Competency ID

Medical Knowledge

All Clinical Cardiologists

Selected Cardiologists Based on Practice Focus

L-CCC-MK1

Know the pathophysiology, differential diagnosis, and characteristic clinical, hemodynamic, radiographic, and laboratory findings of cardiogenic, hypovolemic, septic, and mixed circulatory shock and the systemic inflammatory response syndrome.

X

L-CCC-MK2

Know the indications for and characteristic findings of bedside noninvasive and invasive hemodynamic monitoring.

X

L-CCC-MK3

Know the indications for, contraindications to, and clinical pharmacology of vasoactive and inotropic medications used to treat patients with heart failure, hypotension, or shock.

X

L-CCC-MK4

Know the indications for, contraindications to, and clinical pharmacology of anticoagulant, antiplatelet, and fibrinolytic agents.

X

L-CCC-MK5

Know the indications for, contraindications to, and clinical pharmacology of agents used to treat patients with hypertensive urgencies and emergencies.

X

L-CCC-MK6

Know the indications for, contraindications to, and clinical pharmacology of agents used to treat patients with pulmonary hypertension, including inhalational agents.

X

L-CCC-MK7

Know the indications for, contraindications to, clinical pharmacology and potential toxicity of antiarrhythmic drugs in the clinical care setting.

X

L-CCC-MK8

Know the indications for, contraindications to, and risks of catheter-based interventions for patients with supraventricular and ventricular arrhythmias.

X

L-CCC-MK9

Know the characteristic clinical, electrocardiographic, echocardiographic, and radiographic findings associated with pulmonary embolism, aortic dissection, pericardial tamponade, acute decompensated heart failure, and myocardial infarction.

X

L-CCC-MK10

Know the indications for oxygen supplementation, noninvasive ventilation, endotracheal intubation, and mechanical ventilatory support for patients with hypoxia and/or respiratory failure.

X

L-CCC-MK11

Know the differential diagnosis and characteristic laboratory findings associated with oliguria and acute kidney injury and the indications for renal replacement therapy.

X

L-CCC-MK12

Know the characteristic physical examination, echocardiographic, angiographic, and hemodynamic findings associated with mechanical complications of myocardial infarction (e.g., ventricular septal defect, mitral regurgitation, ventricular pseudoaneurysm, right ventricular infarction and myocardial rupture).

X

L-CCC-MK13

Know the types of, indications for, and contraindications to mechanical circulatory support, including intra-aortic balloon counterpulsation, percutaneous and surgical ventricular assist devices, and extracorporeal membrane oxygenation.

X

L-CCC-MK14

Know the principles of treatment of hypotension in patients with cardiogenic shock, hypertrophic obstructive cardiomyopathy, right ventricular infarction, massive pulmonary embolism, pericardial tamponade, and distributive shock.

X

L-CCC-MK15

Know the indications for immediate and delayed surgery in patients with aortic dissection.

X

L-CCC-MK16

Know the differential diagnosis of heart failure or shock following cardiac transplantation.

X

L-CCC-MK17

Know the prognostic factors used to assess patients with acute coronary syndromes and advanced heart failure.

X

L-CCC-MK18

Know the risk factors for major bleeding in patients receiving antithrombotic medications.

X

L-CCC-MK19

Know the principles of post-resuscitation care and the indications for hypothermia.

X

Patient Care and Procedural Skill

All

Practice
Focused

L-CCC-PC1

Skills to manage patients with acute myocardial infarction and associated rhythm, conduction, hemodynamic, and mechanical complications.

X

L-CCC-PC2

Skill to integrate findings from clinical, electrocardiographic, imaging, and hemodynamic assessments into the management of unstable cardiac patients.

X

L-CCC-PC3

Skills to insert arterial, central venous, and pulmonary artery catheters and temporary transvenous pacemakers.

X

L-CCC-PC4

Skill to coordinate renal replacement therapy in conjunction with nephrology consultants.

X

L-CCC-PC5

Skill to employ therapeutic hypothermia protocols in survivors of cardiac arrest.

X

L-CCC-PC6

Skill to evaluate and manage patients with hemodynamic instability following cardiac surgery.

X

L-CCC-PC7

Skills to evaluate and manage patients with supraventricular and ventricular arrhythmias and conduction disturbances in unstable patients in collaboration with electrophysiology consultants.

X

L-CCC-PC8

Skill to utilize vasopressor and inotropic therapy appropriately in patients with various types of shock.

X

L-CCC-PC9

Skill to implement mechanical circulatory support in the management of critically ill patients.

X

L-CCC-PC10

Skill to perform and lead cardiopulmonary resuscitation.

X

L-CCC-PC11

Skill to recognize the clinical signs of pericardial tamponade.

X

L-CCC-PC12

Skill to perform elective pericardiocentesis.

X

L-CCC-PC13

Skill to collaborate effectively with heart failure specialists, interventional cardiologists, and surgical consultants in the management of patients with heart transplantation or ventricular assist devices.

X

L-CCC-PC14

Skill to manage patients with hypertensive urgencies and emergencies.

X

L-CCC-PC15

Skills to manage critically ill patients with aortic dissection, massive or submassive pulmonary embolism, acute severe valvular regurgitation, and advanced pulmonary hypertension with right ventricular dysfunction.

X

L-CCC-PC16

Skill to manage patients with acute bleeding, including bleeding related to vascular access.

X

L-CCC-PC17

Skill to incorporate noninvasive and mechanical ventilatory support in patient management in the critical care setting.

X

L-CCC-PC18

Skill to perform endotracheal intubation.

X