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Skowronski J, Hajduczok AG, Dichiacchio L. Synergy, not Silos: The Intersection of Medical and Surgical Training in Advanced Heart Failure. J Card Fail 2024; 30:741-743. [PMID: 38460670 DOI: 10.1016/j.cardfail.2024.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Revised: 01/27/2024] [Accepted: 01/31/2024] [Indexed: 03/11/2024]
Affiliation(s)
- Jenna Skowronski
- Division of Cardiology, University of Pittsburgh, Pittsburgh, PA
| | | | - Laura Dichiacchio
- Division of Cardiothoracic Surgery, University of Utah, Salt Lake City, UT.
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Nabi W, Windish D, Beasley MH. Perceived Gaps in Knowledge for the Advanced Heart Failure and Transplant Cardiology Fellow: the Results of a National Needs-Assessment Survey. J Card Fail 2024; 30:516-519. [PMID: 38000732 DOI: 10.1016/j.cardfail.2023.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 10/15/2023] [Accepted: 11/07/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND The field of Advanced Heart Failure and Transplant Cardiology has evolved greatly since it was first established. We sought to elicit program directors' and fellows' viewpoints on potential curricular deficits so we can better meet the educational goals of current and future fellows. METHODS AND RESULTS We surveyed advanced heart failure and transplant cardiology program directors and fellows concerning their perceptions of the current adequacy of training and their desire for additional training needed to achieve medical competency in advanced heart failure and transplant cardiology at their institutions, as defined by the 2017 ACC Advanced Training Statement. Survey results identified key competencies deemed to be inadequately addressed during training and those in which a moderate or significant additional amount of training was desired. These competencies were identified within the 4 main domains of the fellowship: heart failure, pulmonary hypertension, mechanical circulatory support, and heart transplantation. CONCLUSIONS This study highlights key medical-knowledge competencies that are inadequately addressed by current fellowship training in advanced heart failure and transplant cardiology. Fellowship programs should develop curricula that focus on the integration of these competencies into training to ensure that fellows are well equipped to care for patients.
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Affiliation(s)
- Wafa Nabi
- Department of Internal Medicine, Yale New Haven Hospital, New Haven, CT.
| | - Donna Windish
- Department of General Medicine, Yale School of Medicine, New Haven, CT
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Bisol RV, Clausell N, Vieira JL, Bacal F, Lopes RD, Goldraich LA. Advanced Heart Failure and Transplant Cardiology as a New Subspecialty in Latin America: Challenges and Opportunities Based on a Brazilian Survey Study. J Card Fail 2024; 30:520-522. [PMID: 38266869 DOI: 10.1016/j.cardfail.2023.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 12/16/2023] [Accepted: 12/18/2023] [Indexed: 01/26/2024]
Affiliation(s)
- Rafaela Vebber Bisol
- Caxias do Sul University, Caxias do Sul, Brazil; Graduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Nadine Clausell
- Graduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Heart Transplant Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Jefferson L Vieira
- Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, Brazil
| | - Fernando Bacal
- Instituto do Coração (InCor), Hospital das Clínicas - Faculdade de Medicina, São Paulo, Brazil
| | | | - Livia Adams Goldraich
- Graduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Heart Transplant Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
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Drazner MH, Ambardekar AV, Berlacher K, Blumer V, Chatur S, Cheng R, Cheng RK, Grandin EW, Gorodeski EZ, Kataria R, Katz JN, Kittleson MM, Krishnamoorthy A, Lala A, Lenneman AJ, Lohr NL, Margulies KB, Mentz RJ, Reza N, Wilcox J, Youmans QR, Zieroth S, Teerlink JR. The HFSA Advanced Heart Failure and Transplant Cardiology Fellowship Consensus Conference. J Card Fail 2024; 30:391-398. [PMID: 37806488 DOI: 10.1016/j.cardfail.2023.09.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 09/22/2023] [Accepted: 09/23/2023] [Indexed: 10/10/2023]
Abstract
There is waning interest among cardiology trainees in pursuing an Advanced Heart Failure/Transplant Cardiology (AHFTC) fellowship as evidenced by fewer applicants in the National Resident Matching Program match to this specialty. This trend has generated considerable attention across the heart failure community. In response, the Heart Failure Society of America convened the AHFTC Fellowship Task Force with a charge to develop strategies to increase the value proposition of an AHFTC fellowship. Subsequently, the HFSA sponsored the AHFTC Fellowship Consensus Conference April 26-27, 2023. Before the conference, interviews of 44 expert stakeholders diverse across geography, site of practice (traditional academic medical center or other centers), specialty/area of expertise, sex, and stage of career were conducted virtually. Based on these interviews, potential solutions to address the declining interest in AHFTC fellowship were categorized into five themes: (1) alternative training pathways, (2) regulatory and compensation, (3) educational improvements, (4) exposure and marketing for pipeline development, and (5) quality of life and mental health. These themes provided structure to the deliberations of the AHFTC Fellowship Consensus Conference. The recommendations from the Consensus Conference were subsequently presented to the HFSA Board of Directors to inform strategic plans and interventions. The HFSA Board of Directors later reviewed and approved submission of this document. The purpose of this communication is to provide the HF community with an update summarizing the processes used and concepts that emerged from the work of the HFSA AHFTC Fellowship Task Force and Consensus Conference.
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Affiliation(s)
- Mark H Drazner
- Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas.
| | - Amrut V Ambardekar
- Department of Medicine, Division of Cardiology; University of Colorado Anschutz Medical Campus, Aurora, Colorado
| | - Kathryn Berlacher
- Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Vanessa Blumer
- Inova Schar and Vascular Institute, Falls Church, Virginia
| | - Safia Chatur
- Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Richard Cheng
- Division of Cardiology, Department of Internal Medicine; University of California San Francisco, San Francisco, California
| | - Richard K Cheng
- Division of Cardiology, University of Washington, Seattle, Washington
| | - E Wilson Grandin
- Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
| | - Eiran Z Gorodeski
- Harrington Heart & Vascular Institute, University Hospitals, and Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Rachna Kataria
- Department of Cardiology, Lifespan Cardiovascular Institute, Brown University, Providence, Rhode Island
| | - Jason N Katz
- Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina
| | - Michelle M Kittleson
- Department of Cardiology, Smidt Heart Institute-Cedars Sinai Medical Center, Los Angeles, California
| | | | - Anuradha Lala
- Zena and Michael A. Wiener Cardiovascular Institute & Department of Population Health Science & Policy at Icahn School of Medicine at Mount Sinai, New York, New York
| | - Andrew J Lenneman
- Division of Cardiovascular Disease; University of Alabama at Birmingham, Birmingham, Alabama
| | - Nicole L Lohr
- Division of Cardiovascular Disease; University of Alabama at Birmingham, Birmingham, Alabama
| | - Kenneth B Margulies
- Division of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Robert J Mentz
- Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina
| | - Nosheen Reza
- Division of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Jane Wilcox
- Division of Cardiovascular Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Quentin R Youmans
- Division of Cardiovascular Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Shelley Zieroth
- Section of Cardiology, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - John R Teerlink
- Section of Cardiology, San Francisco Veterans Affairs Medical Center and School of Medicine, University of California San Francisco, San Francisco, California
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Youmans QR, Lala A, Mentz RJ. JCF Heart Failure Year-In-Review 2023… Shaping the Future of Heart Failure. J Card Fail 2024; 30:1-3. [PMID: 38212089 DOI: 10.1016/j.cardfail.2023.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Affiliation(s)
- Quentin R Youmans
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Anuradha Lala
- Zena and Michael A. Wiener Cardiovascular Institute and Department of Population Health Science and Policy, Mount Sinai, New York, NY, USA
| | - Robert J Mentz
- Duke University Medical Center and Duke Clinical Research Institute, Durham, NC, USA
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Onumajuru C, Aloh M. Comment on: Sudden Cardiac Death in Heart Failure: A 20-Year Perspective From a Mediterranean Cohort. Curr Probl Cardiol 2023; 48:101972. [PMID: 37473951 DOI: 10.1016/j.cpcardiol.2023.101972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Accepted: 07/16/2023] [Indexed: 07/22/2023]
Affiliation(s)
- Cindy Onumajuru
- Department of Medicine, University of Cape Coast School of Medical Sciences, Cape Coast, Ghana.
| | - Macdonald Aloh
- Department of Medicine, Fort Valley State University, Fort Valley, GA
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Israel OF, Akubuiro C. Comment on: A Roadmap to Reinvigorating Training Pathways Focused on the Care of Patients With Heart Failure: Shifting From Failure to Function. Curr Probl Cardiol 2023; 48:101976. [PMID: 37473945 DOI: 10.1016/j.cpcardiol.2023.101976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 07/16/2023] [Indexed: 07/22/2023]
Affiliation(s)
| | - Chiderah Akubuiro
- Trinity Medical Sciences University, Ribishi, St. Vincent and the Grenadines
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Chuzi S, Colvin M, Mohammed SF, Wilcox J, Sweitzer NK. Markets, Messaging, and Mastery: Reframing the Conversation Around the Heart Failure Physician Workforce. Circ Heart Fail 2023; 16:e010908. [PMID: 37462030 DOI: 10.1161/circheartfailure.123.010908] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Affiliation(s)
- Sarah Chuzi
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (S.C., J.W.)
| | - Monica Colvin
- Department of Cardiology, University of Michigan, Ann Arbor (M.C.)
| | - Selma F Mohammed
- Division of Cardiology, Creighton University School of Medicine, Omaha, NE (S.F.M.)
| | - Jane Wilcox
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (S.C., J.W.)
| | - Nancy K Sweitzer
- Department of Medicine, Washington University School of Medicine, St. Louis, MO (N.K.S.)
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Salah HM, Fudim M, Burkhoff D. Device Interventions for Heart Failure. JACC. HEART FAILURE 2023; 11:1039-1054. [PMID: 37611987 DOI: 10.1016/j.jchf.2023.07.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 06/26/2023] [Accepted: 07/05/2023] [Indexed: 08/25/2023]
Abstract
Despite remarkable advances in drug therapy for heart failure (HF), the residual HF-related morbidity, mortality, and hospitalizations remain substantial across all HF phenotypes, and significant proportions of patients with HF remain symptomatic despite optimal drug therapy. Driven by these unmet clinical needs, the exponential growth of transcatheter interventions, and a recent shift in the regulatory landscape of device-based therapies, novel device-based interventions have emerged as a potential therapy for various phenotypes of HF. Device-based interventions can overcome some of the limitations of drug therapy (eg, intolerance, nonadherence, inconsistent delivery, and recurrent and long-term cost) and can target some HF-related pathophysiologic pathways more effectively than drug therapy. This paper reviews the current evolving landscape of device-based interventions in HF and highlights critical points related to implementation of these therapies in the current workflow of HF management.
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Affiliation(s)
- Husam M Salah
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Marat Fudim
- Division of Cardiology, Department of Medicine, Duke University, Durham, North Carolina, USA; Duke Clinical Research Institute, Durham, North Carolina, USA
| | - Daniel Burkhoff
- Cardiovascular Research Foundation, New York, New York, USA.
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