FOMDWebPartPage

UAH Cardiac Senior

GENERAL OBJECTIVES:

Learn and master the theory, performance, and practical application of the various studies in nuclear cardiology. 
Prerequisites:
The resident will have ACLS training and a basic knowledge of ECG interpretation.
 

SPECIFIC OBJECTIVES

 At the completion of this rotation, the resident will have acquired the following competencies and will function effectively as:

Medical expert/clinical decision-maker

 
Specific Requirements:
Basic science knowledge:
The resident will have detailed knowledge of cardiac anatomy, physiology and pathophysiology, relevant to the practice of nuclear cardiology.
Know in detail the principles of quality assurance as they relate to the practice of nuclear cardiology, particularly with attention to preparation of the various tracers used in nuclear cardiology.
Clinical skills
The resident will demonstrate the ability to assess the risk of performing stress testing in individual patients, and should be able to manage the potential immediate complications of exercise or pharmacologic stress.
The resident will supervise and administer the investigation as needed including the various physical, physiological and pharmacological interventions required for the nuclear cardiology study. This specifically includes supervision of stress electrocardiography.
The resident will demonstrate the ability to perform electrocardiography and rhythm monitoring.
The resident must maintain current ACLS certification

There should also be knowledge of the concepts of PET imaging as applied to nuclear cardiology along with basic knowledge of newer tracers and procedures of nuclear cardiology.

 

Communicator

Specific Requirements:
Process, analyze and expertly interpret nuclear cardiology imaging studies and related electrocardiograms, incorporating clinical, ECG, and other diagnostic studies to arrive at a diagnosis
Specific Requirements:
Communicate expertly with the referring physicians both orally and by written report. Communicate effectively with patients and their families.
Prepare a final written report of the stress test procedure of the interpretation of the imaging.
 

Collaborator

Specific Requirements:
Consult expertly with the supervising cardiologist and the referring physician. 
Work in collaboration with the associated technical staff, including the ECG technicians and nursing staff.
 

Manager

Specific Requirements:
Advise the referring physician on the most appropriate investigation and/or sequence of investigations for the presenting clinical problem. 
The resident should be able to manage the workflow through the exercise laboratory, with efficient use of the technical staff and of the equipment.
 

Health Advocate

Specific Requirements:
Describe and explain in detail the purpose, methodology, risks and benefits of nuclear cardiology.
 

Scholar

Specific Requirements:
Demonstrate expert competence in medical literature relevant to exercise testing and to nuclear cardiology.
Demonstrate ability to teach and inform patients, technicians, nursing and ECG staff and other physicians. 
 

Professional

Specific Requirements:
Demonstrate punctuality, reliability and respect in the workplace.
Able to assess his/her own strengths, weaknesses and performance.  Able to seek out assistance and sources of knowledge when appropriate.
 
 
ROTATION DUTIES FOR RESIDENT
The resident will attend the nuclear cardiology stress lab, supervised by a cardiologist.  He/she will review the patient’s history and reason for referral.  He/she will select the appropriate protocol for that individual patient and supervise the performance of the procedure, and complete the procedure report.  He/she will participate in the processing and reporting of the imaging portion of the perfusion imaging procedure. 
He/she will participate in the procedures and reporting of the planar gated studies and any other cardiac nuclear imaging.  The resident should have also become fully acquainted with the less commonly performed procedures such as first pass studies and infarction imaging. 
 
 
RESIDENT EVALUATIONS
The Resident’s day-to-day performance will be evaluated.  The end of rotation evaluation will be done by the nuclear cardiologist with input from other cardiologists supervising the resident rotation during the month.  It is the responsibility of the Resident to ensure that the end of rotation evaluation is both completed by the committee and reviewed with the Resident by the nuclear medicine supervisor within two weeks of completing the rotation.  
 
SUGGESTED READING:
Imaging Guidelines for Nuclear Cardiology Procedures published on the American Society of Nuclear Cardiology website
 
ACC/AHA guidelines for exercise testing: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
 
Please see other program documents regarding reading list.