UBC Postgraduate Education in Cardiology
Goals and Objectives, CSICU
July 1, 2013
Roles
Medical
Expert/Clinical
Decision
Maker
Objectives
Strategies
 Learn to assess the
 Study appropriate references
appropriateness of patient
and/or do literature searches to
admission to the CSICU and
become familiar with the basic
Surgery Ward Service.
science and clinical aspects of
a wide variety of post cardiac
 Acquire a broad range of
surgery conditions.
knowledge in the basic
science and clinical areas for a  Assess (history, physical,
wide variety of post cardiac
assessment and plan) each
surgery cardiac conditions.
patient presenting for
admission to the CSICU and
 Learn the appropriate
Surgery Ward Service.
investigations used in the
assessment of post surgical
 Conduct daily rounds on all
patients with a variety of
patients on the Surgery Ward
cardiac conditions, including
Service with the attending.
the cost effectiveness and
 Initiate an appropriate
limitations of such testing.
investigation and management
 Learn the appropriate
plan for all patients on the
management strategies for a
Surgery Ward Service.
variety of surgical conditions
 Special skills: thoracentesiss.
and complications.
 Learn management of common
 Learn to recognize and
postsurgical complications:
respond appropriately to
arrhythmia, hypotension, fluid
urgent problems when they
management, wound
arise on the surgical service.
management, and RV
dysfunction.
Communicator  Learn to communicate
 Initiate contact with patients at
appropriately with patients and
the time of their initial
their families regarding
admission and provide
diagnosis, management
information regarding surgery
options and clinical course.
and management plan.
 Maintain communication with
 Be available whenever possible
other members of the Health
to discuss the patient’s clinical
Care Team, including the
course with the patient or the
patient’s Family Doctor.
patient’s family as appropriate.
 Maintain complete and
 Discuss cases with the
accurate documentation on
attending cardiologist and
the patient’s hospital chart.
surgeon assigned to the
Surgery Ward Service.
 Keep complete and accurate
notes in the patient’s hospital
chart.
UBC Postgraduate Education in Cardiology
Goals and Objectives, CSICU
July 1, 2013

Maintain verbal communication
when appropriate with nursing
staff and other members of the
Health Care Team regarding
the patient’s condition and
management plan.
Present cases at
Cardiology/Cardiac Surgery
Work Conference when
patients are being discussed
either for consideration for
cardiac surgery or follow up
after surgery.
Contact Referring/Family
Doctor directly at the time of the
patient’s discharge to provide
details of the patient’s
admission and
discharge/follow-up plan.
Respect the roles of all
members of the Health Care
Team (nurses, nurse
practitioner, ward supervisor,
social worker, OT, PT, etc.)


Collaborator


Manager


Learn to work closely with
other members of the Team
(Attending Staff, Allied health
and Junior House staff).
Learn to work closely and
cooperatively with the nursing
staff and other members of the
Health Care Team.
Learn to use the bed
resources appropriately.
Understand the cost
effectiveness of the various
management strategies used
in the management of cardiac
surgical inpatients.


Seek consultation from other
members of the Health Care
Team or consulting physicians
when appropriate.

Participate in multidisciplinary
discharge planning rounds

Be aware of the bed availability
on the surgical ward service
and to work within the Hospital
Guidelines for bed
management.
 Appropriately risk-stratify
patients for discharge from the
CSICU and admission to the
Ward Service.
UBC Postgraduate Education in Cardiology
Goals and Objectives, CSICU
July 1, 2013
Health
Advocate
Scholar


Develop a strategy for
literature review/search for a
wide variety of cardiac surgery
and surgical complications

Enhance knowledge base
regarding a variety of cardiac
surgeries and surgical
complications.
Develop a strategy for
literature review/search for a
wide variety of cardiac surgery
and surgical complications
 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
surgical conditions.
 Supervise Junior House staff
assigned to the Ward Service.
To deliver care of the highest
quality with
ntegrity, honesty and
compassion.
• To learn the
ethical, legal
and professional obligations in
the context of a CSICU and
surgical ward service.
 Maintain professional
relationships with all members
of the Health
 Care team.
 When appropriate seek
advice and assistance.
 Present and discuss case/s
at surgical M&M rounds with
a focus on the legal or ethical
aspects of the Case.

Professional
Enhance knowledge base
regarding a variety of cardiac
surgeries and surgical
complications.
 Be efficient and effective in the
management of patients
admitted to the ward service.
 Arrange for timely and
appropriate discharge/ transfer
of patients from the surgical
ward service.
 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
surgical conditions.
 Supervise Junior House staff
assigned to the Ward Service.
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
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