Competency ID

Medical Knowledge

All Clinical Cardiologists

Selected Cardiologists Based on Practice Focus

L-INV/INT-MK1

Know the indications for, contraindications to and potential complications of cardiac catheterization for assessment of patients with coronary, valvular, myocardial, and basic adult congenital heart diseases.

X

 

L-INV/INT-MK2

Know the principles of radiation safety in the cardiac catheterization laboratory, including strategies to minimize exposure of patients, operators, and staff.

 

X

L-INV/INT-MK3

Know the use and complications of radiographic contrast media and the measures available for renal protection in the cardiac catheterization laboratory.

X

 

L-INV/INT-MK4

Know the indications for, and clinical pharmacology of, antiplatelet and anticoagulant drugs, vasopressor and vasodilator agents, and inotropic drugs used in the cardiac catheterization laboratory.

 

X

L-INV/INT-MK5

Know the principles of waveforms, pressure, flow, resistance, and cardiac output measurements obtained by cardiac catheterization.

X

 

L-INV/INT-MK6

Know normal cardiovascular hemodynamics and the characteristic changes associated with myocardial, valvular, pericardial, and pulmonary vascular diseases.

X

 

L-INV/INT-MK7

Know the methods to detect and estimate the magnitude of intracardiac and extracardiac shunts.

 

X

L-INV/INT-MK8

Know coronary anatomy, coronary blood flow physiology, and common coronary anomalies.

X

 

L-INV/INT-MK9

Know the characteristic angiographic features associated with coronary artery disease and the methods available to assess its anatomic and physiologic severity.

X

 

L-INV/INT-MK10

Know the indications for, contraindications to, and potential complications of peripheral vascular angiography.

X

 

L-INV/INT-MK11

Know the characteristic angiographic features associated with peripheral artery disease and the methods available to assess its anatomic and physiologic severity.

 

X

L-INV/INT-MK12

Know the indications for and potential complications of percutaneous interventions for coronary and peripheral artery as well as valvular and nonvalvular structural heart disease.

X

 

L-INV/INT-MK13

Know the indications for, contraindications to, and potential complications of endomyocardial biopsy.

X

 

L-INV/INT-MK14

Know the indications for, contraindications to, and potential complications of pericardiocentesis.

X

 

L-INV/INT-MK15

Know the physiologic basis and indications for mechanical circulatory support devices.

 

X

L-INV/INT-MK16

Know the indications for and complications of vascular access and closure strategies and devices.

 

X

L-INV-INT-MK17

Know the indications for fluid challenge, vasodilator testing, and post-exercise measurements during right heart catheterization.

 

X

 

Patient Care and Procedural Skills

All

Practice Focused

L-INV/INT-PC1

Skills to conduct preprocedural evaluation for, assess appropriateness of, obtain informed consent from, and plan procedure strategy for patients undergoing cardiac catheterization and angiography.

 

X

L-INV/INT-PC2

Skills to perform venous and arterial access and obtain hemostasis in patients undergoing cardiac catheterization and angiography.

 

X

L-INV/INT-PC3

Skill to perform right heart catheterization.

 

X

L-INV/INT-PC4

Skill to integrate hemodynamic, ventriculographic, and angiographic data in patient evaluation and management.

X

 

L-INV/INT-PC5

Skill to coordinate post-procedural management for patients undergoing cardiac catheterization, including recognition and treatment of complications.

X

 

L-INV/INT-PC6

Skill to perform endomyocardial biopsy.

 

X

L-INV/INT-PC7

Skill to perform elective pericardiocentesis.

 

X

L-INV/INT-PC8

Skills to perform diagnostic left heart catheterization, contrast ventriculography, and coronary angiography.

 

X

L-INV/INT-PC9

Skill to place an intra-aortic balloon pump.

 

X