This Clinical Cardiac Electrophysiology Curriculum employs educational program descriptions for the core activities that have been reorganized around the Core Competencies as defined by the ACGME. Methods of assessment have also been developed to more completely address the defined competencies. The six competencies are:
1. Patient Care: Fellows are expected to provide patient care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life.
- Gather accurate, essential information from all sources, including medical interviews, physical examination, records, and diagnostic/therapeutic procedures.
- Make informed recommendations about preventive, diagnostic and therapeutic options and interventions that are based on clinical judgment, scientific evidence and patient preference.
- Develop, negotiate and implement patient management plans.
- Perform competently the diagnostic and therapeutic procedures considered to be essential to the practice of Clinical Cardiac Electrophysiology.
2. Medical Knowledge: Fellows are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and demonstrate the application of their knowledge to patient care and education of others.
3. Practice Based Learning and Improvement: Fellows are expected to be able to use scientific methods and evidence to investigate, evaluate and improve their patient care practices.
4. Interpersonal Skills and Communication: Fellows are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams.
- Provide effective and professional specialist consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues.
- Use effective listening, nonverbal, questioning, narrative skills to communicate with patients and families.
- Interact with consultants in a respectful and appropriate fashion.
- Maintain comprehensive, timely and legible medical records.
5. Professionalism: Fellows are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward patients, their profession, and society.
- Demonstrate respect, compassion, integrity and altruism in their relationships with patients, families and colleagues.
- Demonstrate sensitivity and responsiveness to patients and colleagues, including gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities.
- Adhere to principals of confidentiality, scientific/academic integrity, and informed consent.
- Recognize and identify deficiencies in peer performance.
- Develop a clear understanding of the complex and challenging relationships in Clinical Cardiac Electrophysiology between clinicians/providers, hospitals, and industry; understand the inherent conflicts of interest in many relationships with industry and its representatives, and develop strategies to ensure clear boundaries that are designed to uncompromisingly prioritize high quality patient care.
6. Systems-Based Practice: Fellows are expected to demonstrate an understanding of the contexts and systems in which health care is provided, and demonstrate the ability to apply this knowledge to improve and optimize health care.
- Understand, access, and utilize the resources and providers necessary to provide optimal care.
- Understand the limitations and opportunities inherent in various practice types and delivery systems , and develop strategies to optimize care for the individual patient.
- Given the high cost of many treatments, fellows are expected to apply evidence- based, cost-conscious strategies to prevention, diagnosis, and treatment selection in cardiac electrophysiology.
- Collaborate with other members of the health care team to assist patients in dealing effectively with complex systems and to improve systematic processes of care.
Principle Teaching/Learning Activities
The following activities within the fellowship program provide learning and teaching opportunities for the trainee in clinical cardiac electrophysiology
Direct Patient Care:
The collaborative relationship between attending physician and trainee in the delivery of patient care is at the core of this Program; the provision of high-quality patient care is the fundamental vehicle for teaching and learning of all the required competencies. In the development of educational objectives direct patient care is broadly and somewhat arbitrarily divided into those three locations of care where the particular skills required of the successful sub-specialist in cardiac electrophysiology differ:
- Out-patient clinic including implantable device follow up clinic (DDP-OP*)
- Hospital, including coronary, medical and surgical intensive care unites and the emergency department (DPC-H*)
- Electrophysiology Lab (DPC-EPL*)