UBC Postgraduate Program in Cardiology Goals and Objectives, Consultative Cardiology July 1, 2013 Roles Medical Expert/ Clinical Decision Maker Objectives Learn to prioritize multiple requests for consultations while on the Cardiology Consultation Service. Learn to elicit a concise and accurate history from a patient who has been referred to the Cardiology Consultation Service. Understand the role that the patient’s cardiac diagnosis has in the context of their other medical issues. Learn to perform an accurate and complete cardiovascular examination on patients referred to the Cardiology Consultation Service. To be able to request appropriate investigations on patients referred to the Cardiology Consultation Service and to be able to interpret the results of the tests performed. To be able to formulate a problem list for patients seen on the Cardiology Consultation Service. To be able to develop a management plan for patients seen on the Cardiology Consultation Service. To accurately assess cardiac risk for non-cardiac surgery for patients referred for preoperative assessment. To learn strategies that may reduce peri-operative risk for cardiac patients undergoing non-cardiac procedures. Strategies Read appropriate reference sources including textbooks, journals and on-line resources. Respond to requests for cardiac consultations from any of the Hospital Units including (when appropriate) the Emergency Department. Review cases seen on the Cardiology Consultation Service with Attending Cardiologist assigned to the Service. Present interesting case/s seen while on the Cardiology Consultation Service at Cardiology Rounds or Cardiology Case Rounds. UBC Postgraduate Program in Cardiology Goals and Objectives, Consultative Cardiology July 1, 2013 Communicator Collaborator Manager To provide or arrange appropriate follow up for patients assessed on the Cardiology Consultation Service. Learn to record an accurate and concise consultation note, which answers the question/s posed by the referring Health Care Professional. Recognize when it is necessary to provide a verbal as well as a written response to a consultation. Learn to keep the Consulting Service informed regarding the diagnosis and management of the cardiac component of the patient’s clinical problems. Be able to discuss the patient’s cardiac diagnosis with the patient and their family, in the context of the role of Consultant. Learn to work closely with other members of the Team (Attending Staff and Junior Housestaff). Learn to work closely and cooperatively with the nursing staff and other members of the Health Care Team. Learn to prioritize multiple requests for consultations while on the Cardiology Consultation Service. Understand the cost effectiveness of the various Inform the patient seen in consultation regarding the role of the Cardiology Consultant. Answer any questions posed by the patient or family regarding the cardiac component of the patient’s illness. Write an assessment into the patient’s Hospital Chart answering the question posed by the consultation. Speak directly to Consulting Service when appropriate regarding Cardiology’s assessment of the patient seen in consultation. Maintain documentation in the patient’s Hospital Chart of the cardiac follow-up provided as part of the consultation process including a note concluding Cardiology’s participation. Respect the roles of all members of the Health Care Team. Seek consultation from other members of the Health Care Team when appropriate. Be efficient and effective in the investigation and management of patients seen on the Cardiology Consultation Service. UBC Postgraduate Program in Cardiology Goals and Objectives, Consultative Cardiology July 1, 2013 Health Advocate Scholar Professional management strategies used in the management of patients seen on the Cardiology Consultation Service. 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. Learn strategies to educate patients and their families regarding healthy cardiac behaviors. Enhance knowledge base regarding a variety of cardiac conditions. Develop a strategy for literature review/search for a wide variety of cardiac conditions. To deliver care of the highest quality with integrity, honesty and compassion. To learn the ethical, legal and professional obligations in the context of an inpatient Cardiology Service. 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. Initiate or be available to discuss with patients and their families regarding healthy cardiac behaviors as appropriate. Establish and maintain reference resources including textbooks, journals and internet (e.g. Medline). Establish and adhere to a study program as it relates to the care of a variety of cardiac conditions. Maintain professional relationships with all members of the Health Care team. 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.