APP - Cardiology
On-siteLewiston, Maine, United States
Job Summary
Provide oversight for all cardiac-related testing, including Cardiac Echo, Exercise stress tests, and Nuclear Medicine Cardiac Stress. Conduct immediate pretest physical examinations, confirm anticipated test endpoints, and deliver final clinical interpretations and reports to cardiology. Develop, supervise, and operationalize quality and safety protocols reviewed regularly with staff to improve test reliability. Demonstrate and maintain competency in cardiovascular physiology, ECG interpretation, arrhythmia management, and pharmacologic testing principles. Maintain CPR and ACLS certification. Full-time role with benefits, located in Lewiston/Auburn. Join a collaborative team at St. Mary's Cardiology, a Covenant Health facility dedicated to patient-centered care.
Required Qualifications
- Knowledge of appropriate stress test indications and contraindications
- Knowledge of alternative exercise stress and pharmacologic protocols
- Cardiovascular and exercise physiology, including hemodynamic response to exercise
- Knowledge of the pathophysiology of the disease or condition for which testing is being performed
- Recognition of normal endpoints
- Abnormal clinical and ECG responses that should prompt termination of stress
- Prompt recognition and management of complications
- Cardiac arrhythmias and the ability to recognize and treat serious arrhythmias
- ECG interpretation
- Maintenance of certification in CPR and ACLS
- Cardiovascular drugs and how they can affect exercise performance, hemodynamics, and the ECG
- Effects of age and disease on hemodynamic and ECG responses to exercise
- Principles and details of exercise and pharmacologic testing, including proper lead placement and skin preparation
- Specificity, sensitivity and diagnostic accuracy of exercise testing in different patient populations
- Electrocardiography and changes in the ECG that may result from exercise, pharmacologic agents, hyperventilation, ischemia, hypertrophy, conduction disorders, electrolyte disturbances and drugs
- Conditions and circumstances that can cause false-positive, indeterminate or false-negative test results
- Prognostic value of exercise testing
- Concept of metabolic equivalent (MET) and estimation of exercise intensity in different modes of exercise
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