Abstract

SummaryIt is well recognized that organized management of heart failure patients, including care by heart failure specialists, improves outcomes of these patients. In response to this, the Heart Failure Association of the European Society of Cardiology proposed a basic framework of a heart failure curriculum, which became a blueprint for training programs across Europe. The present curriculum for heart failure was well coordinated with the version issued by the German Society for Cardiology in order to achieve good comparability. Training in this Austrian curriculum takes two years, during which the predominant activity focuses on the care of patients with heart failure. The first year includes general (basic) training, while in the second year special modules (advanced chronic and acute heart failure with specific treatment, device treatment, interventional heart failure treatment, outpatient care or rehabilitation, heart failure diagnostics) must be chosen that impart in-depth knowledge, experience and/or skills. Of the five offered modules two must be completed for 6 months each. At least one specialist in internal medicine and cardiology with the additional qualification of heart failure must act as a supervisor at the training center. A certified Heart Failure Unit or a comparable structure should be available at the training center and integrated into the clinical routine of the cardiology department. Applications for recognition of curricular achievements in order to obtain the additional qualification “heart failure specialist” shall be evaluated by a dedicated committee of the nucleus of the Heart Failure Working Group of the Austrian Cardiological Society. The candidate will receive recognition of the additional qualification in heart failure, issued by the Austrian Cardiological Society.

Highlights

  • Acute and chronic heart failure are disease patterns that are playing an increasingly important role in cardiology and medicine as a whole

  • Training in the curriculum “heart failure” takes 24 months (2 years), during which the predominant activity focuses on the care of patients with heart failure

  • According to the proposal made by the Heart Failure Association of the ESC, the first year should include general training, while in the second year special modules must be chosen that impart indepth knowledge, experience and/or skills (Fig. 1)

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Summary

Introduction

Acute and chronic heart failure are disease patterns that are playing an increasingly important role in cardiology and medicine as a whole. The knowledge, experience and skills of the attending physicians required for state of the art treatment have considerably increased This development has already been taken into account in many clinics by setting up specialized outpatient clinics and in some cases even heart failure units (HFU) [6]. Training in the curriculum “heart failure” takes 24 months (2 years), during which the predominant activity focuses on the care of patients with heart failure. According to the proposal made by the Heart Failure Association of the ESC, the first year should include general (basic) training, while in the second year special modules must be chosen that impart indepth knowledge, experience and/or skills (Fig. 1).

Aim
Candidate requirements
Requirements for the training center
Training supervisor requirements
Evaluation and quality control
Accreditation for training
10. Transitional arrangements
Spiroergometry
Keeping the patient on the heart transplant waiting list
Intensive care of patients with AHF
Optional perioperative care for heart transplants
13. Perioperative care during implantation of a ventricular support system
Outpatient care before and after VAD implantation
Recognition of device problems and their solution
Follow-up of CRT systems
Indication for temporary mechanical circulatory support
Long-term coordination of diagnostics and therapy
Consideration of the patient’s preferences in heart failure therapy
Active participation in an interdisciplinary DMP
Patient care in a DMP
Participation in an interdisciplinary disease management program
Diagnosis of ischemia and vitality by means of stress echocardiography
Transesophageal echocardiography in patients with heart failure
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