2010 Paediatric Cardiology ARCP Decision Aid August 2014

Transcription

1 2010 Paediatric Cardiology ARCP Decision Aid August 2014 The following tables set out the requirements for satisfactory ARCP outcome at the end of each training year. This document replaces previous versions for August Curriculum topics General paediatric cardiology Core curriculum assessments for ALL trainees Specialist area trainees Expected level of clinical competence Resuscitation Common Competencies Good Clinical Care Communication Skills Maintaining Good Medical Practice Maintaining Trust Working With Colleagues Teamwork And Leadership Skills Teaching And Educational Supervision initial assessment of patients presenting with some common cardiology problems. They should be management of a patient presenting with some acute cardiac problems engagement and acceptable performance for level of training indicated in MSF assessment of patients presenting with most of the common cardiology conditions assessment and management of most common paediatric cardiac emergencies assessment of patients presenting with any of the common cardiology conditions assessment and management of all common paediatric cardiac emergencies engagement and acceptable performance for level of training indicated in MSF and satisfactory result from patient survey Trainees should maintain general paediatric cardiology competencies. Trainees should maintain general paediatric cardiology competencies. engagement and acceptable performance for level of training indicated in MSF

2 Curriculum topics ST4 ST5 ST6 ST7 ST8 Cross-Specialty Skills Clinical Governance result from MSF 1 completed audit result from MSF. result from MSF Structure Of The NHS And Principles Of Management Discharge Planning awareness of and participation in some aspect of management systems: examples might include responsibility for organising rotas, teaching sessions or journal clubs. Evidence from at least one inpatient Total of 2 completed audits by ST6 Formal Management course completed successfully ongoing involvement in managerial issues within department Total of 3 completed audits understanding of both local and national management issues, assessed by performance in MSF Information use, evidence based management Evidence from at least one CbD Teaching participation in teaching of medical students, junior doctors and other AHPs. Assessed by Teaching Observation. participation in teaching with results of students evaluation of that teaching. understanding of the principles of adult education. Assessed by Teaching Observation. Further evidence of continued involvement in departmental teaching assessed by MSF

3 Core curriculum assessments for ALL trainees Specialist area trainees Curriculum topics ST4 ST5 ST6 ST7 ST8 Training Courses Attendance at basic Supportive Evidence course Attendance at cardiac morphology course Attendance of at least 80% of National SAC approved training days for registrars Attendance of at least 80% of National SAC approved training days for registrars Attendance of at least 80% of National SAC approved training days for registrars Attendance at management course mark of at least 50% in KBA by end of ST6 Attendance at specialist area specific courses Attendance at specialist area specific courses Educational Supervisors report Events giving concern The following events occurring at any time may trigger review of trainee s progress and possible remedial training: issues of professional behaviour; poor performance in work-place based assessments; poor MSF performance; issues arising from supervisor report; issues of patient safety Note: failure to obtain a satisfactory mark in KBA will not prevent progression and trainees will be given the opportunity to repeat exam in ST7/8

4 INVESTIGATIONS AND PROCEDURES 12 lead ECG, ECG with adenosine challenge Ambulatory ECG and cardiac event recording Exercise tests Chest X-Ray DC cardioversion Basic cardiac pacing formal reporting 20 ECGs of varying pathology at MDT or one to one formal reporting of 20 CXRs in varying pathology at MDT or one to one Supervision and satisfactory formal reporting of 5 Procedures scores for 1 CbD 3 relating to arrhythmia or invasive electrophysiology formal reporting of 12 ambulatory ECGs in varying pathology in 1 DOPS 3 including management of temporary postoperative pacing Note: reporting of ECGs and CXRs can be during single or multiple sessions. scores in 2 DOPS for insertion temporary pacing electrodes (can be during EPS/catheter)

5 Pericardiocentesis in 2 DOPS (can be via simulation) scores in 2 DOPS for during septostomy and 1 DOPS for balloon atrial septostomy Balloon atrial septostomy 1 CbD regarding the methodology of septostomy Trans-thoracic scores for all domains in a minimum of 5 DOPS on normal hearts or simple cardiac anomalies scores for all domains in a minimum of 5 further, DOPS on moderately complex patients in a minimum of 5 further DOPS on increasingly complex patients. Improved image acquisition and interpretation Trans-oesophageal Cardiac catheterisation scores for all domains in a minimum of 3 DOPS 5 scores for 1 DOPS in vascular access in a minimum of 3 further DOPS on increasingly complex patients. scores for 3 DOPS in basic catheterisation Cardiac MRI and Thoracic CT Minimum of 3

6 Fetal Cardiology Minimum of 5 including discussion of counselling issues Adult Congenital Cardiology Minimum of 5 relating to adult congenital cardiology SPECIALIST AREA TRAINING Fetal cardiology Specialist imaging (CT and MRI) ST4 ST5 ST6 ST7 ST8 10 DOPS and 2 5 including discussion of counselling issues 20 DOPS and 5 mini- CEX Cardiac catheterisation Cardiac pacing and electrophysiology 20 DOPS, including more complex interventions 20 DOPS

7 Adolescent and adult congenital heart disease Pulmonary hypertension 10 and 2 10 and 2 10 mini- CEX 10 mini- CEX Transplantation cardiology 10 and 2 10 mini- CEX Advanced including intraoperative echo and advanced imaging techniques 20 DOPS including intraoperative echo, advanced imaging techniques and dyssynchrony assessment There is an option for trainees to undertake subspecialties in years ST7 and ST8 as modular training. This applies to advanced imaging, advanced echo, cardiac catheterisation, electrophysiology and pacing, fetal cardiology, adult congenital cardiology, pulmonary hypertension and transplantation cardiology. If training is being performed in this modular manner, with 2 sub-specialities studied for one year each, then the competency level of each should be assessed as per the decision grid for ST7 in that sub-speciality. Supervised learning events (SLEs) comprising and should be performed proportionally throughout the training year with a number of assessors with structured feedback and action plans to support trainee development.