LIBRO + ANEXOS CARDIOLOGÍA

Cardiología Pediátrica. Anexos ❚ 69 Page 27 of 64 Paediatric Cardiology curriculum additional cardiologists at each centre must also have specialised skills in other areas to avoid single handed practice. In some specialist fields, skills are complementary and therefore some trainees will need to be able to provide more than one themed for service skill (and hence would be expected to achieve a minimum of level 3 capability in each by CCT) . Examples of this would be training in for example advanced echo imaging or CT and MRI. These services are required in all centres, but demand is unlikely be high enough to fuel enough sessions for the requisite two to three full time specialists for each of these areas without overlap. Hence for those trainees studying two complementary areas, during ST7 and ST8, the capability levels of each will be assessed as per the current (2018) decision grid for ST7 in that area. A valid IRMER certificate is required for cardiac catheterisation, pacing and electrophysiology and specialist imaging. Paediatric Cardiology Themed for Service CiPs (ST7-ST8) 1. Provide an arrhythmia service including ablation and device therapy for paediatric and CHD patients Descriptors • Accept electrophysiology referrals from the general paediatric cardiology service, and review patients and / or non-invasive monitoring in order to Perform appropriate further invasive investigation Medically manage with pharmacotherapy where appropriate Discuss in cardiac genetics MDT for management • Understand when to consider, and to perform, an electrophysiology study +/- ablation including Routine EPS and ablation for AVRT/AVNRT Trans-septal puncture in adults and older children Focal Cryotherapy Understand when to perform VT ablation in children Understand strengths and weaknesses of electro-anatomic (3D) and magnetic mapping systems • Manage a paediatric implantable device service including Being able to manage basic interrogation and programming of devices in children and adults with CHD Understand indications for and complications of, device implantation including epicardial and transvenous, both temporary and permanent Understand the issues specific to device use in the growing infant and child