Timeframe: from indication for use of coronary angiography until interpretation of generated reports

Setting: inpatient setting, elective situations

Including:

performance of an elective diagnostic coronary angiogram

interpretation of generated images and reports

Interpretation of reports from other invasive diagnostic modalities

Excluding: complex and acute situations (more complex cases would require support or referral)

• Medical expert

• Communicator

• Collaborator

• Professional

• Discuss the indications for coronary angiography

• Outline the principles of radiation physics and safety regulations

• Explain how to prevent and manage the nephrotoxic effects of contrast agents

• Describe the radiological anatomy of the heart, aorta, large vessels, coronary, femoral, radial, and brachial arteries

• Describe the different catheterization equipment (types of catheters used in coronary angiography, transducers, power injector, and physiological monitoring)

• Discuss the advantages and disadvantages of different sites and techniques of vascular access

• Classify the complications of coronary angiography and the principles of their management

• Outline the indications for invasive imaging [intravascular ultrasound (IVUS), optical coherence tomography (OCT)] or functional assessment (FFR, instantaneous wave-Free Ratio)

• Assess the possibility of contrast induced allergic reactions and take adequate prophylactic measures

• Individualize arterial access

• Use the equipment in order to minimize radiation exposure and the dose of nephrotoxic contrast agents

• Obtain arterial (femoral and radial) access and achieve haemostasis

• Perform simple coronary angiography, ventriculography, and aortography (including angiography of arterial and venous coronary bypass grafts)

• Recognize complications and manage life-threating arrhythmias occurring during coronary angiography

• Estimate risk scores for PCI and CABG treatment

• Inform and consent the patient

• Take responsibility for the appropriate ordering and performance of coronary angiography

• Co-operate effectively with the members of the Heart Team, nurses, and technicians

• Adopt a consistent analytical approach to selecting the appropriate management (medical, percutaneous, or surgical)

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

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

• 3. Indirect supervision