Competency ID

Medical Knowledge

All Clinical Cardiologists

Selected Cardiologists Based on Practice Focus

L-ARR-MK1

Know the mechanism and characteristics of normal sinus rhythm and sinus node dysfunction.

X

L-ARR-MK2

Know the pathophysiology, differential diagnosis, and approach to management of patients with re-entrant tachycardia (atrioventricular nodal re-entrant tachycardia, atrioventricular reciprocating tachycardia), ectopic atrial tachycardias, and accelerated atrioventricular junctional rhythm.

X

L-ARR-MK3

Know the pathophysiology, differential diagnosis, clinical significance, and approach to management of patients with atrial fibrillation and atrial flutter.

X

L-ARR-MK4

Know the risk factors for stroke and bleeding in patients with atrial fibrillation or atrial flutter and the indications for and use of anticoagulant drugs.

X

L-ARR-MK5

Know the pathophysiology, differential diagnosis, clinical significance, and approach to management of patients with sustained and nonsustained ventricular tachyarrhythmias.

X

L-ARR-MK6

Know the pathophysiology and differential diagnosis of approaches to risk stratification for, and management of survivors of cardiac arrest and sudden death.

X

L-ARR-MK7

Know the risk factors for syncope and sudden death in athletes and individuals engaging in vigorous physical activity.

X

L-ARR-MK8

Know the types, mechanisms, differential diagnosis, clinical significance, and approach to management of patients with atrioventricular dissociation and first-, second-, and third-degree atrioventricular block.

X

L-ARR-MK9

Know the characteristic physical findings associated with specific cardiac arrhythmias (e.g., atrioventricular dissociation).

X

L-ARR-MK10

Know the significance of underlying congenital or acquired structural heart disease in patients with cardiac arrhythmias and sudden death.

X

L-ARR-MK11

Know the indications for, contraindications to, and clinical pharmacology of antiarrhythmic medications, including drug-drug and drug-device interactions, QT-interval prolongation, and pro-arrhythmic potential.

X

L-ARR-MK12

Know the indications for and limitations of the ECG; exercise testing; ambulatory, event, and implantable loop recorders, and orthostatic testing in the evaluation and management of patients with known or suspected cardiac arrhythmias.

X

L-ARR-MK13

Know the indications for and limitations and complications of invasive electrophysiological testing in patients with known or suspected cardiac arrhythmias and the indications for and risks of catheter ablation.

X

L-ARR-MK14

Know the indications for and contraindications to implantation of permanent pacemakers, cardiac resynchronization devices, and cardioverter-defibrillators.

X

L-ARR-MK15

Know the pathophysiology, differential diagnosis, natural history, and approach to management of patients with syncope.

X

L-ARR-MK16

Know the mechanisms, findings, clinical significance, and approach to management of patients with ventricular pre-excitation.

X

L-ARR-MK17

Know the pathology and clinical significance of, and the approach to evaluation and management of patients with inherited causes of cardiac arrhythmias, including ion channel abnormalities and structural changes in the heart (including long QT syndrome, Brugada syndrome, arrhythmogenic right ventricular dysplasia, hypertrophic and dilated cardiomyopathy, and myotonic dystrophy), and the role of genetic testing.

X

L-ARR-MK18

Know the indications for interrogation of implanted cardiac electronic devices.

X

Patient Care and Procedural Skill

All

Practice Focused

L-ARR-PC1

Skill to evaluate and manage patients with palpitation.

X

L-ARR-PC2

Skill to evaluate and manage patients with syncope.

X

L-ARR-PC3

Skill to evaluate and manage patients with supraventricular tachyarrhythmias.

X

L-ARR-PC4

Skill to evaluate and manage patients with atrial fibrillation and atrial flutter, including rate control, rhythm control, and anticoagulation strategies.

X

L-ARR-PC5

Skill to evaluate and manage patients with wide-QRS tachycardia.

X

L-ARR-PC6

Skill to manage patients with nonsustained and sustained ventricular arrhythmias.

X

L-ARR-PC7

Skill to evaluate and manage patients with bradycardia and/or conduction block.

X

L-ARR-PC8

Skill to perform electrical cardioversion.

X

L-ARR-PC9

Skill to perform defibrillation.

X

L-ARR-PC10

Skill to perform tilt-table testing.

X

L-ARR-PC11

Skill to insert temporary transvenous pacemakers.

X

L-ARR-PC12

Skill to select and appropriately refer patients for implantation of permanent pacemakers, cardioverter-defibrillators, or cardiac resynchronization devices.

X

L-ARR-PC13

Skill to integrate information from cardiac electrophysiology consultation, diagnostic electrophysiological procedures, and device interrogation into the management of patients with cardiac tachyarrhythmias or bradyarrhythmias.

X

L-ARR-PC14

Skill to interrogate, program, and monitor the performance of cardiac pacemakers and implanted cardioverter-defibrillators.

X

L-ARR-PC15

Skill to implant permanent single- and dual-chamber cardiac pacemakers and manage complications of these procedures, including device pocket and bloodstream infections, venous thrombosis, pneumothorax, device-related arrhythmias and lead failure.

X

L-ARR-PC16

Skill to implant loop recorders, interpret data generated by these devices to guide patient management, and manage complications.

X

L-ARR-PC17

Skill to monitor, interrogate and troubleshoot implanted pacemakers, cardioverter-defibrillators, cardiac resynchronization devices, and loop recorders, including remote interrogation.

X

L-ARR-PC18

Skill to evaluate and manage hospitalized survivors of cardiac arrest.

X

L-ARR-PC19

Skill to select appropriate ambulatory arrhythmia monitoring technology and integrate the results in patient management.

X