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Author: Greg Lisi, CCDS, CEPS

The Ultimate Guide to Choosing Device Clinic Training Programs

The success of cardiac device clinics depends heavily on the expertise and skills of their staff. Whether onboarding new employees or enhancing the proficiency of experienced team members, selecting the right training program is essential. With the growing demand for cardiac device expertise, clinic managers must prioritize training solutions that provide a strong foundational understanding while equipping teams to adapt to technological advancements and deliver exceptional patient care.

Effective training programs equip staff with the confidence and skills to handle complex clinical scenarios and meet patients’ needs with precision and efficiency. Without proper training, clinics risk increased errors, reduced patient satisfaction due to inefficiencies, and lower staff morale and retention. Investing in high-quality training not only enhances daily operations but also lays the foundation for long-term success, excellence in patient care, and improved financial outcomes for clinics.

What to Look for in a Cardiac Device Clinic Training Program

  1. Comprehensive Curriculum

A well-rounded, up-to-date curriculum is essential for both new and experienced staff. While new hires need a clear starting point to build their expertise, experienced employees can greatly benefit from revisiting and reinforcing foundational concepts. 

An effective training program should encompass:

  • Core topics, including cardiac anatomy, physiology, rhythm analysis, and therapies such as Brady, Tachy, and CRT.
  • Advanced concepts, practical applications, and simulation-based learning, focusing on device operation, troubleshooting, and monitoring.

By blending foundational knowledge with practical application, a comprehensive curriculum equips your team to excel in the ever-evolving field of cardiac device management.

  1. Onboarding and Upskilling Made Easy

The onboarding process sets the foundation for a new hire’s success. A strong onboarding process integrates a high-quality technical training program designed to:

  • Seamlessly integrate new staff into your clinic’s workflows.
  • Minimize errors through structured and effective learning paths.
  • Build confidence and competence in handling cardiac device programming and monitoring.

Equally important is the upskilling of existing staff. Training programs that address skill gaps and incorporate best technical practices ensure experienced employees remain competitive, adaptable, and equipped to handle the latest cardiac device technologies. Training programs that offer preparation practice tests also enable experienced staff to take their expertise to the next level by earning credentials such as IBHRE CCDS or CDRMS.

  1. Flexible Learning Formats

Flexibility is essential when selecting a training program, as each clinic’s needs are unique. Equally important is evaluating the quality of the training to ensure it meets industry standards. Look for programs that deliver high-quality content with flexible options, such as:

  • Online, Self-Paced Modules: Perfect for clinics with demanding schedules, allowing staff to learn at their own pace without sacrificing quality. Programs that use a multi-modal approach – such as animations, knowledge checks, and simulations – boost engagement and help ensure successful course completion.
  • Virtual Support: Includes features like live webinars and office hours, providing expert guidance while allowing staff to remain in the clinic during training.
  • Hybrid Options: Combines online and in-person training, offering hands-on practical experience in conjunction with conceptual learning.

These flexible, high-quality approaches ensure that training seamlessly integrates into your clinic’s operations, enabling staff to enhance their skills while maintaining patient care.

  1. Performance Tracking and Accountability

To gauge the success of your training efforts, programs should include tools for tracking progress and performance. These features might include:

  • Regular knowledge checks, assessments and quizzes to evaluate understanding.
  • Progress reports for managers to monitor individual and team progress.
  • Feedback mechanisms to identify areas for improvement at the end of the training.

By measuring outcomes subjectively as well as objectively, you can continuously refine your training efforts to achieve better results.

  1. CEU Accreditation for Professional Development

Continuing Education Unit (CEU) accreditation is a hallmark of a high-quality training program. CEU-accredited programs offer:

  • Recognition of professional development efforts, while potentially assuring standardized, high-quality training.
  • Enhanced employee motivation, as staff see tangible career benefits.

Selecting a CEU-accredited program not only boosts your clinic’s credibility but also ensures your team is equipped with industry-recognized skills.

Choosing a training program, such as PrepMD Accelerator, is essential for the success of your cardiac device clinic. High-quality training equips staff with the skills and confidence to tackle today’s challenges while staying ahead in a rapidly advancing field. The ideal program features a comprehensive curriculum, flexible learning formats, performance tracking, and CEU accreditation to meet industry standards and clinic-specific needs. Partnering with a provider like PrepMD, with a proven track record of delivering successful training and driving results for major healthcare systems, ensures you’re investing in excellence. By doing so, you can enhance operations, foster professional growth, increase retention, and elevate patient care.

Business professionals lined up

Case Studies: Partnering with a Corporate Training Solutions Company for Cardiac Clinical Training Needs

How do Med Device Corporations Benefit from Partnering with A Specialized Corporate Training Provider

Medical device corporations face the ongoing challenge of ensuring their current teams and new hires are equipped with the latest clinical knowledge. This is where a partnership with a specialized training provider like PrepMD becomes invaluable. Such corporate training providers will be able to augment the clinical training teams, enabling corporations to focus on advanced product-specific education.

Partnering with a company like PrepMD that offers extensive online and onsite training solutions, lays down a solid foundation for a variety of roles, including clinical staff and sales teams. Beyond direct clinical roles, corporations may be able to equip cross-functional teams—like engineering and marketing—with essential cardiac knowledge, empowering them to excel in their respective tasks.

Following are case studies that exemplify the success of our collaborative training initiatives with leading medical device corporations:

CASE STUDY 1: Global Medical Device Company Product Launch

The Corporate Training Need
Team Transitioning to Clinic Sales

The Solution
This client was approaching a commercial launch of a new product and asked PrepMD to customize a training solution for their clinical team who would be transitioning to clinical sales responsibilities. This onsite training focused on sales in the cardiac clinical space, using selling skills assessments, sales training, and role playing. The training delivery was launched for their entire regional team as they prepared to go to market with this new product launch. The customized training solution is now the standard on-boarding sales training requirement for all new sales professionals.

CASE STUDY 2: EP New Hires at Global Medical Technologies Company

The Corporate Training Need
EP Fundamentals for New Hires

The Solution
This global medical device company needed an electrophysiology online learning solution for their new hires. After consultation, we helped the client identify their challenges and then designed a customized and branded online solution for them. The all online training solution became the standard for every new hire at the company. The client realized how successful the training was and decided to make it available through their website as a link and a resource to customers. This allowed them to create a customer database of who was more interested in their product and their product training.

CASE STUDY 3: New Salespeople at Global Medical Device Company

The Corporate Training Need
New Salespeople Need Cardiac Foundational Hands-on Training

This global medical device company needed cardiac foundational training for new salespeople. PrepMD designed a cath lab training program with a custom delivery schedule to precede their in-house product training. This allowed employees to more quickly and successfully progress through internal training requirements. The company was so satisfied with the training and employee retention results, this baseline training for all new sales hires was implemented across all divisions.

CASE STUDY 4: Cardiovascular Therapies Startup Product Launch

The Corporate Training Need
Online Learning for New Hires

A startup company in an adjacent medical specialty was transitioning over to the cardiac space for a new indication using their existing technologies. With a team that had no cardiac subject matter expertise, they came to PrepMD prior to product launch to build their company branded training materials for all internal and field sales personnel. This online learning solution became their standard required onboarding training for all newly hired employees.

CASE STUDY 5: U.S. Government Agency Tenured Technical Team

The Corporate Training Need
Quality Control Engineers Need Cardiac Foundational Skills Training

A team of quality control engineers needed cardiac clinical foundation training to communicate effectively with clinicians and scientists. PrepMD conducted online individual assessments to determine needs across the agency, then delivered a lab-based training program on cardiac rhythm management, structural heart, interventional cardiology and related cardiac therapies. Follow-up evaluation and assessment helped ensure comprehension and proficiency.

To explore how a partnership with PrepMD can help you meet your training requirements, please don’t hesitate to submit an inquiry.

Female clinician studying with laptop and books

Continuing Education in Healthcare: 5 Benefits of Online Learning

5 Benefits of Online Learning: Continuing education is an essential part of personal and professional development, especially for healthcare professionals. It helps them to stay updated about the latest happenings, trends, and technologies. Online training and education is one of the most effective ways of continuing education. Some state or employer licensing boards also require you to take certain courses or certifications relevant to your practice. Furthermore, it helps in advancing your career. Within the cardiac device space, the International Board of Heart Rhythm Examiners or IBHRE® conducts examinations for certifications such as CDRMS (Certified Cardiac Remote Monitoring Specialist), CCDS (Certified Cardiac Device Specialist) and CEPS (Certified Electrophysiology Specialist).

For individuals looking to break into the space or for healthcare professionals working in Cardiac Rhythm Management (CRM), Electrophysiology (EP) and Interventional Cardiology (IC)/Structural Heart (SH) who are looking to advance their careers, the PrepMD Accelerator is a trusted online learning resource. IBHRE® Practice Test Kits are also available for those studying for their certification exams.

Five Benefits of Online Learning for Healthcare Professionals:

  1. Accessible Anytime, Anywhere
    Since health care professionals have a busy schedule, it is hard to take time off to take extra courses or training which fits their routine. Through online training, you can study and learn whenever you get free time at work, home or even during commute. You can access the training and learning material on your smartphone, tablet or laptop whichever is feasible for you.
  2. More Interactive
    Online training offers enhanced chances of learning as it provides the learners with abundance of great learning features. Through online training you can take advantage of discussion boards, worksheets, written material, audios and videos.
  3. Less Costly as Compared to Traditional Classroom Learning
    While traditional learning has its own benefits, depending on which stage the you are in your career, it can get rather expensive since you have to pay for the trainer, learning materials, location, not to mention the added expense of transportation. With online training and learning, the cost is less, there are no transportation expenses, and the material is directly emailed to you. Your professional life doesn’t get affected as you can get online training in your spare time. Overall, it actually enhances the quality of service you offer your patients.
  4. High Quality Resource Database
    With online training, you would be provided with a database loaded with high quality resources to help you learn. The database is easily accessible, and you can find whatever information you need to enhance your learning process.
  5. Caters to Different Learning Styles
    Some learn best through listening, some through reading and others through visual interactions. Online training offers all. You have access to written material which you can print, audio lectures, visual presentations and so much more. It enables you to learn at your pace without rushing you on.

The best online learning solutions should include opportunities for customization, online, onsite and hybrid learning formats, as well as needs and proficiency assessments.

Clinician educating cardiac patient

The Leadless Pacemaker Technology Space: The Move Away From Transvenous Leads

Keep an eye on the leadless pacemaker technology space and watch for upcoming clinical trial data to determine best options for your clinic and patients.”

by Mark Matechik, MS, CCDS, PrepMD Account LeadMark is one of the experts on the PrepMD Clinic Solutions Leadership Team, helping providing excellent patient care through their CIED remote monitoring software and services

Most vendors are now offering some form of leadless pacemaker technology, be it a single lead that includes ventricular pacing and atrial sensing, leadless pacemakers, or ICDs with subcutaneous leads. Citing decreased complication rates and easier or fewer extractions, most of the EP world is now getting on board. 

As new products continue to hit the market, it’s good to take a step back and look at the data and evidence supporting the use of these novel devices. 

Medtronic was the first to release a truly leadless pacemaker in the Micra VR device, released in 2015. Delivered via femoral catheter, there was no need for transvenous leads or a pacemaker pocket. Early data from the IDE (Investigational Device Exemption) and PAR (Post-Approval Registry) studies showed excellent results that met study endpoints. More recently, the Micra excelled in a comparison study looking at large patient populations in real world settings compared to the IDE data (El-Chami et. al, 2018). Successful implantation was achieved in 99.1% of patients with a 2.1% major complication rate over 12 months (95% CI, 2.0%-3.7%), 63% less than patients with transvenous devices (p<0.001). 

Also on the market is the Micra AV, which boasts VDD pacing and the ability to provide AV synchrony. The MARVEL 2 trial (Clemens et. al, 2020) showed that with VDD mode and accelerometer-based atrial sensing, the proportion of patients with >/=70% AV synchrony at rest was significantly greater than the proportion of patients in VVI 50 mode (89.2% vs. 26.8%, p<0.001). There were no pauses or oversensing-induced tachycardia. The sample size was quite low at n=75 and only evaluated AV synchrony at rest,, so while the results may not be representative of real-world situations, they are at the very least promising and something to watch closely.

While MDT builds its atrial sensing algorithm, Abbott has recently launched a leadless device as well. Following results of the LEADLESS II IDE study (Reddy et. al, 2022), the Aveir VR system is now FDA approved for implant. Successfully implanted in 98% of patients and able to electrically map before deploying, the Aveir system should serve as a good competitor to the Micra family of devices. What’s more, Abbott recently implanted the first true dual chamber leadless pacemaker in February of this year as part of the Aveir DR i2i study. Contrasting Medtronic’s approach of including atrial sensing in one device, Abbott’s Aveir DR is actually two separate implants, one in the ventricle and one in the atrium. The study has a goal of enrolling 550 patients with primary endpoints focusing on the DR system as a whole (complication rates, acceptable thresholds, etc). Secondary endpoints will look more closely at the atrial implant individually. Primary results are expected November 2023 and study completion is slated for November 2025.

Boston Scientific is taking the leadless trend in an entirely different direction. With the S-ICD successfully on the market for years, Boston Scientific is currently enrolling in the MODULAR ATP trial which involves an EMBLEM S-ICD system implanted concurrently with the EMPOWER MPS (Modular Pacing System) leadless pacemaker. One of the most significant critiques of the S-ICD is that patients who develop a need for transvenous pacing after implant will require an entirely new system. Assuming the Empower makes it to market, a physician can add the Empower leadless device to the already existing S-ICD system with no transvenous leads necessary. Furthermore, a combined mCRM system (S-ICD defibrillator and Empower leadless pacemaker) can provide ATP for fast, organized rhythms in an attempt to convert without the need for a shock. Modular ATP is sponsored by Boston Scientific and will look at primary endpoints of complication rates, communication success between devices, and adequate capture thresholds. Secondary endpoints will examine the Empower’s rate sensor and all-cause survival. If successful, this system will be the first to provide pacing and defibrillation without the use of transvenous leads. 

It is truly amazing to see the increased options for patients with pacing considerations even over the last couple of years. We’re no longer tied to traditional RV apical pacing systems. Leadless pacemakers are becoming increasingly popular as a primary pacing option, or especially in patients with limited vascular access, occlusions, or infections. Keep an eye on this space and upcoming trial data to determine what the best option is for you, your clinics, or your patients.

For additional information visit these reference websites:

https://pubmed.ncbi.nlm.nih.gov/30103071/

https://pubmed.ncbi.nlm.nih.gov/31709982/

https://www.jacc.org/doi/full/10.1016/j.jacep.2021.11.002

https://clinicaltrials.gov/ct2/show/NCT05252702

https://clinicaltrials.gov/ct2/show/NCT04798768

Five Phases of the Interview

Watch the video by Matt O’Neal, Co-Founder & Chairman of PrepMD here.

Five phases of the Interview: Interview preparation can be overwhelming and anxiety-producing!  Prepare, anticipate and practice are the over-arching principles to help ease the anxiety and successfully close an interview. The initial preparation for an interview involves researching the company, the industry, and the interviewer(s). You should know your key selling points that directly address why you want this job and what makes you a good fit. Prepare well for each of the five phases of an interview which are outlined in this article. Anticipate what your interviewer is looking for and specifically identify any potential concerns he or she may have about your candidacy so that you are prepared to respond to those concerns.  Be sure to practice what you will say to CLOSE the interview and role-play with someone.

Phase 1 is the Introduction and Connection phase. It is critical to make a connection with the person you are interviewing with. Use resources such as social media as a way to learn more about the person you are interviewing with. Ideally, you will be able to find some common ground. Research indicates that the longer the introduction/connection phase of the interview, the better the outcome of the interview. The rationale behind this is that people naturally feel a connection and a sense of goodwill and obligation to give that person a chance.

Phase 2 is the Review phase. “Why don’t you tell me a little bit about yourself” indicates a transition to the review phase. A common problem in this phase is the tendency to ramble on, say too much, and not feature the important facts. A lot of people may naturally present themselves and their background in chronological order. However, this may tend to take too long to get to the assets you should be featuring. Rather, you should try to frontload or feature several key things the person needs to know about you. So you could say, “before I go into the details of my background, let me give you 3 key points about myself which I think are critical to the position you are hiring for.”

Your preparation for this phase of the interview is to identify and practice introducing yourself and how you plan to explore for common ground.

You don’t need to go through every aspect of your resume. Your preparation for the review phase should be to identify and practice what you will need to say to highlight and punch up your most relevant experience and qualities.

Phase 3 is the Assessment Phase: You’ll know you are in this phase of the interview when the interviewer has started to ask more questions.  What is your best job? What is your greatest strength? What is your biggest weakness? You should try to anticipate the types of questions this hiring manager may ask you. The hiring manager wants to determine if you are appropriate for this role and for their team.

Your preparation for the Assessment phase of the interview is to take a good inventory of your objective and relevant experiences.  What is it that you objectively bring to the job?  An engineering degree with a 3.6 gpa is an example of an objective asset. Your work ethic or organizational skills are subjective. The way you can bring those skillsets to the conversation is to qualify those subjective qualities.  For example, “I achieved success in my career as a sales associate and I’ve been praised by colleagues and supervisors for my superior communication and organizational skills, along with a strong work ethic. All of these skills contributed to my successful career progression at XYZ corp.”

Phase 4 is the Job Fit Phase:  the interviewer will tell you about the job description, requirements, roles and responsibilities and overall what a day in the life of this role looks like. Hiring managers want to see that you have prepared well by researching as much as possible about the roles and responsibilities of the job. It can be tremendously helpful if you are able to speak to someone who works or previously worked in this role or a similar role, so you have some personal “day in the life” understanding. During this phase of the interview you want to take a very active listening role. Active listening involves asking reflective questions to demonstrate that you are actively listening to what they are telling you about the jobThis active listening should provide you with key points to respond to during your interview close so that you can clearly communicate what makes you a good fit for this role.

Phase 5 is the Close Phase: Telltale sign that you are nearing the end of the interview is when the interviewer asks, “Do you have any questions for me?”  Prepare questions! As you ask these questions you want to keep an inventory of the answers so that you can use them in your summation close. Categories of questions include people, team, products, services, market, and position or role.

Most people find the Close to be the most challenging and awkward part of the interview, so the general advice is to practice, practice, practice. The more you hear yourself saying a close during practice, the less anxiety you will have over executing the close during the interview. A direct closing statement example would be “Do you think I am a good fit for this role?” or “Do you have any concerns about my ability to do this role?” and be sure to meet those concerns head on. Finally, ask the interviewer “Do I have your support for this role?”  Be prepared to respond. At this point you may need to summarize your key attributes for this role and how they confront and respond to those expressed concerns. Finally, you should prepare a follow up question, “What are the next steps in the interview process and what is your expected timeline for making a decision.”  Be sure to ask the interviewers for their business cards and email addresses so you can send each person a short personalized thank you email, where you should remind them of why you are a good fit for this role and to address any concerns he/she may have about your candidacy.