Sickkids Advanced Paediatric Cardiology Program Program Syllabus 2021-2022

SickKids Advanced Paediatric Cardiology Program, 2021-2022
SickKids Advanced Paediatric Cardiology Program

Program Syllabus 2021-2022
Copyright © 2021. The Hospital for Sick Children

ALL RIGHTS RESERVED
TABLE OF CONTENTS
Program Overview p.2
Summary of Important Dates p.9
Semester Overview
Overview - Semester 1 p.10
Overview - Semester 2 p.12
Schedules
Session Schedule - Semester 1 p.15
Session Schedule - Semester 2 p.32
Additional Learning Activities
SEMESTER 1
Congenital Heart Disease Presentation p.48
Case Presentation p.50
Asynchronous E-Learning Pharmacology Module p.52
SEMESTER 2
Ethical Debate p.53
Learner Reflections (Semester 1 & 2) p.56
Exam Preparation p. 57

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Program Overview
Mission
Enable better global health outcomes for infants and children with heart disease
Vision
Cultivate excellence in health care teams and systems
Goals
Enhance learning through inclusion and innovation
Overall Program Objectives
Objective 1: Better able to differentiate between normal and abnormal paediatric cardiac anatomy
and physiology.
Objective 2: Better prepared to use specialized paediatric cardiac acute-care clinical skills to
evaluate and diagnose infants and children with congenital and acquired heart disease.
Objective 3: Better prepared to provide short-term acute treatment and support to infants, children
and families affected by congenital and acquired heart disease.
Objective 4: Better prepared to provide long-term treatment and support to infants, children and
families affected by congenital and acquired heart disease.
Program Overview
This two-semester program offers a livestream webinar series for 6.5 hours per week, over 33 weeks.
The program consists of 240 hrs of learning, 200 sessions and is facilitated by 100 plus SickKids
interprofessional faculty.
The program offers a variety of learning modalities including didactic lectures, independent studies,
small group work, learner-led presentations, and seminar-based discussions. Facilitators employ
active learning strategies using audience response systems, gamification, case studies, problem-
based learning discussions, panel discussions, question, and answer sessions. This helps
participants further develop their technical, cognitive, collaborative, and affective professional abilities
Along with our subject matter expert team, we are delighted to present this comprehensive evidence-
based program and look forward to learning with you over the next eight months.
Summative Assessment Methods

Midterm Exam - Semester 1 (40%)
Asynchronous e-learning activity, Pharmacology Module - Semester 1 (20%)
Final Exam - Semester 1 (40%)
Midterm Exam – Semester 2 (50%)
Final Exam – Semester 2 (50%)
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The passing grade for each semester is 70%.

Successful completion of Semester 1 is a prerequisite for Semester 2.
Successful completion of both Semester 1 and 2 is required to successfully complete this certificate
program.
Formative Assessment Methods

Congenital Heart Presentation – Feedback Form
Case Presentation – Feedback Form
Ethical Debate - Feedback Form
Learner Reflection Exercise – Semester 1 and 2
Connecting to Sessions
• Watch Logging in and Navigating the Attendee Hub Video

• Download the Attendee Hub Guide
Recording
All sessions are recorded and uploaded to the Attendee Hub to allow attendees to REPLAY sessions.
If you do not wish to be recorded, you have the option to hide your profile visibility, and set your mic
and video camera set to OFF.
Protecting Personal Health Information

As health professionals, we are always all accountable for ensuring the protection of private health
information. Private health information MUST NOT be shared or discussed during
videoconferencing. Always assume that videoconferencing is “on” even prior to class starting, during
breaks or after class finishes. If you need to share or discuss private health information, please find a
private space to do so.
Recommended Course Resources

The following handbooks can be ordered through many university books stores and or ordered online.
Cost of these resources is not included in the program registration fees.
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Park, M., Mehrdad, S. (2021). Park’s The Pediatric Cardiology Handbook, 6 th Edition. Elsevier,
Philadelphia, US. Paperback ISBN: 97803237168660
Jones M, Klugman D, Fitzgerald, R. Kohr L, Berger J, Costello J, Bronicki R. 2018. Pediatric Cardiac
Intensive Care Handbook. Pediatric Cardiac Intensive Care Books, Washington D.C. Pediatric
Cardiac Intensive Care Society website: PCICS Publications
We look forward to two very exciting upcoming semesters and wish you every success in the course
as you translate your learning into extraordinary patient and family quality care.
Program Directors
Cecilia St. George-Hyslop, BScN Gen, RN, M Ed, CNCCPC
cecilia.hyslop@sickkids.ca; Phone +1 (416-813-6499
Carrie Morgan, RN, MN

carrie.morgan@sickkids.ca; Phone +1 (416) 813-7654, Extension 202295
Dr. Steven Schwartz, MD, FRCPC, FAHA

steven.schwartz@sickkids.ca, Phone +1 (416) 813-6486
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SUMMARY OF IMPORTANT DATES

Provided below are some important dates to mark on your calendars.
2021 Semester 1
September 3rd First day of class
October 15th & 22nd Learner-Led Congenital Heart Disease Presentations
October 29th Midterm Examination
November 7th Changes to Eastern Standard Time
November 12th Asynchronous E-Learning: Pharmacology Module
December 3rd Polling Practice: Challenge Your Knowledge and Skills – Case Based
Applications
December 17th Final Examination & Learner-Led Clinical Case Reviews
2022 Semester 2
January 7th First day of class
January28th Semester 1 - Learner Reflections Submissions
March 13th Changes to Eastern Daylight Time
March 18th Midterm Examination
April 8th Polling Practice: Challenge Your Knowledge and Skills – Case Based
Applications
Weekly Learner-Led - Clinical Case Review
April 29th Learner-Led Ethical Debates
May 6th Final Examination
May 31st Semester 2 - Learner Reflections Submissions
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SEMESTER 1 - OVERVIEW
Dates: Fridays, September 3 – December 17, 2021
Time: 09:00-4:30 The livestream agenda is synchronized with Eastern Daylight or Eastern Standard
Time.
Location: Online via Zoom. Presenting location, The Hospital for Sick Children, 555 University
Avenue, Toronto, Canada, M5G 1X8
For livestream schedule, please refer to the Session Schedule – Semester 1 later in this syllabus.
Semester 1 - Curriculum Overview

The curriculum in this semester is concentrated on developing a fundamental knowledge of:
• Fetal, neonatal and paediatric cardiac anatomy and assessment
• Genetics and cardiac syndromes
• Respiratory distress and management
• Clinical diagnostics and intervention
• ECG interpretation of normal and abnormal rhythms
• Heart failure classification and management
• Congenital heart defects
• Perioperative and postoperative care
• Acquired heart disease
• Cardiac resuscitation
• Pharmacology prevention and treatment
• Cardiac clinical issues
Congenital Heart Defect themes include:

• Left to right shunt lesions:
o Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), Patent Ductus Arteriosus
(PDA), Endocardial Cushion Defects (AVSD)
• Obstructive lesions:
o Aortic Stenosis (AS), Pulmonary Stenosis (PS), Coarctation of the Aorta (AO);
Atrioventricular valve stenosis – Mitral Stenosis (MS), Tricuspid Stenosis (TS); Cor
Triatriatum
• Valvular regurgitation lesions:

o Mitral Regurgitation (MR), Tricuspid Regurgitation (TR), Aortic Regurgitation (AR),
Pulmonary Regurgitation (PR)
• Cyanotic lesions:
o Complete Transposition of the Great Arteries (D-TGA), Truncus Arteriosus; Single
Ventricle - HLHS; Tetralogy of Fallot (TOF), Tricuspid Atresia (TA), Pulmonary Atresia
(PA), Total Anomalous Pulmonary Venous Return (TAPVR), Unbalanced AVSD
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Acquired heart disease themes include:

• Pulmonary hypertension
• Cardiomyopathy
• Infective endocarditis, Acute fulminant myocarditis, Pericarditis
• Acute rheumatic fever
• Kawasaki disease
• Multisystem Inflammatory Syndrome in Children (MIS-C)
Semester 1 Course Objectives

Upon completion of semester one, learners will:
● State embryological and fetal development of the heart including anatomy and physiology
● Outline the transitional process from fetus to neonate
● Review special considerations for the premature &/or low birth weight cardiac neonate
● Describe genetics & children with syndromes associated with congenital heart defects
● Compare and contrast syndromes associated with congenital heart defects: (Noonan,
Turners, Down, Trisomy 13 & 18, Williams, Marfan, Alagille, 22 q 11 Microdeletion)
● Describe the impact of an antenatal diagnosis of a complex cardiac condition on the family
● Decipher paediatric cardiac nomenclature
● Perform a systematic cardiac, respiratory and neurological health and physical assessment
● Define anatomy and physiology of the normal heart
● Describe cardiac anatomy and physiology with anatomical differences associated with
congenital heart defects: shunt lesions, obstructive lesions, regurgitant lesions and cyanotic
heart disease
● Discuss structural changes and pathophysiology of hearts affected by acquired heart disease
● Differentiate acute lung injury from acute respiratory distress syndrome. Define
ventilation/perfusion (V/Q) mismatch
● Compare and contrast the different types of acquired heart disease: pulmonary hypertension,
cardiomyopathy, Kawasaki, endocarditis/myocarditis/pericarditis, and rheumatic heart disease
● Compare and contrast pharmacotherapy as it relates to medical management of congenital
heart defects and acquired cardiac disease
● Outline diagnostic tests utilized in the assessment and management of the cardiac patient such
as, computerized tomography (CT), magnetic resonance imaging (MRI), echocardiogram,
Holter monitoring, exercise testing, and electrocardiogram (EKG)
● Demonstrate the skills of cardiac assessment, arterial blood gas interpretation, chest X-ray
interpretation, chest tube and pacing wire removal, performing 15 Lead EKG’s
● Systematically analyse cardiac arrhythmias, and describe medical or electrical management
of rhythm disturbances
● Discuss use of a temporary pacemaker and demonstrate knowledge of pacemaker strip
interpretation
● Demonstrate knowledge and skills of cardiopulmonary resuscitation including application of
electrical therapy (cardioversion, defibrillation & transcutaneous pacing) and administration of
resuscitative drugs
● Describes crisis resource management principles and protected code blue during a code
event
● Analyze the roles of the interprofessional health care team in assessing, planning, intervening
and evaluating the child and family with heart disease
● Discuss processes of consultation, collaboration and therapeutic communication
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● Describe the role of the family within the health care team in supporting their infant/child
● List principles of family centred care
● Identify strategies to prevent and manage conflict arising between families and the health care
team
SEMESTER 2 - OVERVIEW
Dates: Fridays, January 7 – May 6, 2022
Time: 09:00-4:30 The livestream agenda is synchronized with Eastern Daylight or Eastern Standard
Time.
Location: Online via Zoom. Presenting location, The Hospital for Sick Children, 555 University
Avenue, Toronto, Canada, M5G 1X8
For livestream schedule, please refer to the Session Schedule – Semester 2 later in this syllabus.
Semester 2 - Curriculum Overview

The curriculum in this semester is concentrated on developing a fundamental knowledge of:
• Cardiac anatomic morphology – segmental analysis
• Hemodynamic monitoring
• 15 lead EKG interpretation and atrial wire studies
• Complex cardiac lesions
• Intraoperative and postoperative issues, considerations, and management
• Heart transplantation
• Single ventricle physiology
• Extracorporeal circuits and management
• Adult transition
• Palliative and bereavement care
• Bioethical principles applied to clinical care
Semester 2 concentrates on the more complex congenital cardiac defects, particularly children with
single ventricular physiology. There is continued focus on the acute care stage of intraoperative,
postoperative repair of congenital cardiac repair. Recognizing that for some infants and children, a
shortened lifespan is the natural outcome, there is an in-depth look at the phases of palliation, death
and dying. An analysis of long-term outcomes takes learners into the transitional process of
teenagers, from an acute care paediatric hospital into the adult world of congenital heart disease.
Using bioethical principles, learners have the opportunity to debate a variety of ethical issues
pertaining to paediatric cardiology.
Learning about complex congenital heart defects is facilitated subject matter experts via didactic
sessions and through the live webcast heart lab series by Dr. David Chiasson and recorded video series
by Dr. Robert Anderson These presentations provide an in-depth look at a variety of congenital heart
defects by reviewing the anatomic morphology using segmental analyses.
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Dr. Robert Anderson video series: An additional and optional resource available to participants to
supplement learning.
● Normal Cardiac Anatomy and Sequential Analysis

● Interatrial Communications, Anomalous Venous Drainage and Cor Triatriatum
● Atrioventricular Septal Defects
● Ventricular Septal Defects
● Isomerism of Atrial Appendages
● Univentricular AV Connections Part 1
● Univentricular AV Connections Part 2
● The Fetal Heart: Pathology Specimens: Congenitally Corrected Transposition of the Great
Arteries
● Tetralogy of Fallot and DORV
● Transposition of the Great Arteries
Semester 2 Objectives
Upon completion of semester two, learners will:
• Identify key features of fetal and paediatric echocardiography
• Analyze advanced hemodynamic monitoring data from invasive and non-invasive monitoring
devices
• Demonstrate a systematic approach to interpreting 15 lead EKG’s
• Describe the anatomy and pathophysiology of complex congenital cardiac defects - single
ventricle physiology: hypoplastic left heart syndrome (HLHS), mitral atresia, tricuspid atresia,
hypoplastic right heart syndrome (HRHS), double inlet left ventricle (DILV), double outlet right
ventricle(DORV), interrupted aortic arch ( (IAA) , pulmonary atresia (PA), aortic atresia (AA);
Other complex defects include congenitally corrected transposition of the great arteries (cc-
TGA), Ebstein’s Anomaly, truncus arteriosus, vascular rings and slings, COR triatriatum, and
atrial isomerism
• Compare and contrast complex cardiac lesions from the Dr. David Chiasson’s morphology
heart lab series
• Discuss the care of cardiac patients undergoing complex surgical procedures (Yasui, DKS,
Kawashima, Double switch, Hybrid, Coles Procedure)
• Outline intra-operative and postoperative management of patients undergoing surgical repair
• Outline the usage of various pharmacological agents (Vasopressin, Phentolamine, Clonidine,
Sildenafil, Prostacyclin, and corticosteroids) in the acute management of postoperative
cardiac surgical patients
• Synthesize the strategies used to effectively manage the postoperative cardiac patient
• Discuss postoperative complications such as stroke, seizures, venous thrombosis
• State key considerations when caring for patients undergoing cardiac transplantation.
Compare and contrast ventricular assist devices: Cardiopulmonary Bypass, ECMO, Berlin
Heart, Heartmate3, Syncardia Total Artificial Heart, Impella and Centrimag
• Review the issues surrounding complex care needs and children living with chronic care
needs and the apply the principles of “chronicity” theory
• Identify future complications that may arise as a result of having a complex congenital cardiac
defect.
• Describe considerations of care as children transition from an acute paediatric hospital to
adult health care settings
• Discuss the Interprofessional collaborative roles of the Palliative Care Team in supporting
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patients and their families through the stages of palliation, dying and death
• Describe interventions the health care steam in supporting families through these phases.
• Argue the pro or con side of an ethical debate using sound ethical principles
• Uses evidence-based practice in discussions about cardiac clinical issues and during case
reviews.
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SEMESTER 1, FALL 2021
FETAL, NEONATAL PHASE OF DEVELOPMENT
Week 1 09:00 Cecilia Hyslop Introduction to Semester 1

Sept 3, ©
2021
09:45 Break Break
Eastern
Daylight 10:00 Dr. Davide Fetal Heart and Lungs: Embryology, Anatomy and
Time Marini © Physiology
(EDT)
10:45 Cecilia Hyslop Congenital Heart Defects: Understanding the

© Relationship Between Anatomy and Blood Flow
11:30 Video Series Dr. Robert Anderson “Normal Cardiac Anatomy and
Sequential Analysis”
12:15 Lunch Lunch
13:00 Nathalie Dutil Supporting Families Through Antenatal Diagnosis

©
13:45 Heather Supporting Parents with an Antenatal Diagnosis:
Telfer © Implications, Assessment and Coping
©
14:30 Break Break
14:45 Cecilia Hyslop Unraveling the Mystery of Paediatric CHD
© Terminology
15:45 Cecilia Hyslop What Do I Need to Consider When Thinking About

© Blood Pressure (Bp), Cardiac Output (CO), Oxygen
Delivery (Do2), and Oxygen Consumption (Vo2)?
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PAEDIATRIC CARDIAC ANATOMY AND ASSESSMENT; GENETICS & CARDIAC

SYNDROMES
Week 2 09:00 Carrie Cardiac Assessment Park, M. p. 3-23

Sept 10, Morgan ©
2021 10:00 Dr. Mike Seed Fetal Hemodynamics in CHD and Impacts on Brain
© Development
(EDT)
11:00 Break Break
11:30 Dr. Haley How Do I Manage Heart Failure in the Critical Care
Christian © Unit?
12:30 Lunch Lunch
13:00 Carrie Heart Sounds: Normal and Abnormal Park, M. p. 24-37

Morgan ©
14:00 Dr. Steven Brain Health in Newborns with Congenital Heart

Miller © Disease
14:30 Break Break
15:00 Michelle Special Considerations for the Neonate:

16:30 Bertoni © Thermoregulation, Developmental Care, Glucose,
Hyperbilirubinemia; Special Considerations for the
Premature &/or Low Birth Weight Cardiac Neonate
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HEART FAILURE
Week 3 09:00 Laura Genetics & Children with Syndromes Associated with Park, M. p. 308-319
Sept 17, Zahavich © Congenital Heart Defects
2021 Principles of genetics, genetic screening and
(EDT) dysmorphology. Family support and genetic
counselling
10:00 Laura Syndromes Associated with Congenital Heart Park, M. p. 308-319
Zahavich Defects
©
10:30 Break Break

11:00 Dr. Michael Paediatric Heart Failure: Approach and Case Review
Muhame ©
12:00 Lunch Lunch
12:30 Carol Chan © Principles of Heart Failure Pharmacological
Winnie Seto Management
©
13:30 Robin Deliva Physiotherapy and Exercise for the Child with
© Complex CHD
Daniela
Bremner ®
14:30 Break Break
15:00 Kristen Congestive Heart Failure Diagnosis, Classifications, Park, M. p. 369-380

George © Stages & Heart Failure Management
16:00 Christopher Airway Anomalies and Cardiovascular Disease

Lam ©
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RESPIRATORY DISTRESS AND MANAGEMENT
Week 4 09:00 Leanne Paediatric Respiratory Assessment – “The Basics”

Sept 24, Davidson ©
2021
10:00 Cecilia Hyslop Arterial Blood Gas) Interpretation
©
(EDT)
10:45 Break Break
11:00 Leanne Chest X-Ray’s: Looking Inward
Davidson ©
12:00 Lunch Lunch
12:45 Katherine Heated High Flow Nasal Cannula
Reise ©
13:15 Leanne Non-Invasive Ventilation: Use in Complex Cardiac
Davidson © Physiology
14:00 Break Break

14:30 Leanne Mechanical Ventilation
Davidson ©
16:00 Leanne Ventilation and Perfusion (V and Q) What Does It
Davidson © Mean?
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ECG INTERPRETATION
Week 5 09:00 Cecilia Hyslop Cardiac Arrhythmias: Park, M. p. 323-357

Oct 1, © ECG Interpretation
2021
10:40 Break Break
(EDT) 11:00 Cecilia Hyslop Cardiac Arrhythmias:

© ECG Interpretation
12:30 Lunch Lunch

13:00 Cecilia Hyslop Cardiac Arrhythmias:
© ECG Interpretation
15:00 Break Break

15:30 Winnie Seto Anti-arrhythmic Drugs Park, M. p. 552-582
- ©
16:30
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DIAGNOSTICS AND INTERVENTION
Week 6 09:00 Carrie Performing Safe and Effective Park, M. p. 358-366

Oct 8, Morgan © Defibrillation/Cardioversion and Transcutaneous
2021 Pacing
(EDT) 10:00 Break Break

10:30 Faith When Wherefore and Why of Holter Scanning Park, M. p. 104
Bangawan ©
11:00 TBA Interprofessional concurrent sessions: Topics to

be determined based on needs assessment
findings, perceived and unperceived needs,
emerging trends
12:00 Lunch Lunch
12:30 Susan Iori © Paediatric Exercise Testing Park, M. p. 98-106
13:00 Faith Practicing ECG Interpretation
Bangawan ©
14:00 Mayola Supporting Families in the Acute and Chronic Phase
Mathew © of Illness
Heather
Telfer ©
14:30 Break Break
15:00 Dr. Stephen Diagnostic Cardiac Catheterization and Angiography Park, M. p. 107-114
Rathgeber ©
15:30 Cecilia Hyslop 15 Lead ECG’s & Video Series: Performing 15 Lead
© ECG; Troubleshooting; Atrial Wire Study; Open
Sternum Patients
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CONGENITAL HEART DEFECTS
Week 7 09:00 Presentation Patent Ductus Arteriosus (PDA) Park, M.

Oct 15, (Participant
2021 Led) Left to Right
09:30 Presentation Atrial Septal Defect (ASD) Shunt Lesions
(EDT) (Participant p. 117-136
Led)
10:00 Presentation Ventricular Septal Defect (VSD) Obstructive Lesions
(Participant p. 137-158
Led)
10:30 Break Break Cyanotic Lesions
p. 159-226
11:00 Presentation Atrioventricular Septal Defect: Complete and
(Participant Incomplete (AVSD) Miscellaneous
Led) Congenital Heart
11:30 Presentation Tetralogy of Fallot (TOF) Disease Lesions
(Participant p. 227-243
Led)
12:00 Lunch Lunch
12:45 Presentation Valvular Stenosis: Pulmonary, Aortic, Tricuspid,

(Participant Mitral
Led)
13:15 Presentation Valvular Regurgitation: Pulmonary, Aortic, Tricuspid,
(Participant Mitral
Led)
13:45 Presentation D-Transposition of the Great Arteries (D-TGA)
(Participant
Led)
14:30 Break Break
15:00 Presentation Coarctation of the Aorta

(Participant
Led)
15:30 Presentation Truncus Arteriosus (TA)
(Participant
Led)
16:00 Presentation Cortriatriatum
(Participant
Led)
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CARDIAC RESUSCITATION
Week 8 09:00 Presentation Total Anomalous Pulmonary Venous Drainage

Oct 22, (Participant (TAPVD); Partial Anomalous (PAPVD)
2021 Led)
09:30 Dr. John “Sutureless’ Repair of Pulmonary Vein Stenosis
(EDT) Coles © (Coles Procedure)
10:00 Break Break
10:30 Dr. Mjaye Postoperative Management of Congenital Heart Park, M. p. 483-505

Mazwi © Disease
11:30 Dr. Oshri Cardiac Resuscitation in Children with Heart Disease

Zaulan ©
12:30 Lunch Lunch
13:00 Winnie Seto Resuscitation Medications in Infants and Children Park, M. p. 552-582
©
13:30 Dr. Edgar Fetal Intervention in the Cath Lab

Jaeggi ©
14:30 Break Break
15:00 Dr. David Understanding Pathologist and Coroner Roles After

Chiasson © Death of the Patient with Heart Disease
16:00 Dr. Seth Gray Analyzing Trends in Cardiac Arrest: What T3 Can
© Tell Us About Cardiac Resuscitation
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CARDIAC CLINICAL ISSUES
Week 9 09:00 MIDTERM MIDTERM EXAMINATION

Oct 29, EXAM
2021 10:00 Break Break
(EDT) 10:30 Dr. Luciana Restrictive Right Ventricle

Rodriguez
Guerineau ©
11:15 Dr. Luciana Restrictive Left Ventricle
Rodriguez
Guerineau ©
12:00 Lunch Lunch
12:45 Mark Todd © E-CPR (Extra-Corporeal-CPR)
13:45 Dr. Luciana Shock States, Etiology and Management

Rodriguez
Guerineau ©
14:45 Break Break
15:00 Leanne Chest X-ray Interpretation: A Quick Review Park, M. p. 70-75

Davidson ®
15:30 Seona Team Communication and
Dunbar © Crisis Resource Management
16:00 Azadeh Near Infrared Spectroscopy (NIRS) Monitoring

Assadi ©
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PAIN AND SEDATION (PHARMACOLOGIC AND NON-PHARMACOLOGIC)
Week 10 09:00 Winnie Seto Pharmacological Management of Paediatric Patients

Nov 5, ©
2021
10:00 Break Break
Eastern
Standar 10:30 Karen Wong Sedation in the CCCU
d Time ©
(EDT) 11:30 Jacqueline Pain Matters After Cardiac Surgery
Hanley ©
12:30 Lunch Lunch
13:00 Dr. Luciana Vasoactive Drugs: Clinical Cases

Rodriguez-
Guerineau ©
14:00 Laura Buckley Delirium in Infants and Children with Heart Disease
©
14:45 Break Break
15:00 Azadeh Pain, Sedation and Delirium Tools – Case Review

Assadi© Practice
16:00 Vanna Positive Touch and Positioning in the CCCU
Kazazian ©
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PERI & POSTOPERATIVE CARE

Pharmacology Assignment Due
Week 11 09:00 Christine Pacemaker Therapy: Recognizing and Managing Park, M. p. 358-366
Nov 12, Chiu-Man © Complications
2021
10:00 Christine Pacemaker Therapy: Practice/Strip Analysis
(EST) Chiu-Man ©
10:30 Break Break
11:00 Dr. Leo Hemostasis in Children with Cardiac Conditions
Brandao ©
12:00 Lunch Lunch
12:30 Vivian Trinder Chest Drain and Pacing Wire Removal

©
13:15 Carrie Chest Drain and Pacing Wire Removal
Morgan © Demonstration
13:45 Video Medtronic 5392 Dual Chamber Temporary
Pacemaker
14:45 Cecilia Hyslop
© Temporary Pacemaker Review
15:15 Break Break
15:30 Dr. Cecil Assessment and Management of

Hahn © Seizures/Continuous EEG Monitoring
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NEURODEVELOPMENT, NUTRITION, AND ACQUIRED HEART DISEASE
Week 12 09:00 Kate Turner © Neurodevelopmentally Focused Care of the Infant

Nov 19, Lisa Hoffman with a Complex Cardiac Diagnosis
2021 ©
(EST) 10:00 Kate Turner © Oral Feeding and Neurodevelopmental Needs of

Lisa Hoffman Infants & Children with CHD: After the Cardiac
© Critical Care Unit
11:00 Break Break
11:15 Joann Dietary and Nutritional Assessment and

Herridge © Interventions in the Cardiac Critical Care Unit
11:45 Anna Dietary and Nutritional Assessment and
Tedesco- Interventions After the Cardiac Critical Care Unit
Bruce ©
12:30 Lunch Lunch
13:00 Dr. Seth Endocarditis and Endocarditis Prophylaxis

Gray©
13:30 Dr. Seth Gray Pericarditis Park, M. p. 261-292
©
14:00 Break Break
14:15 Dr. Jamie Therapeutic Hypothermia After Paediatric Cardiac

Hutchison © Arrest
15:00 Dr. Alex Floh Acute Fulminant Myocarditis Park, M. p. 261-292
©
15:30 Dr. Brian Acute Rheumatic Fever Park, M. p. 261-292

McCrindle ©
16:00 Dr. Brian Kawasaki Disease Park, M. p. 261-292
McCrindle ©
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NEURODEVELOPMENT, BRAIN INJURY AND OUTCOMES
Week 13 09:00 Vanna Congenital Heart Disease and the Brain

Nov 26, Kazazian ©
2021 10:00 Kimberly Neonatal Follow-Up Clinic
Colapinto ©
(EST) Linh Ly ©
10:30 Break Break
11:00 Dr. Anne- Pediatric Post Cardiac Arrest Care
Marie Brain and Heart
Guerguerian
©
12:00 Lunch Lunch
12:45 Dr. Thiviya Amplitude-Integrated EEG (aEEG) Monitoring in the

Selvanathan CCCU
©
13:30 Dr. Nicole Strategies for Neuro Protection
McKinnon ©
14:30 Break Break
15:00 Ishvinder Cardioembolic Stroke (AIS & CSVT)
Bhathal ©
15:30 Amrita Viljoen Continuous EEG Monitoring + c-EEG Monitoring + a-
© EEG
Roy Sharma
©
Paula
Melendres ©
16:00 Vanna Imaging Case Studies
Kazazian ©
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Week 14 09:00 Janette Pulmonary Hypertension: Etiology, Management

Dec 3, Reyes © Strategies and Outcomes
2021
10:00 Sandra Scamps: Chylothorax - Standardized Clinical
(EST) Merklinger Assessment and Management Plans
©
10:30 Carrie Best-Practices for Developing Patient
Morgan © and Family Learning Plans
11:00 Break Break
11:30 Dr. Michael Valvular Heart Disease and Valve

Muhame © Replacements (45 min)
12:15 Lunch Lunch
13:00 Cecilia Hyslop Polling Practice: Challenge Your Knowledge and

16:30 Carrie Skills
Morgan
Leanne • X-Ray Interpretation
Davidson (t)
• Heart Sounds
• Defibrillation, Cardioversion,
Transcutaneous Pacing
• Pacemakers
• ECG Interpretation and arrhythmia

management
• Chest Drain and Pacing Wire Removal
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ALL RIGHTS RESERVED
Week 15 09:00 Laura Genetics of Cardiomyopathy & the Role of the Heart Park, M. p. 247-260
Dec 10, Zahavich © Failure Team
2021
09:30 Dr. Aamir Cardiomyopathies - Dilated, Hypertrophic,
(EST) Jeewa © Restrictive, Non-Compaction, Arrhythmogenic Right
Ventricular Cardiomyopathy (UHL anomaly):
Evaluation and Management
10:30 Break Break
11:00 Dr. Andrew Infection Risks and Susceptibilities in Cardiac Park, M. p. 423-431
Helmers © Patients: Preventing Nosocomial Infections
12:00 Lunch Lunch
12:30 Mirette Hanna Blood Product Administration in Cardiac Patients

©
13:30 Renee Assessment and Evaluation of Developmental
Sananes © Disorders in Children with CHD
14:30 Break Break
15:00 Dr. Lee Paediatric Interventional Cardiology

Benson ©
15:44 Lisa Janson Aftercare Post Cardiac Catheterization
16:30 ©
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CLINICAL CASE REVIEW
Week 16 09:00 EXAM FINAL EXAMINATION

Dec 17,
11:00 Presentation #1 Participant Led Case Review
(EST) 11:30 Presentation #2 Participant Led Case Review
12:00 Lunch Lunch
14:30 Break Break
16:30 Evaluation PROGRAM EVALUATION
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SEMESTER 2, WINTER 2022
ADVANCED HEMODYNAMIC MONITORING

ANATOMIC MORPHOLOGY – SEGMENTAL ANALYSIS
Week 1 09:00 Cecilia Hyslop © Introduction to Semester 2 Course

Jan 7, Carrie Morgan
2022 09:30 Cecilia Hyslop © Advanced Hemodynamic Monitoring
10:30 Break Break

(EST)
11:00 Cecilia Hyslop © Advanced Hemodynamic Monitoring
12:00 Lunch Lunch
12:30 Participant Led #10 Case Review
13:00 Dr. David Heart Pathology:

Chiasson “How Can I Ever Understand
Konstantin Congenital
Krutikov © Heart Disease?”
Normally Configured Normal and
Abnormal (Cardiomyopathy) Hearts
14:30 Break Break
15:00 Cecilia Hyslop © Advanced Hemodynamic Monitoring

16:30 A
Optional Professor Robert Link: Dr. Robert Anderson video series:

Resource Anderson (Video) ● Normal Cardiac Anatomy and
Sequential Analysis
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ALL RIGHTS RESERVED
Week 2 09:00 Christine Chiu- Fundamentals of EP Study and Catheter

Jan 14, Man © Ablation
2022
10:00 Katherine Reise © Ventilator Associated Pneumonia (VAP)
(EST)
10:30 Break Break
11:00 Dr. Roxanne Cardiogenic Shock: Causes, Recognition,

Kirsch © Management
12:00 Lunch Lunch
13:00 Dr. David Heart Pathology Session:

Chiasson Holes in the Heart: ASD, VSD and AVSD
Konstantin
Krutikov ©
14:30 Break Break
15:00 Alexis Shinewald Benefits of Child Life in Enhancing Pre-

© Procedural Preparation
15:30 Paul Kratz © Introduction to Cardiopulmonary

Bypass

Resource Anderson (Video) ● Atrioventricular Septal Defects
● Ventricular Septal Defect
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15 LEAD ECG INTERPRETATION
Week 3 09:00 Cecilia Hyslop © Paediatric 15 Lead ECG’s: A Map for All Ages
Jan 21,
(EST) 11:00 Cecilia Hyslop © Paediatric 15 Lead ECG’s: A Map for All Ages
12:00 Lunch Lunch
13:00 Cecilia Hyslop © Paediatric 15 Lead ECG’s: A Map for All Ages
14:30 Break Break
15:00- Cecilia Hyslop © Paediatric 15 Lead ECG’s: A Map for All Ages
16:30
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Learner Reflections Due – Semester 1
Week 4 0900 Dr. Michael Approach to the 15 Lead ECG Park, M. p. 38-69
Jan 28, Fridman ©
2022
10:00 Dr. Mjaye Mazwi Double Outlet Right Ventricle (DORV)
(EST) ©
10:30 Break Break
11:00 Dr. Luc Mertens © Paediatric Echocardiography: Normal and Park, M. p. 79-95
Abnormal Hearts Park, M. p. 544-
550
12:00 Lunch Lunch

Chiasson “The Twitchy Newborn” Conotruncal
Konstantin Abnormalities; Tetralogy of Fallot.
Krutikov © Double Outlet Right Ventricle.
Truncus Arteriosus
14:30 Break Break
15:00 Paula Pereira- Understanding Chronicity

Solomos ©
1600 Dr. Seth Gray © Heterotaxy Syndrome/Atrial
Isomerism: What Does it Really
Mean?
Resource Anderson (Video) ● Tetralogy of Fallot and DORV
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COMPLEX CARDIAC LESIONS, AND POSTOPERATIVE ISSUES
Week 5 09:00 TBA Interprofessional Panel Discussion

Feb 4, Topic to be announced, will be informed by
2022 participant needs assessments, perceived and
unperceived needs, emerging trends
(EST)
10:00 Dr. Beth Junctional Ectopic Tachycardia (JET) and Atrial
Stephenson © Ectopic Tachycardia (AET)
10:45 Break Break
11:00 Dr. Michael Acute Kidney Injury in Cardiac

Zappitelli ® Patients
12:00 Lunch Lunch

Chiasson Hands-On: RVOT Outflow Tract Abnormalities:
Konstantin Pulmonary Atresia with VSD and Intact
Krutikov © Ventricular Septum
14:30 Break Break
15:00 Dr. Steve Ebstein Anomaly

Schwartz ©
15:30 Dr. Oshri Zaulan © Pulmonary Atresia with Intact
Ventricular Septum (PA/IVS)
16:00 Dr. Oshri Zaulan © Tetralogy of Fallot with Pulmonary

Atresia (TOF with PA)
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INTRA-OP AND POSTOPERATIVE CONSIDERATIONS
Week 6 09:00 Leanne Davidson Challenges with Ventilation in

Feb 11, © Complex Cardiac Disease
2022
09:45 Leanne Davidson Ventilation Workshop
(EST) ©
10:45 Break Break
11:00 Dr. Steve Evidence Based Benefits of Early

Schwartz © Extubation and Implications for
Patient Care: ICU & OR Experience
11:30 Dr. Haley Residual Lesions Postoperative

Christian ©
12:00 Lunch Lunch
12:30 Participant-Led #15 Case Review

Chiasson Hypoplastic Left Heart Syndrome
Konstantin
Krutikov ©
14:30 Break Break
15:00 Dr. Seth Gray © Necrotizing Enterocolitis
15:30 Azadeh Assadi © Acuity Based Patient Monitoring
16:00 Dr. Anica Bulic (t) Dyssynchrony-Induced

Cardiomyopathy &
Resynchronization Therapy

Resource Anderson (Video)
● Univentricular AV Connections
(Part 1)
(Part 2)
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INTRA-OP AND POSTOPERATIVE CONSIDERATIONS
Week 7 09:00 Cecilia Hyslop © Postoperative Care: Hours After the Park, M. p. 483-
Feb 18, Operating Room 505
2022
10:30 Break Break
(EST)
11:00 Karen Dryden- Conflict Resolution: Strengthening Partnerships
Palmer © and Building Relationships in Times of Stress
12:00 Lunch Lunch

Chiasson “Where Are the Pulses? The Sick Pink
Konstantin Newborn” Left Sided Obstructive
Krutikov © Lesions, Coarctation of the Aorta,
Interrupted Aortic
Arch, Aortic Valve Stenosis and
Mitral Valve Stenosis
14:30 Break Break
15:00 Cecilia Hyslop © Sternal Opening and Closure in the Cardiac

Critical Care Unit
15:30 Mark Todd © Overview Extracorporeal Life Support: ECMO
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CARDIAC TRANSPLANTATION
Week 8 09:00 Dr. Anne Heart Transplantation: Introduction,

Feb 25, Dipchand © Outcomes, Indications, Complications
2022
09:30 Dr. Anne Indications and Contraindications
(EST) Dipchand ©
10:00 Dr. Emilie Assessment and Waiting
Jean-St-Michel
10:30 Break Break
11:00 Heather Telfer Assessment of the Child and Family

Needs Ethical and Psychosocial
Issues
11:30 Dr. Christoph The Transplant Operation

Haller
12:00 Lunch Lunch
12:45 Robin Deliva Impact of End Stage Heart Failure

Anna Gold and Transplantation on
Vanessa Gaglia Functional Outcomes
14:00 Cyntra Transplant Medications and

Mascarenhas Management
Charisse De
Castro Carol Chan
15:00 Break Break
15:15 Dr. Anne High Risk Transplants and Post-Transplant

Dipchand Considerations
16:00 Mirna Seifert- Life Post-Transplant and Commonly

16:30 Hansen Asked Questions
Amelia Marrato
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SINGLE VENTRICLE PHYSIOLOGY
Week 9 09:00 Jennifer Thomas Functionally Univentricular Hearts:

March 4, © Not Just a Hypoplastic Left Ventricle
2022 – SV Subtypes and 1st Stage Repairs
(EST) 10:00 Dr. Alex Floh © Hypoplastic Left Heart Syndrome: Park, M. p. 483-
Postoperative Management of 505
– Post Norwood/RV-PA Shunt and
Hybrid
10:30 Break Break
11:00 Dr. Peter Laussen Fontan Procedure and Modifications

© (Stage II Bidirectional Glenn/Stage
III Fontan)
12:00 Lunch Lunch

Chiasson The Blue Newborn. TGA with VSD
Konstantin And Intact Septum. Congenitally
Krutikov © Corrected TGA
14:30 Break Break
15:00 Esther Decaire ® Spectrum of Single Ventricle Anatomy:

Overview - 3 Stages of Surgical Repair
(Norwood/RV-PA shunt/Hybrid, Glen, Fontan)
16:00 Dr. Haley Ventilator-Based Manipulation of

Christian QP:QS in Single Ventricle Physiology
©
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SINGLE VENTRICLE PHYSIOLOGY
Week 10 09:00 Dr. Seth Gray © Single Ventricle Reconstruction Trial

Mar 11,
2022 10:00 Dr. Luc Mertens Echocardiograms: Abnormal Hearts – Single Park, M. p. 79-95
Ventricular Physiology Park, M. p. 544-
550
(EST)
10:45 Break Break
11:00 Jennifer Thomas Single Ventricle Home Monitoring

© Program: Preventing Inter-Stage
Mortality
11:30 Andrea Pisesky © Current Anticoagulation Practice for Single Park, M. p. 552-
Ventricle Population 582
12:00 Lunch Lunch

Chiasson “Univentricular Atrioventricular
Konstantin Connections and others”
Krutikov © Double Inlet Left Ventricle.
Double Inlet Right Ventricle; Absent
Left and Right AV Connections
14:30 Break Break
15:00 Dr. Steve Significant Coronary Artery Anomalies in

Schwartz © Paediatric Cardiology
15:30 Dr. Christoph The Hybrid Palliation in Hypoplastic Left Heart

Haller © Syndrome

Resource Anderson (Video) ● Univentricular AV Connections
(Part 1)
(Part 2)
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EXTRACORPOREAL VENTRICULAR SUPPORT AND MANAGEMENT
Week 11 09:00 Midterm Exam Midterm Exam

Mar 18,
2022
10:30 Break Break
Eastern 11:00 Sherry Ree- Synagis: RSV Infection Prophylaxis –

Daylight Stevens Palivizumab: Presenting the Evidence
Time
(EDT) 11:30 Dr. Leonardo Venous Clots in Children: Risk Factors,
Brandao Diagnosis and Management
12:00 Lunch Lunch
13:00 Andrea Maurich Berlin Heart EXCOR®: Bridging Our

© Smallest Patients to Transplantation
14:00 Andrea Maurich © Heartmate 3TM LVAS: System

Overview and Theory of Operation
14:45 Break Break
15:00 Andrea Maurich © Syncardia Total Artificial Heart

(TAH)
15:45 Dr. Aamir Jeewa When Hemocompatibility Fails: VAD

© Anticoagulation Management
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Week 12 09:00 Melissa What Are Ethical Principles?

Mar 25, McCradden ©
2022 9:30 Melissa Application of Ethical Principles in
McCradden © Paediatric Critical Care, Charlie Gard Case
(EDT)
10:30 Break Break
11:00 Dr. Alex Floh © Single Ventricle Repair, Biventricular Repair or

Something In Between
11:40 Sandra Merklinger Post Cardiotomy Syndrome

©
12:00 Lunch Lunch

Chiasson “The Breathless Blue Newborn” Abnormalities of
Konstantin Pulmonary Venous Drainage; TAPVD and
Krutikov © PAPVD; Cor Triatriatum; Atrial Situs
Abnormalities
14:30 Break Break
15:00 Dr. Christoph Management of Congenitally

Haller © Corrected-TGA
Dr. Osami Honjo
©
16:00 Dr. Christoph Defining Complex Surgical
Haller © Procedures:
Dr. Osami Honjo Brawn, Taussig-Bing, Yasui Procedure,
© Kawashima, Nikaidoh, Ross Procedure and
Mee Shunt
Optional Dr. Robert Link: Dr. Robert Anderson video series:

Resource Anderson (Video) ● Interatrial Communications, Anomalous
Venous Drainage and Cor Triatriatum
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CARDIAC CLINICAL ISSUES AND POLLING PRACTICE
Week 13 09:00 Dr. Oshri Zaulan © Balloon Atrial Septostomy

April 1,
2022 09:30 Bruce Challenges of Paediatric Cardiac
Macpherson © Anaesthesia
(EDT)
10:30 Break Break
11:00 Mark Todd © Other Mechanical Circulatory Support (Impella,

Centrimag, Rotaflow)
11:30 Dr. Roxanne Low Cardiac Output Syndrome and Early Post-
Kirsch © 0perative Management
13:00 Lunch Lunch
13:30 Cecilia Hyslop © Polling Practice: Challenge Your Knowledge

16:30 Carrie Morgan and Skills
Andrea Maurich
Seth Gray ● 15 Lead ECG Interpretation
● Hemodynamic Interpretation
● Single Ventricle management
● NIRS (rSO2) Monitoring
● VAD: Berlin Heart
● VAD: Heartmate3
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Week 14 09:00 Dr. Alex Floh © Fluid and Electrolytes: Interpreting Serum
April 8, Laboratory Results
2022
10:30 Break Break
(EDT) 11:00 Dr. Peter Laussen Risk Management in Critical Care:

© Risky Business
12:00 Lunch Lunch

Chiasson Miscellaneous CHD: Anomalous Left
Konstantin Coronary Artery from the Pulmonary
Krutikov © Artery
14:30 Break Break
15:00 Winnie Seto © Hyperglycemia in Critically Ill Children
15:30 Linda Fazari © Health Teaching Including Illness

Prevention, Health Promotion, and
Postoperative Care
16:00 Emily Power ® Mobilization of Health System Resources

Mayola Matthew © Across the Illness Trajectory: Pre-op, Acute
and Transitional Care
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TRANSITION AND ADULTS WITH CONGENITAL CARDIAC DEFECTS
Week 15 0900 Sandra Aiello © Adult Transition - What Happens Beyond

Apr 22, Navreet Gill © Childhood? Preparing a Patient to Transition to
2022 Adult Services
Eastern 0945 Renee Sananes © Living with Congenital Heart Disease:

Time Quality of Life
10:30 Break Break
11:00 Barbara Bailey © Adults with CHD: Psychological Considerations
12:00 Lunch Lunch
13:00 Lori Constable- Adults Living with Congenital Heart

Smolcic/Jennifer Disease – Sharing Their Lived
Graham (Canada) Experiences
©
TBA
14:30 Break Break
15:00 Dr. Sara Thorne © What Do Adults with Congenital
Heart Defects Return For?
Complications Over the Years
16:00 Dr. Sara Thorne © Pregnancy and Contraception in CHD
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ETHICAL CONSIDERATIONS - BIO ETHICAL DEBATES

Facilitators: Randi Zlotnik-Shaul©, Mary Campbell, Karen Dryden-Palmer ©
Week 16 09:00 2 Participants Debate: TBD (Pro & Con)

April 29,
2022 09:30 2 Participants Debate: TBD (Pro & Con)
(EDT) 10:00 2 Participants Debate: TBD (Pro & Con)
10:30 Break Break
10:45 2 Participants Debate: TBD (Pro & Con)
12:15 Lunch Lunch
14:30 Break Break
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PALLIATIVE CARE AND DEATH AND DYING
Week 17 9:00 All Final Examination

May 6,
(EDT) 10:30 Lori Ives-Baine © Aspects of Palliative Care: Grief and

Bereavement
12:00 Lunch Lunch
13:00 Lori Ives-Baine © Guiding Families through Creating a

Legacy – Theoretical and Practical
Considerations
14:30 Break Break
15:00 Dr. Oshri Zaulan © Final Capstone

Dr. Haley Virtual Simulation
Christian ©
16:30 Course Evaluation Course Evaluation
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CONGENITAL HEART DISEASE (CHD) PRESENTATION
Purpose
The purpose of this learning activity is to develop a greater understanding of various CHDs. These can
be categorized into the following:
• Left to right shunt lesions: Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD),
Patent Ductus Arteriosus (PDA), Endocardial Cushion Defects (AVSD)
• Obstructive lesions: Aortic Stenosis (AS), Pulmonary Stenosis (PS), Coarctation of the Aorta
(AO); Atrioventricular Valve stenosis, Mitral Stenosis (MS), Tricuspid Stenosis (TS); Cor
Triatriatum; Valvular regurgitation lesions: Mitral Regurgitation (MR), Tricuspid Regurgitation
(TR), Aortic Regurgitation (AR), Pulmonary Regurgitation (PR)
• Cyanotic lesions: Complete Transposition of the Great Arteries (D-TGA), Truncus Arteriosus;
Single Ventricle - HLHS; Tetralogy of Fallot (TOF), Tricuspid Atresia (TA), Pulmonary Atresia
(PA), Total Anomalous Pulmonary Venous Return (TAPVR), Unbalanced AVSD
Method
Choose a congenital heart defect to present in class. The presentation should include anatomy and
pathology of the congenital heart disease; clinical presentation and manifestations, medical and
surgical management, complications and future considerations (outcomes/care needs). The
presentation may take on any format you are encouraged to be creative in your approach.
Presentations are expected to start and end on time. Depending on the number of participants in the
program, learners may be asked to co-present with a colleague.
Feedback
To further your development, you will be provided with written constructive feedback based on the
rubric below. There is no grade attached to this assignment. Learners will receive feedback based
on the following rubric.
Criteria Below Standard Meets Standard Exceeds Standard
Anatomy and Poorly defined Satisfactorily defined Well defined

Physiology
Health Poorly defined Satisfactorily defined Well defined
History

Assessment
Diagnostics/ Poorly defined Satisfactorily defined Well defined

Therapeutics
Medical and Poorly defined Satisfactorily defined Well defined
Surgical
Management
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Future Poorly defined Satisfactorily defined Well defined

Issues
(Outcomes/
Needs)
Development Information may be Draws on some resources to Draws on extensive

of Ideas and accurate, minimal reference support ideas; demonstrates resources to support ideas;
Use of to resources; support for good understanding of demonstrates clear
Resources ideas weak; lack of sufficient purpose and direction taking understanding of purpose
detail to focus the central a good stand on the issues and direction and takes clear
issues; Information is not and ideas; awareness of stand on the issues and
clear showing a lack of differing viewpoints is ideas; organization is logical,
organization detail and somewhat evident; a clear and reaches a
relevancy; lack of research position is taken, logically conclusion; aware of
and application of resource argued and supported; differing viewpoints; good
information. Inability to keep some straying from central evidence of originality,
with the theme being thesis creativity and insight
discussed
Presentation Ideas appear to be Frequent contribution to Frequent contribution to the
Style disjointed and illogical; discussion using supporting discussion using good
contributes only as evidence; good supporting evidence and
necessary in an attempt to organization; reasonable good organization.
fulfill the requirements of the approach and respect for Shows respect for others
assignment. Contributes to others ideas. Provides some ideas; contributes to the
the discussion infrequently; ideas for consideration discussion by providing
purpose and focus is not sound ideas
clear and organization
appears weak; ideas are
reasonable
Evidence of Offers biased interpretations Accurately interprets Accurately interprets
Critical of evidence, statements, evidence, statements, evidence, statements,
Thinking graphics, question, graphics, questions, graphics, questions;
information, or the points of identifies relevant arguments identifies salient arguments;
view of others; (reasons and claims) pro thoughtfully analyzes and
Misinterprets evidence and con; offers analyses. evaluates major alternative
statements, graphics, justifies some results or points of view; draws
questions; draws false procedures, explains warranted, conclusions and
conclusions and justifies few reasons; fair-mindedly expertly follows where
results or procedures, follows where evidence and evidence and reasons lead
seldom explains reasons. reasons lead
CHD Rubric: Modified from Nursing Continuing Education: Instructor Resource Package: Evaluation
& Measurement. 2nd Edition: George Brown College, Pat Marten-Daniel, Henk Demeris. 16/03/05
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CASE PRESENTATION
Purpose
The purpose of this learning activity is to integrate and apply the relevant principles and curriculum
learned in the course to a retrospective case study.
Method
Choose a child and family that you have provided care for. Learners must protect patient Private
Health Information when collecting patient information for the purpose of the case study.
For the case presentation, learners are encouraged to:
● Discuss the health history

● Describe the anatomy and physiology of the heart condition
● Include embryology and genetics if pertinent
● Review the pathophysiology of the disease process involved as it pertains to this patient
● Review the health assessment
● Provide information about diagnostic findings (CT, MRI, X-Ray, blood laboratory tests)
● Discuss therapeutic medical and surgical interventions used in the current plan of care and
identify the rationale for these care choices
● Review complications and develop a plan of care, prioritizing the issues and potential issues
for this patient
● Provide insight into the outcome for this patient i.e. What may patients and families expect in
the future?
Your presentation may take any format and you are encouraged to be creative your approach.
Presentations are expected to start and end on time. Depending on the number of participants in the
program, you may be asked to co-present with a colleague.
Feedback
To further your development, you will be provided with written constructive feedback based on the
rubric below. There is no grade attached to this assignment.
Anatomy and Poorly defined Satisfactorily defined Well defined

Physiology
History

Assessment
Diagnostics/ Poorly defined Satisfactorily defined Well defined

Therapeutics
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Medical and Poorly defined Satisfactorily defined Well defined

Surgical
Management
Development Information may be Draws on some resources to Draws on extensive

of Ideas and accurate, minimal reference support ideas; demonstrates resources to support ideas;
Use of to resources; support for good understanding of demonstrates clear
Resources ideas weak; lack of sufficient purpose and direction taking understanding of purpose
detail to focus the central a good stand on the issues and direction and takes clear
issues; General in nature and ideas; awareness of stand on the issues and
without sufficient differing viewpoints is ideas; organization is logical,
explanation. Information is somewhat evident; a clear and reaches a
not clear showing a lack of position is taken, logically conclusion; aware of
organization detail and argued and supported; differing viewpoints; good
relevancy; lack of research some straying from central evidence of originality,
and application of resource thesis creativity and insight
information. Inability to keep
with the theme being
discussed
Presentation Ideas appear to be Frequent contribution to Frequent contribution to the

Style disjointed and illogical; discussion using supporting discussion using good
contributes only as evidence; good supporting evidence and
necessary in an attempt to organization; reasonable good organization.
fulfill the requirements of the approach and respect for Shows respect for others
assignment. Contributes to others ideas. Provides some ideas; contributes to the
the discussion infrequently; ideas for consideration discussion by providing
purpose and focus is not sound ideas
clear and organization
appears weak; ideas are
reasonable
Evidence of Offers poor or biased Accurately interprets Accurately interprets

Critical interpretations of evidence, evidence, statements, evidence, statements,
Thinking statements, graphics, graphics, questions, graphics, questions;
question, information, or the identifies relevant arguments identifies salient arguments;
points of view of others; (reasons and claims) pro thoughtfully analyzes and
Misinterprets evidence and con; offers analyses. evaluates major alternative
statements, graphics, justifies some results or points of view; draws
questions; draws false procedures, explains warranted, conclusions and
conclusions and justifies few reasons; fair-mindedly expertly follows where
results or procedures, follows where evidence and evidence and reasons lead
seldom explains reasons. reasons lead
CHD Rubric: Modified from Nursing Continuing Education: Instructor Resource Package: Evaluation
& Measurement. 2nd Edition: George Brown College, Pat Marten-Daniel, Henk Demeris. 16/03/05
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ASYNCHRONOUS E-LEARNING PHARMACOLOGY MODULE
Purpose
The purpose of this asynchronous e-learning activity is to enrich your understanding of various
medications such as vasoconstrictors, vasodilators, inotropes, antiarrhythmics and diuretics used in
the therapeutic management of infants and children with congenital and acquired heart disease.
Upon completion of this independent pharmacy assignment, you will have a good understanding of
the indications, mechanism of action, pediatric dosage, administration, drug compatibility and side
effects of those medications used in paediatric cardiology. This exercise will prepare you for Semester
2, where you will work through hemodynamic cases, and through appreciating the risks and benefits
of each, you will suggest suitable drugs for the management of the conditions presented.
Method
This pharmacology module is an independent open-book learning activity consisting of single-best
answer multiple choice questions. You are encouraged to use drug references as you normally would
in clinical practice to answer the questions, rather than using the information from speakers’ course
lectures.
Resources used for this assignment may include online resources, journal articles, and or pharmacy
texts that include paediatric content. References should be recent i.e. within the last 5 years
Examples of drug resources:
• Lexicomp
• Lexicomp Paediatric and Neonatal Dosage Handbook
• The SickKids Formulary
• UpToDate
• CPS - Compendium of Pharmaceuticals and Specialties (Canadian Pharmacy Association)
• AHFS – Pharmacologic-Therapeutic Classification – AHFS Drug Information
For this assignment due date, refer to Summary of Important Dates in the course syllabus.
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ETHICAL DEBATE
Purpose
The purpose of this learning activity it to provide you with an opportunity to develop a clear
understanding of bioethical principles and be able to deconstruct or “unpack” a complex clinical issue
experienced in the setting of paediatric cardiology. You will gain a better understanding of the role of
the bioethics team and the complexities of bioethical decisions.
Method
Choose an ethical topic that is of interest to you and relevant to the subspecialty of pediatric cardiology.
The format will be debate style where pro and con arguments will be presented to the group.
Appropriate references should be included. Presenters should refer to their professional Code of
Ethics for example, the Code of Ethics from the Canadian Nurses Association (CNA) and or any other
resource for ethical standards.
This assignment is designed to integrate all aspects of theory, observation and clinical practice as it
relates to ethical issues and principles.
You will have approximately 30 minutes to present the pro and con arguments of your topic (approx.15
minutes for pro and 15 minutes for con). All presentations should begin and end on time. A list of
references should be included.
Preparing for the Ethics Debate

Preparations for this assignment can be started at any time during the course. We strongly recommend
that all topics identified for the ethical debates be reviewed by Randi Zlotnik Shaul, SickKids Bioethics
Director by email at randi.zlotnik-shaul@sickkids.ca or by appointment, phone +1 (416) 813-8844.
You are encouraged to consult with colleagues, program facilitators, and bioethicists as you develop
your arguments.
For the ethical debate, you should:

• Introduce the topic
• State your position
• Provide ethical arguments in favour of your position
o Describe issue with reference to facts and statistics
o In building ethics arguments, refer to ethics literature
• Summarize how these points support you position
Ethical debates should make reference to:

• Values
o best interest of the child, family centred care
• Ethical theories
o Utilitarianism, deontology, feminism
• Principles
o Autonomy/respect for persons, beneficence, non-maleficence, justice
• Ways of Operationalizing Values
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o Best interests (weigh harms and benefits, preserving an open future, quality of life,
quality of death)
o Respect for persons (autonomy, truth telling, privacy, confidentiality, transparency)
o Justice (accountability, weighing harms and benefits, treating like cases alike, non-
discrimination on the basis of ethically irrelevant criteria, cost-benefit analysis,
disclosure of error, defensible resource allocation)
o Collaborative decision making
Suggested Debate Topics

The expectation is that one presenter would argue in favour of the statement, and one would argue
against. Below are some suggestions for debate topics, however you may come up with your own
topic if you wish.
1. Family directed care is the same as child and family-centred care.
2. Health care professionals should be able to conscientiously object / withdraw from the planned
care for a patient, where they consider the care to be too aggressive and not in the patient's best
interests.
3. A capable 14-year-old does not have sufficient life experience to make serious decisions related
to his/her own health care.
4. Parents should be allowed to blog about their child’s care at my hospital.
5. It is never ethically defensible to withdraw nutrition and hydration.
6. "Medical futility" is a useful concept.
7. Parents should have the final say in all end-of-life decisions.
8. "Best interests" is too much of culturally defined term to be useful in a clinical setting.
9. Before any major cardiac surgery in a young child, clinicians should have a frank discussion with
parents about “what if things do not go as hoped”.
10. Parents should not be told of a form of treatment which is not likely to benefit their child.
11. Parents should be given outcome measures in percentages for each surgery based on my
hospital’s experience.
12. Procedures should be considered standard of care in full term infants before they are attempted
in neonates.
13. Parents should be required to meet with palliative care prior to any cardiac transplant.
14. Should failed heart transplantation receive a second heart transplant?
15. Should parents be present during cardiopulmonary resuscitation?
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16. Should we use our societies/government resources to treat children from other countries?
Feedback
In order to further your development, you will be provided with written constructive feedback based on
the rubric below. There is no grade attached to this assignment.
Indicator Criteria
Understanding of Team did not show Team seemed to Team clearly understood
Topic adequate understanding understand the main the topic in-depth and
of the topic points of the topic and presented information
presented those with ease confidently and
convincingly
Clear Introduction Opening statements Opening statements Opening statement
and Conclusion minimally outlines outlines most arguments; successfully frames the
arguments; closing closing comments do not issues; closing comments
remarks restates opening reflect all the remarks summarizes many
remarks made during the debate arguments made in the
debate
Use of Argument Team makes minimal use Team uses some appeals Team uses logical,
and Counter of persuasive appeals. to make arguments more emotional and ethical
Arguments: Debate arguments less persuasive. Arguments appeals to enhance
Presents with clear, relevant, strong generally clear arguments. Arguments
clarity, accuracy clear, relevant, strong
and relevancy
Use of Points supported with Most points supported Major points adequately
Facts/Statistics vague or irrelevant with facts, statistics and/or supported with relevant
Reference to ethical information or not at all. examples, but relevance facts, statistics, and or
literature of some was questionable examples.
Use of relevant Statements, responses Most statements and Strong use of ethical
ethical principles poorly reflected use of responses used ethical principles and theory in
and theory ethical principles and principles and theory. arguments. Refers to
theory. Minimal reference Refers to ethical literature ethical literature most of
to ethical literature some of the time the time
Presentation Some team members Team sometimes used Team consistently used
Confidence, were not able to keep gestures, eye contact, gestures, eye contact,
enthusiasm, clear attention of audience. confident tone of voice confident tone of voice
speech and level of enthusiasm in and level of enthusiasm in
a way to keep attention of a way to keep attention of
audience audience
COMMENTS:
Debate Rubric: Modified from Nursing Continuing Education: Instructor Resource Package:
Evaluation & Measurement. 2nd Edition: George Brown College, Pat Marten-Daniel, Henk Demeris.
16/03/05
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LEARNER REFLECTIONS
Reflective practice is an important element of professional practice, allowing us to consider what we

do well and what we can continue to improve upon. Self-reflection allows health professionals to
demonstrate accountability for practice and the care they provide to patients and families.
Method
At the end of Semester 1 & 2, you are asked to submit a 250-word reflection (approximately ½ page)
pertaining to your professional development during this course. You may use any of the professional
abilities listed below to help guide your reflection. Consider the roles you play within your discipline,
the multiple areas of practice you touch, all of the people you influence, and the patients and families
you care for.
Professional Abilities (Iwasiw & Goldenberg, 2008)
1. Technical
2. Cognitive
3. Collaborative
4. Affective
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EXAM REVIEW
Purpose
The purpose of the summative assessments (midterm and final examinations) is to evaluate your
learning at the end of the instructional periods outlined below. These exams assess your knowledge,
skill acquisition and clinical judgment as they apply learning to clinical scenarios presented within
questions pertaining to the care of children with congenital and acquired heart disease.
Please find below, information that you may find helpful in preparing for the midterm and final
examinations.
Method
In Semester 1, the midterm and final examinations are each worth 40% of the final mark.
In Semester 2, the midterm and final examinations are each worth 50% of the final mark.
The exam format for all exams will include single best answer multiple choice questions. The typical
number of questions is ~40-50 and it usually takes 1-1.5 hrs to complete. You are welcome to access
and utilize electronic resources during these exams. For example, learners may wish to reference the
required course resource, drug information resources, and recorded presentations.
The passing grade for each semester’s course is: 70%.
Instructional Timeframes Course Content Covered in Exam Time to Complete

Exam
Semester 1 Midterm Week 1 (Sept 3, 2021) - Week 8 (Oct 22, 1 hour

Exam 2021) inclusive
40%
Final Exam Week 9 (Oct 29, 2021) - Week 15 (Dec 10, 1.5 hours
40% 2021) inclusive
Semester 2 Midterm Week 1 (Jan 7, 2022) - Week 8 (Feb 25, 2022) 1.5 hours
Exam inclusive
50%
Final Exam Week 9 (March 4, 2022) - Week 15 (April 22, 1 hour
50% 2022) inclusive
Preparing for Midterm and Final Examinations
The majority of the questions are derived from class content. Recorded Zoom presentations and
presenter PowerPoints can be accessed on the shared OneDrive for the purpose of review.
It is recommended that you review the relevant sections of the required course resource (reference
provided below) to supplement your understanding of course concepts.
Park, Myung. (2021). The Pediatric Cardiology Handbook. Sixth Edition. Mosby Elsevier,
Philadelphia.
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Sickkids Advanced Paediatric Cardiology Program Program Syllabus 2021-2022

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SickKids Advanced Paediatric Cardiology Program

Copyright © 2021. The Hospital for Sick Children

Program Overview p.2

Summary of Important Dates p.9

Overview - Semester 1 p.10

Overview - Semester 2 p.12

Session Schedule - Semester 1 p.15

Session Schedule - Semester 2 p.32

Additional Learning Activities

Congenital Heart Disease Presentation p.48

Case Presentation p.50

Asynchronous E-Learning Pharmacology Module p.52

Ethical Debate p.53

Learner Reflections (Semester 1 & 2) p.56

Copyright © 2021. The Hospital for Sick Children

Overall Program Objectives

Summative Assessment Methods

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The passing grade for each semester is 70%.

Formative Assessment Methods

• Watch Logging in and Navigating the Attendee Hub Video

Protecting Personal Health Information

Recommended Course Resources

Copyright © 2021. The Hospital for Sick Children

Carrie Morgan, RN, MN

Dr. Steven Schwartz, MD, FRCPC, FAHA

Copyright © 2021. The Hospital for Sick Children

SUMMARY OF IMPORTANT DATES

September 3rd First day of class

October 15th & 22nd Learner-Led Congenital Heart Disease Presentations

October 29th Midterm Examination

November 7th Changes to Eastern Standard Time

November 12th Asynchronous E-Learning: Pharmacology Module

December 17th Final Examination & Learner-Led Clinical Case Reviews

January 7th First day of class

January28th Semester 1 - Learner Reflections Submissions

March 13th Changes to Eastern Daylight Time

March 18th Midterm Examination

Weekly Learner-Led - Clinical Case Review

April 29th Learner-Led Ethical Debates

May 6th Final Examination

May 31st Semester 2 - Learner Reflections Submissions

Copyright © 2021. The Hospital for Sick Children

Dates: Fridays, September 3 – December 17, 2021

Semester 1 - Curriculum Overview

Congenital Heart Defect themes include:

• Valvular regurgitation lesions:

Copyright © 2021. The Hospital for Sick Children

Acquired heart disease themes include:

Semester 1 Course Objectives

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Dates: Fridays, January 7 – May 6, 2022

Semester 2 - Curriculum Overview

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● Normal Cardiac Anatomy and Sequential Analysis

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Copyright © 2021. The Hospital for Sick Children

SEMESTER 1, FALL 2021

FETAL, NEONATAL PHASE OF DEVELOPMENT

Week 1 09:00 Cecilia Hyslop Introduction to Semester 1

10:45 Cecilia Hyslop Congenital Heart Defects: Understanding the

12:15 Lunch Lunch