Assessing the State of Training in Congenital Interventional Cardiology: A Global Survey of Program Directors.

Autor: Aggarwal V; Division of Pediatric Cardiology, Department of Pediatrics, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, AOB 407, Minneapolis, MN, 55401, USA. aggar134@umn.edu., Butera G; Cardiology, Cardiac Surgery and Heart Lung Transplantation, ERN GUARD Heart: Bambino Gesù Hospital and Research Institute, IRCCS, Rome, Italy., Boe B; The Heart Institute, Joe DiMaggio Children's Hospital, Hollywood, FL, USA., Celebi A; Department of Pediatric Cardiology, Dr Siyami Ersek Hospital for Cardiology and Cardiovascular Surgery, Hamidiye Medical Faculty of Health Sciences University Istanbul, Istanbul, Turkey., Downing T; Division of Cardiology, Children's National Hospital, Washington, DC, USA., Rossi RF; Instituto de Cardiologia do RS, Porto Alegre, Brazil., Kenny D; Paediatric Cardiology, Children's Health Ireland, Dublin, Ireland., Linsky N, Pan X; Department of Structural Heart Disease, Fuwai Hospital Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Shenzhen, China., Sivakumar K; Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, India., Whiteside W; Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA., Hijazi ZM; Department of Cardiovascular Diseases, Sidra Medicine and University of Jordan, Amman, Jordan., Armstrong AK; The Heart Center, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Jazyk: angličtina
Zdroj: Pediatric cardiology [Pediatr Cardiol] 2024 May 10. Date of Electronic Publication: 2024 May 10.
DOI: 10.1007/s00246-024-03501-0
Abstrakt: This study aimed to evaluate the current state of congenital interventional cardiology training worldwide, with a focus on case volumes, competency assessment, and the need for ongoing mentorship during early career stages. A survey was conducted among program directors (PDs) of congenital interventional training programs across the globe. The survey gathered data on training pathways, case volumes, types of procedures performed, trainee competency assessment, and the role of ongoing mentorship. Of the 79 PDs who completed the survey, it was observed that training pathways and case volumes varied significantly, particularly between the United States and other countries. Most PDs reported an annual laboratory case volume of >500 congenital cardiac cases, with most cases being interventional. While trainees demonstrated competency in simple procedures (diagnostic cases, simple ASD closure), complex interventions (such as patent ductus arteriosus closure in premature infants) require ongoing mentorship for graduates. PDs recommended a minimum case volume of 400 total cases for trainees, including 250 interventional cases. In addition to case volumes, assessing trainee competency was deemed important, with clinical reasoning, judgment, skillset, teamwork, and complication management being key areas of evaluation. The study highlights the variability in congenital interventional cardiology training and the need for ongoing mentorship during the early career years. External mentorship programs, facilitated by national and international societies, are proposed to provide critical support for early career interventionalists thus enhancing patient care for congenital heart disease. Ultimately, the findings of this survey may serve as a framework for future training standards and guidelines in this specialized field.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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