Cardiology site survey (doc 418KB)

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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
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