Patient Care Be able to: Perform and interpret basic TTE and X cardiac Doppler examinations Perform and interpret a comprehensive X TTE and cardiac Doppler examination Perform and interpret a comprehensive X TEE examination (including intra-operative) Perform 150 and interpret 300 echocardiograms X Recognize disease pathophysiology based X on the echocardiographic and cardiac Doppler examination Quantify severity of cardiovascular disease X using echocardiography and related techniques Recognize echocardiographic artifacts X
Patient Care Integrate echocardiographic, clinical and X cardiac Doppler findings with other testing results in the evaluation and management of patients Interpret stress echocardiograms X Utilize echocardiography during cardiac X interventions (eg, intra-operative TEE, electro-cardioversion) Perform and interpret intracardiac X echocardiograms Utilize echocardiography and related X techniques in cardiovascular research Obtain and interpret a hand-held X echocardiogram
Systems-based Practice Know the cost of a limited and X comprehensive echocardiographic and cardiac Doppler examination Ensure that the stated indication for X echocardiography and related techniques meets appropriateness criteria Work with third party payers when X necessary to ensure that the requested examination will be covered Preform echocardiography and related X techniques, and interpret echocardiograms and cardiac Doppler studies on call or in locations where echocardiography is not readily available (eg. outreach clinics, other hospitals)
Interpersonal and Communication Skills Be able/willing to: Provide a prompt interpretation X of the echocardiogram/cardiac Doppler study requested Provide immediate communication to X the requesting provider for echocardiographic/cardiac Doppler findings that may indicate life-threatening conditions Educate requesting providers X concerning appropriateness criteria for echocardiography and related techniques Assist requesting providers (when X asked) to select to on appropriate echocardiographic study
Interpersonal and Communication Skills Be able/willing to: Fully describe the echocardiographic X examination to the patient including preparation and performance Obtain informed consent when X applicable
Professionalism Provide the echocardiographic X study and interpretation requested without undo delay or resistance Explain to the patient and provider X why a study cannot be performed if contraindications exist and to suggest alternative imaging studies that are safer which may provide useful information To take into consideration patient X preferences and beliefs before and during the examination To work with providers to help X ensure that appropriateness criteria are met, thus enhancing the likelihood of coverage by third party payers
Medical Knowledge Know the physics of ultrasound as it X applies to echocardiography Know the characteristics of X instrumentation used to obtain echocardiographic images Know the appropriate indications for X M-mode, two-dimensional and three dimensional transthoracic echocardiography (TTE) Know the appropriate indications for X Doppler echocardiography, color flow imaging, tissue Doppler imaging (TDI) and strain imaging Know the appropriate indications for X contrast echocardiography Know the appropriate indications for X transesophageal echocardiography (TEE) including intra-operative TEE
Medical Knowledge Know the indications for stress X echocardiography Know the limitations of the X echocardiographic examination including the role of artifacts Know the standard views of TTE X Know the standard views of TEE X Know the standard views of stress X echocardiography Know how to quantify cardiac chamber X size, wall thickness and left ventricular mass using echocardiography Know how to quantify left and right X ventricular systolic and diastolic function using TTE, Doppler echocardiography, TDI and strain imaging
Medical Knowledge Know how to quantify other X hemodynamics using TTE, Doppler echocardiography TDI and strain imaging Know the echocardiographic and X cardiac Doppler findings associated with myocardial ischemia and infarction Know the echocardiographic and X cardiac Doppler features of complications of myocardial infarction Know how to utilize echocardiography X and cardiac Doppler to assess for evidence of chronic coronary artery disease Know the echocardiographic and X cardiac Doppler characteristics of cardiomyopathies
Medical Knowledge Know how to use echocardiography X and cardiac Doppler techniques to evaluate structure and function of native and prosthetic valves in health and disease Know how to use echocardiography X and cardiac Doppler techniques to assess for infective endocarditis Know how to use echocardiography X and cardiac Doppler techniques to assess for intra-cardiac masses Know the echocardiographic and X cardiac Doppler manifestations of pericardial disease including pericardial effusion and constrictive pericarditis Know the characteristic X echocardiographic and cardiac Doppler findings of unoperated adult congenital heart disease
Medical Knowledge Know the characteristic X echocardiographic and cardiac Doppler findings of operated adult congenital heart disease Know the echocardiographic and X cardiac Doppler characteristics heart disease associated with systemic hypertension Know the echocardiographic and cardiac X Doppler features of pulmonary heart disease including pulmonary arterial hypertension and pulmonary embolism Know how to use echocardiography X and cardiac Doppler techniques to assess for cardiac causes of systemic embolism
Medical Knowledge Know how to utilize echocardiography X and related techniques to evaluate for cardiac involvement in systemic disease Know the value and limitations of X hand-held echocardiography