UBC Postgraduate Program in Cardiology
Goals and Objectives, Transplantation
July 1, 2013
HEART FAILURE
EDUCATIONAL OBJECTIVES FOR CARDIAC RESIDENTS ON
TRANSPLANTATION SERVICES
1- GENERAL AIMS
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2.
3.
To gain knowledge of the physiology and pathophysiology end-stage
heart failure and its management
To gain knowledge of transplant physiology and pathophysiology
To gain an understanding of criteria and patient selection for
transplantation
2- EDUCATIONAL OBJECTIVES
Specific rotation objectives are based on CANMEDS competencies as follows:
UBC Postgraduate Program in Cardiology
Goals and Objectives, Transplantation
July 1, 2013
(I)- Medical Expert / Clinical Decision maker
A. Cognitive Knowledge
1.
2.
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4.
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6.
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An understanding of the relative role of transplantation in the mechanical
and surgical management of end-stage heart failure
Knowledge of clinical pharmacology of transplant drugs
Working knowledge of underlying disorders amenable to transplantation
and indications for assessment
Knowledge of pre-heart transplant recipient assessment procedures
Knowledge of the technical procedures of organ retrieval, recipient
explant and implantation
Knowledge of the Pathophysiology of brain death and donor assessment
Basic knowledge of principles of immunosuppression
Basic knowledge of post-operative care, complications and their
management
Basic knowledge of long-term following and results of cardiac
transplantation
An understanding of the relative role of mechanical circulatory assist in
management of end-stage heart failure and cardiogenic shock
Basic knowledge of patient and device selection
B. Clinical Skills
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Take a relevant history
Perform an acceptable physical exam concentrating on the relevant areas
Arrive at an appropriate differential diagnosis
Order appropriate laboratory, radiological and other diagnostic procedures
demonstrating knowledge in the interpretation of these investigations,
especially in the chest X-ray, electrocardiogram, CT and MRI scan and
echocardiography
Arrive at an acceptable plan of management, demonstrating knowledge in
the operative and the non-operative management of the disease process
Asses patients in the ambulatory setting and be able to perform the initial
interview and assessment of the patient who has been referred for cardiac
surgery
Manage the patient throughout the hospital stay, including management in
an intensive care setting, demonstrating knowledge of and an ability to
anticipate, recognize, and manage potential complications of the disease
processes and operative procedures
Provide a plan for patient follow up.
UBC Postgraduate Program in Cardiology
Goals and Objectives, Transplantation
July 1, 2013
C. Technical Skills
1. Management of all aspects of the cardiac surgical patient preoperatively and
postoperatively including critical care in the intensive care setting
(II) - Communicator
1. Establish effective communication with patients and families
2. Establish effective communication with members of the health care team
verbally and through written record
3. Obtain informed consent for medical procedures and treatments
4. Bedside presentation of patient
5. Communicate with referring / family physician
6. Presentation and discussion at teaching and patient care rounds
(III) – Collaborator
1. Work effectively with the healthcare team
2. Demonstrate appropriate use of consulting services
3. Recognize and respect roles of team members
4. Act as member of multidisciplinary team in the heart failure and transplant
(IV) – Manager
1. Understand the principles of administration and management
2. Know the duties of the department head
3. Effective and ethical utilization of health care resources
4. Effective time management
5. Supervision / implementation of patient care decisions
6. Appropriate use of information technology
7. Recognize impaired performance in self + in professional colleagues
8. Understand the issues in organizing a scientific meetings
9. Learn to delegate responsibilities in a fair and non-threatening manner
10. Recognize and manage problems with junior staff in a non-threatening and
constructive manner
(V) – Health Advocate
1. Understand health determinants (role of social and economic factors in
disease)
UBC Postgraduate Program in Cardiology
Goals and Objectives, Transplantation
July 1, 2013
2. Educate and consults families regarding condition and risk factors
3. Able to consult prevention strategies
4. Appreciate the ethical aspects of cardiac transplantation
5. Appreciate the difficult and stressful situations associated with the
environment of critical illness
6. Learn to identify and minimize the stress placed upon the patient, the
relatives and hospital staff during heart failure admissions
(VI) – Scholar
1. Establish a comprehensive self- directive learning and educational
strategy
2. Develop an appreciation of the role as critical appraisal in the assessment
of career development
3. Develop an understanding of evidence based medication for heart failure
5. Participate in the process of quality improvement exercises
6. Understand the requirements of the Royal College for maintenance of
certification
(VII) – Professional
A. Responsibility
1. Demonstrate highest qualities in personal and interpersonal professional
behavior (integrity, honesty and composer)
2. Demonstrate excellence and completion of tasks and punctuality
B. Self assessment ability
1. Recognize when to ask for assistance from more experienced colleagues
2. Be aware of own limitations
C. Values & Ethics
1. Recognize and deals with ethical issues regarding transplant and device
therapy
2. Respect personal culture and gender issues regarding medication
compliance, transplant candidacy and device candidacy
This document was prepared and approved by the Medical Director of Cardiac Transplantation at the
University of British Columbia.
UBC Postgraduate Program in Cardiology
Goals and Objectives, Transplantation
July 1, 2013
Reviewed: June 2013