UBC Postgraduate Program in Cardiology

Goals and Objectives, Consultative Cardiology

July 1, 2013

Roles / Objectives / Strategies
Medical
Expert/
Clinical
Decision
Maker / ·  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.
·  To provide or arrange appropriate follow up for patients assessed on the Cardiology Consultation Service. / ·  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.
Communicator / ·  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. / ·  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.
Collaborator / ·  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. / ·  Respect the roles of all members of the Health Care Team.
·  Seek consultation from other members of the Health Care Team when appropriate.
Manager / ·  Learn to prioritize multiple requests for consultations while on the Cardiology Consultation Service.
·  Understand the cost effectiveness of the various management strategies used in the management of patients seen on the Cardiology Consultation Service. / ·  Be efficient and effective in the investigation and management of patients seen on the Cardiology Consultation Service.
Health
Advocate / ·  Learn strategies to effectively educate patients and their families regarding the patho-physiology 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. / ·  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.
Scholar / ·  Enhance knowledge base regarding a variety of cardiac conditions.
·  Develop a strategy for literature review/search for a wide variety of cardiac conditions. / ·  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.
Professional / ·  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. / ·  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.