Pilot Survey Fetal cardiology Training and Services

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* 5. I consent to have the findings of this AEPC study published in a peer-reviewed journal (choose)

Yes

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* 6. Role of person completing form (choose)

Fetal cardiologist

Paediatric and Fetal Cardiologist

Paediatric Cardiology trainee

Fetal Cardiology trainee

Other (please specify)

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* 7. Is there fetal cardiology service in your country?

Yes

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* 8. Is there any fetal cardiology training services in your country?

Yes

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* 9. If there are no fetal cardiology services in your country how are foetuses screened for cardiac anomalies?

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* 10. Are there dedicated fetal cardiologists at your centre? (choose)

Yes

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* 11. What is the training background of persons obtaining fetal echocardiograms and performing fetal counselling at your centre? (Choose as many as appropriate)

Paediatric Cardiology

Perinatology/obstetrician

Fetal cardiology

Sonographer

Mix of the above

Other (please specify)

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* 12. How many (number) of trained fetal cardiologists (advanced) performing fetal cardiac evaluations are working at your centre ?

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* 13. Where do you perform the fetal cardiac assessments? (Choose as many as appropriate)

Children’s hospital outpatient clinic

Fetal-medicine or obstetric centre outpatient clinic

A separate unit, please describe

Other (please specify)

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* 14. How many (number) fetal cardiac assessments are performed at your centre per year?

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* 15. How many (number) fetal CHD cases are assessed at your centre per year?

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* 16. Do you offer fetal intervention for CHD at your centre?

Yes

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* 17. Do you provide subspeciality training (advanced) in fetal cardiology at your centre?

Yes

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* 18. Is there a standard fetal echocardiogram imaging protocol at your center?

Yes

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* 19. What national and/or international guidelines for fetal cardiology training do you apply in your centre and/or area?

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* 20. Do you include fetal cardiology training as part of core pediatric cardiology training in your center?

Yes

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* 21. What is the duration (months) of fetal cardiology training for subspeciality fellows (advanced) training in your center?

> 1 2 months

< 12 months

Please enter exact duration (months) if known

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* 22. Do you recommend performing screening views (4CH, Outflow tracts, arch, 3VV) first prior to a more detailed examination for fetal cardiology subspeciality (advanced) trainees?

Yes

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* 23. Please describe your centre criteria for a fetal cardiology subspeciality fellow to independently perform fetal cardiology counselling in the setting of an abnormal fetal echocardiogram/assessment?

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* 24. How do you teach fetal cardiology counselling (choose as many as appropriate)?

By having fellows in training observing fetal cardiology consultations

Didactic teaching/ Formal course on counselling

By observing fellows in training providing fetal cardiology counselling under the supervision of a trained fetal cardiologist

Other (please specify)

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* 25. What is the number of independently performed normal fetal cardiac assessments required to be recognized as a trained fetal cardiologist (advanced level) at you centre?

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* 26. What is the number of independently performed abnormal fetal cardiac assessments required to be recognized as a trained fetal cardiologist (advanced level) at you center?

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* 27. Is there an objective measure for assessing the quality of fetal echocardiographic imaging in your centre?

Yes

Other (please specify)

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* 28. Please describe your measures for assessing fetal echocardiogram imaging quality in your centre

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* 29. Does the fellow (core or advanced) generate the report after the fetal scan? (choose)

Yes

Other (please specify)

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* 30. Do you provide feedback to the fellow on their fetal echocardiographic imaging quality?

Yes

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* 31. Do you provide feedback to the fellow on their fetal echocardiographic imaging quality?

During fetal imaging

After fetal imaging

Other (please specify)

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* 32. How often do you provide feedback to the trainee on their fetal echocardiogram imaging skills (Choose as many as appropriate)?

Feedback is provided for all trainees imaging cases in conjunction with senior review of outpatient clinic visit fetal imaging and reporting

Feedback is provided for trainees imaging cases in conjunction with outpatient clinic visit fetal evaluations only when requested by the trainee

Feedback is provided for trainees only in conjunction with training evaluation and feedback discussion meetings outside of outpatient clinic visits

Other (please specify)

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* 33. Please describe how you provide feedback to the fellow on their counselling?

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* 34. Is there simulation in fetal cardiology training at your centre?

Yes

Other (please specify)

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* 35. How do you assess competence in fetal cardiology core training?

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* 36. How do you assess competence in fetal cardiology advanced training?

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* 37. Is there a regular or an (ARCP) annual review of competency progression for your fetal subspeciality (advanced) fellows in training?

Yes

Other (please specify)

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* 38. What assessment tools do you use in fetal echocardiographic imaging training?

Exit Exam

EACVI exam

Case based discussion

Workplace based assessments

OSCE

None of the above

Other (please specify)

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* 39. What kind of fetal cardiology research requirements are included in your centres subspeciality fetal cardiology training program?

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* 40. Is there a certification for subspeciality fellows in fetal cardiology in your centre or area?

Yes

Other (please specify)

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* 41. Is there a minimum number of fetal echocardiograms and counselling that fetal cardiologists are expected to perform to maintain competence?

Yes

How many expected to be performed?

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* 42. How do fetal cardiologists maintain their skills at your centre?

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* 43. Is there Continuing Medical Education (CME) for fetal cardiologists at your centre?

Yes

Comment

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* 44. Is there a formal feedback process for missed cases (both false normal and false abnormal fetal cardiac evaluations with significant clinical impact) at your centre?

Yes

Comment"

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* 45. Are multidisciplinary meetings including fetal cardiologist, specialist nurses and midwifes, perinatologists and obstetricians, neonatologists and intensivists, surgeons, social workers, psychologists involved in the care of families arranged at your center?

Yes

Other (please specify)

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* 46. Do fetal cardiologists undertake fetal cardiology service quality evaluation and improvement at your centre?

Yes

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* 47. Do fetal cardiologists independently perform fetal cardiology research at your centre?

Yes

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* 48. Is your centre engaged in fetal cardiac collaborative research projects across European centres?

Yes

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* 49. Would you like to participate in more fetal cardiology collaborative research projects across European centres?

Yes

Pilot Survey Fetal cardiology Training and Services

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* 1. Country you work in:

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* 2. Center you work in:

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* 3. How many other centers in your country:

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* 4. I consent to participate in this survey study (choose) Yes/ No

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* 5. I consent to have the findings of this AEPC study published in a peer-reviewed journal (choose)

Question Title

* 6. Role of person completing form (choose)

Question Title

* 7. Is there fetal cardiology service in your country?

Question Title

* 8. Is there any fetal cardiology training services in your country?

Question Title

* 9. If there are no fetal cardiology services in your country how are foetuses screened for cardiac anomalies?

Question Title

* 10. Are there dedicated fetal cardiologists at your centre? (choose)

Question Title

* 11. What is the training background of persons obtaining fetal echocardiograms and performing fetal counselling at your centre? (Choose as many as appropriate)

Question Title

* 12. How many (number) of trained fetal cardiologists (advanced) performing fetal cardiac evaluations are working at your centre ?

Question Title

* 13. Where do you perform the fetal cardiac assessments? (Choose as many as appropriate)

Question Title

* 14. How many (number) fetal cardiac assessments are performed at your centre per year?

Question Title

* 15. How many (number) fetal CHD cases are assessed at your centre per year?

Question Title

* 16. Do you offer fetal intervention for CHD at your centre?

Question Title

* 17. Do you provide subspeciality training (advanced) in fetal cardiology at your centre?

Question Title

* 18. Is there a standard fetal echocardiogram imaging protocol at your center?

Question Title

* 19. What national and/or international guidelines for fetal cardiology training do you apply in your centre and/or area?

Question Title

* 20. Do you include fetal cardiology training as part of core pediatric cardiology training in your center?

Question Title

* 21. What is the duration (months) of fetal cardiology training for subspeciality fellows (advanced) training in your center?

Question Title

* 22. Do you recommend performing screening views (4CH, Outflow tracts, arch, 3VV) first prior to a more detailed examination for fetal cardiology subspeciality (advanced) trainees?

Question Title

* 23. Please describe your centre criteria for a fetal cardiology subspeciality fellow to independently perform fetal cardiology counselling in the setting of an abnormal fetal echocardiogram/assessment?

Question Title

* 24. How do you teach fetal cardiology counselling (choose as many as appropriate)?

Question Title

* 25. What is the number of independently performed normal fetal cardiac assessments required to be recognized as a trained fetal cardiologist (advanced level) at you centre?

Question Title

* 26. What is the number of independently performed abnormal fetal cardiac assessments required to be recognized as a trained fetal cardiologist (advanced level) at you center?

Question Title

* 27. Is there an objective measure for assessing the quality of fetal echocardiographic imaging in your centre?

Question Title

* 28. Please describe your measures for assessing fetal echocardiogram imaging quality in your centre

Question Title

* 29. Does the fellow (core or advanced) generate the report after the fetal scan? (choose)

Question Title

* 30. Do you provide feedback to the fellow on their fetal echocardiographic imaging quality?

Question Title

* 31. Do you provide feedback to the fellow on their fetal echocardiographic imaging quality?

Question Title

* 32. How often do you provide feedback to the trainee on their fetal echocardiogram imaging skills (Choose as many as appropriate)?

Question Title

* 33. Please describe how you provide feedback to the fellow on their counselling?

Question Title

* 34. Is there simulation in fetal cardiology training at your centre?

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* 35. How do you assess competence in fetal cardiology core training?

Question Title

* 36. How do you assess competence in fetal cardiology advanced training?

Question Title

* 37. Is there a regular or an (ARCP) annual review of competency progression for your fetal subspeciality (advanced) fellows in training?

Question Title

* 38. What assessment tools do you use in fetal echocardiographic imaging training?

Question Title

* 39. What kind of fetal cardiology research requirements are included in your centres subspeciality fetal cardiology training program?

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