching skills by supervising the junior housestaff and by participating in
presentations and discussion at Cardiology conferences.
2. To incorporate the appropriate references to the literature in complex cases.
3. To appreciate the importance of Critical Appraisal of the literature and the
application of this literature to patient care.
4. To recognize the on-going need for self-assessment and the role of self-directed
learning.
Professional
1. To appreciate the obligation to teach others under his/her supervision.
2. To recognize the role of biomedical ethics in medicine including clinical practice,
teaching and research.
3. To embrace the attitudes conducive to effective physician-patient/family, physician to
physician, and physician allied health care worker relationships.
June 2003