Timeframe: from first patient contact until diagnosis or exclusion of coronary artery disease or other cause

Setting: outpatient setting, emergency department, inpatient setting

Including:

initial assessment based on clinical history and physical examination

differential diagnosis

performance and interpretation of basic initial investigations

formulation of management plan

Excluding: performing actual therapy of coronary artery disease

• Medical expert

• Communicator

• Collaborator

• Health Advocate

• Describe the range and meaning of words used by a patient to describe symptoms

• Review the symptoms of coronary artery disease and the features that differentiate them from other cardiovascular and non-CVDs

• Know the differential diagnosis of chest paint

• Discuss the cardiovascular risk factors and their importance in the probability and diagnosis of coronary artery disease in the individual patient

• Describe the coronary artery disease pre-test probability risk score and the risk stratification scores of the different types of coronary artery disease (acute vs. chronic coronary syndromes)

• Take relevant history and perform appropriate clinical examination

• Integrate the patient’s history with the findings of clinical examination and the results of relevant investigations in order to make the diagnosis

• Identify non-cardiac causes and refer the patient to the appropriate specialties

• Formulate a management plan

• Utilize relevant risk scores

• Make and record accurate observations about the clinical state of the patient

• Perform thorough clinical (and basic neurological) examination

• Record the history and findings of clinical examination in a structured electronic or written file

• Select basic initial investigations (routine venous blood tests, arterial blood gases, chest X-ray, ECG, echocardiography)

• Allow sufficient time for the patient to describe symptoms in their own words

• Respect the patient’s socioeconomic, ethnical, cultural, and religious background

• Ensure the dignity of the patient during examination

• Direct observation/WBA (e.g. DOPS, Mini-CEX, fieldnotes)

• CbD (case-based discussion)/EbD (entrustment-based discussion)

• 5. Able to teach (no supervision)