Standard set
Pediatric Cardiac Sonography
Standards
Showing 106 of 106 standards.
a
Identify anatomy, anatomic variants, and sonographic appearances of normal and abnormal cardiac structures (adult, pediatric, and fetal).
b
Demonstrate knowledge of normal cardiovascular physiology and hemodynamics.
c
Demonstrate knowledge of cardiovascular pathophysiology (embryology of congenital abnormalities, mechanisms of acquired disease), and hemodynamics, sonographic technique, measurements, quantitative principles, and Doppler patterns in both the normal heart and with cardiac disease.
d
Demonstrate knowledge and applications of the indications, utility, limitations, and technical procedures for related echocardiographic studies.
e
Demonstrate knowledge, application, and proficiency in the use of quantitation principles applied to echocardiographic images and flow data.
f
Demonstrate knowledge and application of clinical cardiology as appropriate to the fetus and patients with congenital heart disease (CHD).
g
Awareness of scanning protocol and modification(s) based on the sonographic findings and the differential diagnoses.
h
Demonstrate proficiency in the technique and application of:
i
Demonstrate achievement of clinical competency through the performance of pediatric cardiac sonography according to practice parameters established by national professional organizations and the protocol of the clinical affiliate. Clinical competencies must include evaluation and documentation of:
a.1
Embryology and fetal cardiac development
a.2
Cardiac chambers and septation
a.3
Valve anatomy and dynamics
a.4
Coronary artery anatomy
a.5
Relationships of cardiac chambers and great vessels
a.6
Mediastinal structures
a.7
Arch anatomy
a.8
Pulmonary artery and venous anatomy
a.9
Systemic venous return
b.1
Electrophysiology
b.2
Fetal circulation
b.3
Transitional physiology
b.4
Ventricular function
b.5
Pulmonary and systemic circulation
b.6
Exercise physiology
c.1
Congenital heart disease (CHD)
c.2
Acquired heart disease
d.1
Stress echocardiography
d.2
Transesophageal echocardiography
d.3
Intraoperative echocardiography
d.4
Contrast-enhanced ultrasound
d.5
IV administration techniques
d.6
Three-dimensional echocardiography
d.7
Echo-guided procedures
d.8
Strain echocardiography
d.9
Targeted obstetric exam
e.1
Standard M-mode, two-dimensional, and Doppler measurements and calculations (normalized based on body surface area, and/or other biometric measurements for the fetus)
e.2
Knowledge and understanding of normal and abnormal values for M-mode, two- dimensional and Doppler echocardiography
e.3
Evaluation of normal and abnormal systolic and diastolic ventricular function
e.4
Evaluation of the severity of valve stenosis and regurgitation
e.5
Knowledge of normal and abnormal sonographic appearances of peripheral vascular anatomy
e.6
Calculation of Qp:Qs ratio
e.7
Miscellaneous measurements specific to patient history
f.1
Relationship of echocardiography to history and physical examination, including indications for echocardiography - diagnostic approach to CHD
f.2
Acquired heart disease and noncardiac disease and the effects of systemic diseases on cardiovascular anatomy and physiology
f.3
Differential diagnosis as it relates to the echocardiographic examination
f.4
Cardiac arrhythmias
f.5
Genetic syndromes and chromosomal anomalies associated with CHD
f.6
Cardiovascular surgery and interventional cardiology
f.7
Post-operative repair evaluation
f.8
Current trends of caring for the fetus, pediatric and adult patient with CHD
g.1
Indications and contraindications
g.2
History and physical examination
g.3
Related imaging, laboratory, and functional testing procedures
g.4
Clinical differential diagnosis
g.5
Role of sonography in patient management
g.6
Pharmacology
h.1
Quantitation principles applied to echocardiographic images and flow data
h.2
Calculation of Qp:Qs ratio
i.1
Identification of anatomical and relational structures
i.2
Differentiation of normal from pathological/disease process
i.3
Image optimization and measurement techniques with:
i.4
Pediatric cardiac sonography competencies
c.1.a
Situs abnormalities
c.1.b
Defects in cardiac septation
c.1.c
Abnormalities in atrial-ventricular connections
c.1.d
Ventricular hypoplasia
c.1.e
Ventricular Inflow anomalies
c.1.f
Abnormalities in ventriculoarterial connection
c.1.g
Ventricular outflow anomalies
c.1.h
Abnormalities within cardiac chambers
c.1.i
Vascular abnormalities
c.1.j
Abnormalities within thorax
c.1.k
Abnormal vascular connections
c.1.l
Postoperative repair/treatment
c.1.m
Diseases of the aorta and great vessels
c.1.n
Valvular abnormalities
c.1.o
Pericardial abnormalities
c.2.a
Valvular heart disease
c.2.b
Ischemic cardiac disease
c.2.c
Cardiomyopathy
c.2.d
Pericardial disease
c.2.e
Cardiac endocarditis, neoplasms, and masses
c.2.f
Cardiac trauma
c.2.g
Pulmonary vascular disease
c.2.h
Systemic and pulmonary hypertension
c.2.i
Infection of native structures and devices
g.3.a
Chest X-ray
g.3.b
Angiography and cardiac catheterization
g.3.c
Electrocardiography, electrophysiologic studies, Holter monitoring
g.3.d
Stress testing
g.3.e
Radionuclide studies
g.3.f
Tomographic imaging procedures
g.3.g
Fetal /Pediatric/Adult interventions for congenital heart disease
i.3.a
2D imaging
i.3.b
M-mode
i.3.c
Spectral Doppler: PW, CW and Tissue Doppler
i.3.d
Color flow Doppler
i.3.e
Use of non-imaging CW Doppler transducer
i.4.a
Complete transthoracic examination - Normal
i.4.b
Patent foramen ovale or atrial septal defect
i.4.c
Ventricular septal defect
i.4.d
Patent ductus arteriosus
i.4.e
Conotruncal defect (repaired or unrepaired)
i.4.f
Left heart structural/valvular disease
i.4.g
Right heart structural/valvular disease
i.4.h
Repaired structural heart disease