Patient Care
- Be able to obtain a complete history and perform a detailed cardiovascular examination on subjects ranging from premature newborns to young adults
- Be able to evaluate and treat the cardiovascular aspects of critically ill neonates, infants and children including:
- Assessment of the cyanotic newborn
- Recognition and treatment of shock and low output states
- Post-operative care following cardiovascular surgical procedures
- Recognition and treatment of congestive heart failure and hypoxic spells
- Understand and perform resuscitation techniques including cardiopulmonary resuscitation, cardioversion, temporary pacing, pericardiocentesis, and thoracentesis
- Understand the techniques, values, limitations, and risks of invasive procedures including diagnostic cardiac catheterization, angiocardiography, electrophysiology studies, and interventional procedures
- Be able to perform diagnostic right and left heart catheterization and balloon atrial septostomy
- Understand the principles of diagnostic ultrasound and be capable of performing and interpreting M-mode, two-dimensional, Doppler, and color flow echocardiograms
- Be familiar with the cardiac arrhythmias of childhood and be capable of interpreting electrocardiograms, ambulatory electrocardiograms, and event monitoring, and in treating cardiac arrhythmias
- Understand the principles and techniques of exercise testing and be capable of performing and interpreting these studies
Medical Knowledge
- Understand the basic elements of cardiovascular anatomy, embryology, biochemistry, physiology, and pathology
- Be familiar with the natural and modified natural history of congenital and acquired cardiovascular disorders in the young and the surgical procedures used in their management
- Be familiar with systemic diseases involving the cardiovascular system including rheumatic fever, Kawasaki disease, endocarditis, metabolic disorders, collagen disease, and lipid disorders
- Understand the genetic basis of congenital heart disease and the genetic disorders with a high incidence of congenital heart disease
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Practice-Based Learning and Improvement
- Use evaluations of performance to improve practice
- Use information technology to optimize lifelong learning
Interpersonal Skills and Communication
- Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
- Be capable of acting in a consultative role to other physicians and healthcare professionals
- Know how to maintain comprehensive, timely, and legible medical records
Professionalism
- Demonstrate empathy, sensitivity, and compassion as a physician
- Demonstrate high standards of ethical behavior
- Understand ethical aspects of gifts from industry
- Understand the elements of patient rights and confidentiality
Systems-Based Practice
- Learn to coordinate inpatient, outpatient, and field clinic programs in pediatric cardiology, including interaction with social service agencies, school health nurses, and the State Health Department
- Understand systems of delivery of health care and their financing, including diagnostic and procedural coding
Research
- Learn to ask fundamental questions and formulate hypotheses
- Design experiments or trials to test hypotheses
- Analyze results using appropriate statistical techniques
- Develop presentation skills for abstracts, seminars and lectures
- Learn to critically review the scientific literature
- Learn to write manuscripts and grant applications
- Understand ethics involved in research
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The UVA School of Medicine and the Department of Pediatrics have a long track record and commitment to training clinician investigators. We have an NIH-funded interdisciplinary training program for clinician investigators in Pediatric Cardiovascular Research. Clinical training is based on 1:1 interaction with faculty and a "hands-on" approach to learning.