UBC Postgraduate Program in Cardiology
Goals and Objectives, Consultative Cardiology
July 1, 2013
Roles / Objectives / StrategiesMedical
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.