Impact of the COVID ‐19 pandemic on interventional cardiology fellowship training in the New York metropolitan area: A perspective from the United States epicenter

Autor: William D. Lawson, Alexander Lee, Terrence Sacchi, Abel E. Moreyra, Torsten Vahl, Martin B. Leon, Robert M. Minutello, Frederick Feit, Susheel Kodali, Hasan Ahmad, Sahil A. Parikh, Anna E. Bortnick, Rajiv Jauhar, Ajay J. Kirtane, Annapoorna Kini, Tamim Nazif, Ruben Kandov, Tanush Gupta, Robert Leber, Michael C. Kim, Pranaychan J. Vaidya
Rok vydání: 2020
Předmět:
Cardiac Catheterization
medicine.medical_specialty
education
Cardiology
Graduate medical education
030204 cardiovascular system & hematology
Original Studies
Accreditation
Physician Executives
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Mentorship
Surveys and Questionnaires
Pandemic
Health care
medicine
Humans
Radiology
Nuclear Medicine and imaging
030212 general & internal medicine
Fellowships and Scholarships
fellowship training
health care economics and organizations
New Jersey
Interventional cardiology
business.industry
interventional cardiology
COVID-19
General Medicine
Metropolitan area
coronavirus disease
Education
Medical
Graduate
Radiology Nuclear Medicine and imaging
Family medicine
procedural volume
New York City
Professional association
Cardiology and Cardiovascular Medicine
business
Zdroj: Catheterization and Cardiovascular Interventions
ISSN: 1522-726X
1522-1946
Popis: Background The healthcare burden posed by the coronavirus disease 2019 (COVID‐19) pandemic in the New York Metropolitan area has necessitated the postponement of elective procedures resulting in a marked reduction in cardiac catheterization laboratory (CCL) volumes with a potential to impact interventional cardiology (IC) fellowship training. Methods We conducted a web‐based survey sent electronically to 21 Accreditation Council for Graduate Medical Education accredited IC fellowship program directors (PDs) and their respective fellows. Results Fourteen programs (67%) responded to the survey and all acknowledged a significant decrease in CCL procedural volumes. More than half of the PDs reported part of their CCL being converted to inpatient units and IC fellows being redeployed to COVID‐19 related duties. More than two‐thirds of PDs believed that the COVID‐19 pandemic would have a moderate (57%) or severe (14%) adverse impact on IC fellowship training, and 21% of the PDs expected their current fellows' average percutaneous coronary intervention (PCI) volume to be below 250. Of 25 IC fellow respondents, 95% expressed concern that the pandemic would have a moderate (72%) or severe (24%) adverse impact on their fellowship training, and nearly one‐fourth of fellows reported performing fewer than 250 PCIs as of March 1st. Finally, roughly one‐third of PDs and IC fellows felt that there should be consideration of an extension of fellowship training or a period of early career mentorship after fellowship. Conclusions The COVID‐19 pandemic has caused a significant reduction in CCL procedural volumes that is impacting IC fellowship training in the NY metropolitan area. These results should inform professional societies and accreditation bodies to offer tailored opportunities for remediation of affected trainees.
Databáze: OpenAIRE
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