General requirements for training institutions
Institute facilities and manpower
The ideal training institute:
- Should ensure that the care of patients is maintained at a suitably high standard, and that the workload is sufficient, to permit the Institute to comply with the requirements of training to become a Paediatric Cardiologist. For training in a subspecialty of Paediatric Cardiology, such as cardiac catheterisation, advanced imaging, cardiac magnetic resonance imaging, nuclear medicine, fetal cardiology, and so on, trainees may need to move to another institute for this part of the training module to ensure they obtain the training required according to the recommendations made by the Association for Training in Paediatric Cardiology.
- The department of Paediatric Cardiology within the institute should have access to all types of specialized facilities for imaging needed for evaluation of congenital and acquired cardiac defects as seen from the fetus to adulthood.
- Should have the infrastructure for the assessment and treatment of patients with congenital and acquired cardiovascular disease from fetal life to adults, including paediatric cardiovascular surgery.
- Should have specialists representing all aspects of paediatric cardiology, including imaging, invasive cardiology and electrophysiology, paediatric cardiac surgery, paediatric anaesthesiology, and paediatric cardiac intensive care.
- Should have staff providing the minimum of 3 full-time equivalent paediatric cardiologists.
- Should be equipped with at least one laboratory for cardiac catheterisation with facilities for catheterisation, angiocardiography, interventional procedures, and electrophysiologic studies for infants and children, as described in the recommendations made by the Association for Ideal Cardiac Catheterisation Laboratories.
- To ensure the quality of the training institute, the institute should be peer reviewed at regular intervals by a national or an international organisation.
Training at the institute
The training institute should ensure that:
- Structured clinical meetings are held regularly.
- Discussions are held regularly in a formal forum at joint multidisciplinary meetings with cardiac surgeons.
- A stimulating atmosphere exists in which the trainees learn critical evaluation of the literature and decision-making.
- Adequate opportunities exist for multidisciplinary consultations with adult cardiologists regarding the optimal care of adults with congenital cardiac disease, and with those working in the departments of clinical genetics, obstetrics and radiology.
- Trainees are encouraged to make case presentations at local meetings, and to teach other junior doctors, nurses, and medical students.
- The trainees have adequate time for studying heart-lung specimens, if available, and to participate in anatomic-pathological conferences.
- The trainees have access to the appropriate journals of high quality in paediatric cardiology, and are given protected time for personal study.
- The trainees are encouraged to participate in scientific research in paediatric cardiology and related fields.
- The trainees are encouraged to participate in important and relevant national and international scientific symposiums and congresses by presenting the research through oral or poster presentations.