SURVEY FORM TO ACCREDIT HOSPITALS FOR CARDIOLOGY TRAINING General Information Name of Facility Site Address Contact Telephone Contact Fax Head of Department Contact Email Date of survey completion Is this a new training site? Yes No Is this a Cardiology Rotation Site (from a parent site)? Yes No If “Yes”, what is the parent hospital? If “Yes” specify duration of trainee’s rotation. Is this a parent site providing rotations to one or more satellite rotation site(s)? If Yes , which site(s) do the trainees rotate to: Site 1: Site 2: Site 3: How long do trainees spend at these rotations? Site 1: Site 2: Site 3: What is the maximum number of trainees on site at any given time? How many training positions is your site currently accredited for?* * Including outgoing trainees rotating to a different site Are you requesting an increase of accredited training positions at your site? Yes If yes, how many new training positions are you requesting? Names of current RACP registered Cardiology Trainees at this site: No How many of these trainees are on rotation? If the facility is part of a training network please list all associated sites and ensure each site submits a site survey form. (Please Note: The STC will not make accreditation decisions in individual sites unless all sites in the network have submitted up-to-date site survey forms). 1. Supervision RACP STANDARDS 1.1 There is a designated supervisor for each Trainee. 1.2 Trainees have access to supervision, with regular meetings. 1.3 Supervisors are RACP approved and meet any other specialty specific requirements regarding qualifications for supervisors. 1.4 Supervisors are supported by the setting or network to be given the time and resources to meet RACP Supervision requirements and criteria on supervision. MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 1.1.1 Each Trainee will have two designated supervisors. 1.2.1 Supervisors must meet at least monthly with Trainees and must be conversant with the progress of Trainee’s activities. 1.2.2 There is a Consultant Cardiologist (may not necessarily be a designated supervisor) present in the catheterisation laboratory, the outpatient clinics and on ward rounds. 1.2.3 All reporting of echocardiograms and angiograms is supervised by a consultant (may not necessarily be a designated supervisor). 1.3.1. The department is staffed by consultant cardiologists (FRACP) who are also members of the Cardiac Society of Australia and New Zealand (CSANZ). 1.4.1. Supervisors have a proportion of non-clinical administration time, part of which can be directed to supervision of Trainees. Please provide details of cardiologists employed at this site: Name % FTE (1.0 FTE = 38Hrs p/w) Total FTE If any of the above is not an FRACP Cardiologist, briefly describe his/her relevant experience and/or qualifications to supervise Trainees. How often do Trainees meet with their nominated supervisor(s)? Weekly Fortnightly Monthly Other (please specify): Is the reporting of echocardiograms and angiograms supervised by a consultant? Yes If the consultant is not a Cardiologist, please detail their relevant qualifications/experience: Are there Consultant Cardiologists present at: Catheterisation Laboratory? Yes No Please detail: Outpatient Clinics? Yes No Please detail: Ward rounds? Yes No Please detail: Are consultants available for Trainees working after hours or on call? Please detail: Yes No No 2. Facilities and Infrastructure RACP STANDARD 2.1 There are appropriate facilities and services for the type of work being undertaken. 2.2 Each trainee has a designated workspace including a desk, telephone and IT facilities. 2.3 There are facilities and equipment to support educational activities, such as study areas and tutorial rooms. MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 2.1.1 The site or sites in the network will provide sufficient physical facilities to allow training, including inpatient beds, catheterisation laboratories, echo machines, and outpatient clinics, and an emergency department. 2.1.2 The site or sites in the network will have equipment for use in stress testing, echocardiography, diagnostic cardiac catheterisation, interventional cardiology, pacemaker clinics, electrophysiology, nuclear cardiology and cardiac surgery. 2.1.3 There is sufficient support/technical staff to facilitate training and supplement teaching. 2.2.1 Each Trainee has a dedicated office area, this may be shared space. 2.2.2 Each Trainee has ready access to a computer with online access. 2.3.1 The site provides videoconferencing facilities for advanced trainees who are training in rotation hospitals so that they can participate in meetings at the main teaching hospital within the network. Electrophysiology Please indicate which of the below are available on site: Pacemaker Implantation Defibrillator implantation Cardiac CT EP Studies Cardiac MRI RF Ablation Cardiac surgery Emergency Department Cardiology outpatient clinic Cardiac Catheter laboratories Total Number Total number Cardiothoracic Surgical Unit Intensive Care Unit Coronary Care Unit Interventional cardiology Diagnostic cardiac catheterisation Adult Congenital Cardiology Echocardiography Nuclear cardiology Echo machines - Total Number Pacemaker Follow up clinics Defibrillator Follow Up clinics Stress Testing equipment If cardiothoracic surgery and/or electrophysiology training is not provided at your site, please describe how trainees acquire exposure to this requirement: How many dedicated cardiology inpatient beds (including CCU)? What is the total number of Cardiology separations per year? Please detail office, telephone and IT facilities available for Trainee use: Dedicated desk space Dedicated computer Internet access What arrangements are in place to ensure Trainees on rotation to peripheral sites have access to resources and educational activities provided? Structured tutorial Total Number/Week Structured lecture Total Number/Week Hospital grand rounds Total Number/Week Journal club Total Number/Week Teleconferenced lecture /tutorial Total Number/Week 3. Profile of work RACP STANDARD 3.1 The setting shall provide a suitable workload and appropriate range of work. MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 3.1.1 3.1.2 The Trainee has a suitable workload and appropriate range of work determined by the Cardiology Advanced Training Curriculum and Cardiology Advanced Training Program Requirement Handbook (available from RACP website). The range of work will include: Inpatient consultations with a mix of new and returning patients. Outpatient clinics and acute care in Coronary Care and Intensive Care units. Electrophysiology and cardio-thoracic surgical exposure. Supervision and reporting of exercise ECG tests. Supervised performing and reporting of Holter monitors, echocardiograms and angiograms. The Trainee will have clinical involvement in a range of conditions that reflect the Cardiology Advanced Training Curriculum and are codified in the Trainee’s Learning Needs Analysis (LNA) as such that over 3 years of full time Advanced Training the majority of curricular domains and learning objectives are achieved. 3.1.3 Formative assessments of Trainees are conducted throughout the training period to aid learning and cover the majority of curricula domains. Please indicate the number performed on-site per annum: Outpatients Stress echocardiography Inpatients Pericardial taps Percutaneous coronary intervention Primary PCI for STEMI. Nuclear Stress Testing Plain treadmill Exercise stress tests (excluding nuclear & stress echo) Holter monitors Cardiac surgical procedures Total pacemaker implants: New Pacemaker checks Replacement Defibrillator checks Total ICD implants: Echos – Transthoracic New Echos – Transoesophageal Replacement Coronary angiograms Electrophysiology studies: Cardiac MRI Diagnostic Cardiac CTCA Ablations Right Heart Cardiac catheterisations Outpatient clinics attended by Trainees: Clinic type Frequency Typical Trainee workload Please complete a timetable as per below for each trainee on site showing their typical weekly activities. Please attach additional timetables if there are more than 4 Trainees on site. Trainee #1 Monday Tuesday Wednesday Thursday Friday Thursday Friday AM PM On-call requirements: days per month Trainee #2 Monday Tuesday Wednesday AM PM On-call requirements: days per month Trainee #3 Monday Tuesday Wednesday Thursday Friday Thursday Friday AM PM On-call requirements: days per month Trainee #4 Monday Tuesday Wednesday AM PM On-call requirements: days per month RACP STANDARD 3.2 Trainees participate in quality and safety activities. MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 3.2.1 The department will maintain a quality assurance program including details of morbidity and mortality reviews. 3.2.2 There are regular morbidity and mortality audits Please detail the quality assurance program, frequency of meetings and trainee attendance: Quality Assurance Program Program Morbidity Meeting: Program Mortality Meeting: Cardiac Cath Lab Morbidity and Mortality Meeting: Cardiac Surgical Morbidity and Mortality Meeting: Frequency Trainee Participation Electrophysiology and Pacing Morbidity and Mortality Meeting: Other: RACP STANDARD 3.3 There is the capacity for project work (including research) and ongoing training. MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 3.3.1 The department will provide opportunities and facilities for research in clinical or laboratory aspects of cardiology for each trainee 3.3.2 Trainees are required to be involved in at least one defined research project during their advanced training. 3.3.3 Trainees are required to submit abstracts to scientific meetings and manuscripts for publication in peer-reviewed journals. 3.3.4 Trainees are required to perform at least one audit review per year. Are research facilities available for Trainees? Yes No Clinical Trials Program Yes No Basic Research Program Yes No University Affiliation Yes No Clinical Outcomes Research Program Yes No Other (please list): Please detail research activities available for Trainees: 4. Teaching and Learning RACP STANDARD 4.1 There is an established training program or educational activities such as multidisciplinary meetings, academic meetings, rounds, journal clubs. 4.2 There are opportunities to attend external education activities as required. 4.3 There is access to sources of information, both physical and online, including a medical library or e-library facility appropriately equipped for physician training. MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 4.1.1 The department will have a structured advanced training program, which will include opportunities for formal teaching sessions, seminar participation, and regularly scheduled clinical meetings, journal clubs, peer review presentations, or other methods that can be documented. 4.1.2 The department will support assessment activities as these are finalised by the RACP. 4.1.3 Trainees complete at least 2 ward rounds per week with a consultant cardiologist during clinical terms. 4.1.4 Trainees attend at least 1 educational cardiology meeting per week. 4.1.5 The Trainee attends multidisciplinary meetings. 4.2.1 Trainees will be encouraged to attend scientific meetings of local, national and international societies, and to submit abstracts to such meetings. 4.3.1 The department will provide access to a medical library (which may be off-site) with current books and access to online content including relevant journals. Which of the following educational activities occur on-site? Type Frequency and Comments Cardiology Meetings Ward Rounds Morning Consultant-led handover Journal clubs Other Other Do Trainees attend scientific meetings of local, national and international societies? Yes Do Trainees submit abstracts to these meetings? Yes Do Trainees have access to a medical library or e -Library facilities? On site : Yes No Within the Network: Yes No Please describe online content available to Trainees: No Yes No No Do Trainees have access to a medical Library on site or in the network? Are there eLibrary facilities available to Trainees? Yes Yes No No Please describe the library facilities available: 5. Support Services for Trainees RACP STANDARD 5.1 There are workplace policies covering the safety and well-being of Trainees 5.2 There is a formal induction/orientation process for Trainees MINIMUM REQUIREMENTS FOR CARDIOLOGY ADVANCED TRAINING 5.1.1 All workplace polices and procedures required by Federal and State legislation are in place. 5.1.2 There is a policy on radiation safety. 5.2.1 Supervisors or designees provide an orientation/induction into training at the setting to new trainees within the first week of commencement of training. Are there current workplace policies and procedures in place? Yes No Yes No List the responsible Health Department or Corporate Entity: Is there a current fatigue management policy in place? List Health Department or Corporate Entity Responsible: Do Trainees receive training in radiation safety? Yes No If “Yes” please detail the training or course provider: Do trainees receive an orientation/induction within their first week of training? If “Yes” please detail: Yes No