Competency ID

Medical Knowledge

All Clinical Cardiologists

Selected Cardiologists Based on Practice Focus

L-ISCHEM-MK1

Know the epidemiology, pathophysiology, and natural history of atherosclerotic vascular disease and the characteristic features and clinical implications of stable and unstable coronary artery plaque.

X

L-ISCHEM-MK2

Know the determinants of coronary blood flow and myocardial oxygen consumption.

X

L-ISCHEM-MK3

Know the differential diagnosis of chest pain syndromes and the characteristic clinical features of patients with typical angina, atypical angina, and noncardiac chest pain.

X

L-ISCHEM-MK4

Know the clinical features and natural history of angina pectoris in women and special populations, including the elderly and patients with diabetes mellitus.

X

L-ISCHEM-MK5

Know the causes of angina pectoris not related to atherosclerotic coronary disease (including valvular heart disease, hypertrophic cardiomyopathy, cocaine use, congenital coronary anomalies, vasculitis, and coronary spasm).

X

L-ISCHEM-MK6

Know the medical conditions that can provoke or exacerbate angina pectoris.

X

L-ISCHEM-MK7

Know the differential diagnosis and prognosis of myocardial ischemia in patients with nonobstructive coronary disease.

X

L-ISCHEM-MK8

Know the characteristic electrocardiographic features associated with myocardial ischemia.

X

L-ISCHEM-MK9

Know the indications for, contraindications to, and limitations of noninvasive testing in the context of the pretest likelihood of disease and the predictive value of positive and negative tests in the evaluation of patients with known or suspected coronary disease.

X

L-ISCHEM-MK10

Know the role of noninvasive testing in risk assessment, including the clinical, functional capacity, ECG, and hemodynamic findings on stress testing indicative of advanced coronary disease or high-risk states.

X

L-ISCHEM-MK11

Know the lifestyle, activity, and exercise recommendations and risk factor treatment targets for patients with stable ischemic heart disease.

X

L-ISCHEM-MK12

Know the indications for, contraindications to, and clinical pharmacology of medications used for management of patients with stable ischemic heart disease.

X

L-ISCHEM-MK13

Know the significance of left ventricular systolic and diastolic function in the management of patients with ischemic heart disease.

X

L-ISCHEM-MK14

Know the indications for, limitations of, and risks associated with coronary angiography in patients with known or suspected ischemic heart disease.

X

L-ISCHEM-MK15

Know the findings at cardiac catheterization indicating hemodynamically significant coronary artery obstruction and the angiographic features indicative of high-risk conditions.

X

L-ISCHEM-MK16

Know the treatment options for patients with ischemic heart disease and symptoms refractory to pharmacologic therapy.

X

L-ISCHEM-MK17

Know the indications for and risks and benefits of percutaneous or surgical revascularization compared with medical therapy in patients with stable ischemic heart disease.

X

L-ISCHEM-MK18

Know the indications for noninvasive and invasive evaluation following revascularization in patients with ischemic heart disease.

X

Patient Care and Procedural Skills

All

Practice Focused

L-ISCHEM-PC1

Skills to obtain and utilize the clinical history, physical examination, and ECG findings in patients with chest pain to establish the probability of symptomatic coronary disease.

X

L-ISCHEM-PC2

Skill to distinguish stable from unstable coronary syndromes.

X

L-ISCHEM-PC3

Skill to select evidence-based, cost-effective noninvasive testing strategies for diagnosis and risk assessment in patients with chest pain.

X

L-ISCHEM-PC4

Skill to integrate data from noninvasive testing in the management of patients with stable ischemic heart disease.

X

L-ISCHEM-PC5

Skills to perform and interpret exercise ECG stress tests.

X

L-ISCHEM-PC6

Skill to establish effective anti-ischemic and antithrombotic medical regimens for patients with coronary disease.

X

L-ISCHEM-PC7

Skill to identify appropriate candidates for coronary angiography and percutaneous or surgical revascularization.

X

L-ISCHEM-PC8

Skill to integrate diagnostic cardiac catheterization findings into patient management.

X

L-ISCHEM-PC9

Skill to implement guideline recommendations for lifestyle modification, physical activity, and pharmacologic interventions to control risk factors in patients with ischemic heart disease.

X

L-ISCHEM-PC10

Skills to provide preoperative risk assessment and perioperative management for patients with cardiovascular disease undergoing non-cardiac surgery.

X

L-ISCHEM-PC11

Skill to perform diagnostic cardiac catheterization and coronary angiography.

X