American College of Cardiology/American Heart Association Clinical Competence statement on stress testing: a report of the American College of Cardiology/American Heart Association/American College of Physicians--American Society of Internal Medicine Task Force on Clinical Competence.

The granting of clinical staff privileges is one of the primary mechanisms used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Healthcare Organizations requires that the granting of initial or continuing medical staff privileges be based on assessment of applicants against professional criteria specified in medical staff bylaws. Physicians and other healthcare providers are thus charged with identifying the criteria that constitute professional competence and with evaluating their peers accordingly. The process of evaluating clinical knowledge and competence is often constrained by the evaluator’s own knowledge and ability to elicit the appropriate information, a problem that is compounded by the growing number of highly specialized procedures for which privileges are requested. The American College of Cardiology (ACC)/American Heart Association (AHA)/American College of Physicians–American Society of Internal Medicine (ACP-ASIM) Task Force on Clinical Competence was formed in 1998 to develop recommendations to attain and maintain the cognitive and technical skills necessary for the competent performance of a specific cardiovascular service, procedure, or technology. These documents are evidence based, and where evidence is not available, expert opinion is called upon to formulate recommendations. Indications and contraindications for specific services or procedures are not included in the scope of these documents. Recommendations are intended to assist those who must judge the competence of cardiovascular healthcare providers entering practice for the first time and/or those who are in practice and undergo periodic review of their practice expertise. Because the assessment of competence is complex and multidimensional, isolated recommendations contained herein may not necessarily be sufficient or appropriate for judging overall competence. Board specialty certification is not a required part of these recommendations but is another measure of expertise. This statement is a revision and extension of the previous ACP/ACC/AHA Task Force Statement on Clinical Competence in Exercise Testing. …

[1]  M. Verani,et al.  Long-term prognostic value of exercise echocardiography compared with exercise 201Tl, ECG, and clinical variables in patients evaluated for coronary artery disease. , 1998, Circulation.

[2]  R. Abdulla,et al.  The Science and Practice of Pediatric Cardiology , 1998, Pediatric Cardiology.

[3]  R. O'rourke,et al.  Comparison of exercise and dobutamine stress echocardiography in assessing mitral stenosis. , 1997, The American journal of cardiology.

[4]  E. Antman,et al.  ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). , 2002, Circulation.

[5]  Richard P. Lewis,et al.  ACC/AHA Guidelines for the Clinical Application of Echocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography). Developed in collaboration with the American Society of Echocardio , 1997, Circulation.

[6]  B. Franklin,et al.  Is direct physician supervision of exercise stress testing routinely necessary? , 1997, Chest.

[7]  J. Thomas,et al.  Left ventricular function after valve repair for chronic mitral regurgitation: predictive value of preoperative assessment of contractile reserve by exercise echocardiography. , 1996, Journal of the American College of Cardiology.

[8]  K. Brown.  Prognostic value of myocardial perfusion imaging: State of the art and new developments , 1996, Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology.

[9]  A. Iskandrian.  Are the differences between adenosine and dipyridamole clinically relevant? , 1996, Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology.

[10]  G. Gregoratos,et al.  Guidelines for training in adult cardiovascular medicine. , 1995, Journal of the American College of Cardiology.

[11]  R. Gibbons,et al.  Guidelines for training in adult cardiovascular medicine. Core Cardiology Training symposium (COCATS) Task Force 5: Training in Nuclear Cardiology , 1995, Journal of the American College of Cardiology.

[12]  P. Thompson,et al.  ACSM's Guidelines for Exercise Testing and Prescription , 1995 .

[13]  F. Menapace,et al.  Supervision of clinical exercise testing by exercise physiologists. , 1995, The American journal of cardiology.

[14]  Richard P. Lewis,et al.  Guidelines for clinical use of cardiac radionuclide imaging. Report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Committee on Radionuclide Imaging), developed in collaboration with the American Soci , 1995, Journal of the American College of Cardiology.

[15]  Y. Kihara,et al.  932-87 Non-Mechanical Energy Expenditure is Preserved During the Transition from Compensatory Hypert , 1995 .

[16]  C. Yancy,et al.  Usefulness of dobutamine echocardiography in distinguishing severe from nonsevere valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients. , 1995, The American journal of cardiology.

[17]  S. Daniels,et al.  Guidelines for exercise testing in the pediatric age group. From the Committee on Atherosclerosis and Hypertension in Children, Council on Cardiovascular Disease in the Young, the American Heart Association. , 1994, Circulation.

[18]  Michael V. Green,et al.  Assessment of coronary artery disease by radionuclide cineangiography. History, current applications, and new directions. , 1994, Cardiology clinics.

[19]  E G DePuey,et al.  How to detect and avoid myocardial perfusion SPECT artifacts. , 1994, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[20]  M. Cerqueira,et al.  Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry. , 1994, Journal of the American College of Cardiology.

[21]  T. Ryan,et al.  Symptoms, Adverse Effects, and Complications Associated With Dobutamine Stress. Echocardiography Experience in 1118 Patients , 1993, Circulation.

[22]  J R Roelandt,et al.  Dobutamine Stress Echocardiography for Assessment of Perioperative Cardiac Risk in Patients Undergoing Major Vascular Surgery , 1993, Circulation.

[23]  A. Iskandrian.  What is the optimum dose of dipyridamole for cardiac imaging? , 1992, The American journal of cardiology.

[24]  K. Brown.  Prognostic value of thallium-201 myocardial perfusion imaging. A diagnostic tool comes of age. , 1991, Circulation.

[25]  Richard P. Lewis,et al.  ACC/AHA guidelines for the clinical application of echocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee to Develop Guidelines for the Clinical Application of Echocard , 1990, Circulation.

[26]  V. Froelicher,et al.  Exercise standards. A statement for health professionals from the American Heart Association. , 1990, Circulation.

[27]  Sankey V. Williams,et al.  Clinical competence in exercise testing. A statement for physicians from the ACP/ACC/AHA Task Force on Clinical Privileges in Cardiology. , 1990, Circulation.

[28]  M. J. Conley,et al.  Prognostic value of a normal exercise echocardiogram. , 1990, American heart journal.

[29]  A Ranhosky,et al.  The safety of intravenous dipyridamole thallium myocardial perfusion imaging. Intravenous Dipyridamole Thallium Imaging Study Group. , 1990, Circulation.

[30]  R. Wigton,et al.  Procedural skills of the general internist. A survey of 2500 physicians. , 1989, Annals of internal medicine.

[31]  David J. Feild.  Guidelines for exercise testing. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Cardiovascular Procedures (Subcommitte on Exercise Testing). , 1986, Journal of the American College of Cardiology.

[32]  E. Antman,et al.  A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing) , 2002 .

[33]  Imaging guidelines for nuclear cardiology procedures, part 2. American Society of Nuclear Cardiology. , 1999, Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology.

[34]  J. Seward,et al.  Recommendations for training in performance and interpretation of stress echocardiography. Committee on Physician Training and Education of the American Society of Echocardiography. , 1998, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[35]  C. Mottram.  Exercise testing. , 1997, Respiratory care clinics of North America.

[36]  J. Borer,et al.  Management decisions in valvular heart disease: The role of radionuclide-based assessment of ventricular function and performance , 1996, Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology.

[37]  Imagining guidelines for nuclear cardiology procedures. American Society of Nuclear Cardiology. Myocardial perfusion SPECT protocols. , 1996, Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology.

[38]  V. Froelicher,et al.  Exercise standards. A statement for healthcare professionals from the American Heart Association. Writing Group. , 1995, Circulation.

[39]  COCATS Guidelines. Guidelines for Training in Adult Cardiovascular Medicine, Core Cardiology Training Symposium. June 27-28, 1994. American College of Cardiology. , 1995, Journal of the American College of Cardiology.

[40]  E. W. Hancock,et al.  Guidelines for training in adult cardiovascular medicine. Core Cardiology Training Symposium (COCATS). Task Force 2: training in electrocardiography, ambulatory electrocardiography and exercise testing. , 1995, Journal of the American College of Cardiology.

[41]  J. Alpert.  Guidelines for training in adult cardiovascular medicine core cardiology training symposium (COCATS) June 27–28, 1994 , 1995 .

[42]  R. Gibbons,et al.  Task force 5: Training in nuclear cardiology , 1995 .

[43]  R. Schnellmann,et al.  12 – Measurement of Oxygen Consumption , 1994 .

[44]  H. Mitani,et al.  [Exercise echocardiography]. , 1994, Nihon rinsho. Japanese journal of clinical medicine.

[45]  T. Rowland.  Pediatric laboratory exercise testing : clinical guidelines , 1993 .

[46]  R. Gibbons,et al.  Guidelines for clinical use of cardiac radionuclide imaging, December 1986. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Cardiovascular Procedures (Subcommittee on Nuclear Imaging). , 1986, Circulation.

[47]  R. J. Stuart,et al.  National survey of exercise stress testing facilities. , 1980, Chest.