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Training Paradigms in Critical Care Cardiology: A Scoping Review of Current Literature.
Vallabhajosyula, Saraschandra; Mehta, Aryan; Bansal, Mridul; Jentzer, Jacob C; Applefeld, Willard N; Sinha, Shashank S; Geller, Bram J; Gage, Ann E; Rose, Scott W; Barnett, Christopher F; Katz, Jason N; Morrow, David A; Roswell, Robert O; Solomon, Michael A.
Afiliación
  • Vallabhajosyula S; Section of Cardiology, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI.
  • Mehta A; Lifespan Cardiovascular Institute, Providence, RI.
  • Bansal M; Department of Medicine, University of Connecticut School of Medicine, Farmington, CT.
  • Jentzer JC; Department of Medicine, East Carolina University Brody School of Medicine, Greenville, NC.
  • Applefeld WN; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
  • Sinha SS; Division of Cardiovascular Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC.
  • Geller BJ; Inova Fairfax Heart and Vascular Institute, Inova Fairfax Medical Campus, Falls Church, VA.
  • Gage AE; Department of Cardiovascular Medicine and Department of Cardiovascular Critical Care Services, Maine Medical Center, Portland, ME.
  • Rose SW; Centennial Heart, Centennial Medical Center, Nashville, TN.
  • Barnett CF; Division of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, NC.
  • Katz JN; Division of Cardiology, University of California San Francisco, San Francisco, CA.
  • Morrow DA; Division of Cardiovascular Medicine, Department of Medicine, New York University School of Medicine, New York, NY.
  • Roswell RO; Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
  • Solomon MA; Section of Cardiovascular Medicine, Department of Medicine, Zucker School of Medicine at Hofstra/Northwell, New York, NY.
JACC Adv ; 3(3)2024 Mar.
Article en En | MEDLINE | ID: mdl-38352139
ABSTRACT

Background:

Over the past decade there has been increasing interest in critical care medicine (CCM) training for cardiovascular medicine (CV) physicians either in isolation (separate programs in either order [CV/CCM], integrated critical care cardiology [CCC] training) or hybrid training with interventional cardiology (IC)/heart failure/transplant (HF) with targeted CCC training.

Objective:

To review the contemporary landscape of CV/CCM, CCC, and hybrid training.

Methods:

We reviewed the literature from 2000-2022 for publications discussing training in any combination of internal medicine CV/CCM, CCC, and hybrid training. Information regarding training paradigms, scope of practice and training, duration, sequence, and milestones was collected.

Results:

Of the 2,236 unique citations, 20 articles were included. A majority were opinion/editorial articles whereas two were surveys. The training pathways were classified into - (i) specialty training in both CV (3 years) and CCM (1-2 years) leading to dual American Board of Internal Medicine (ABIM) board certification, or (ii) base specialty training in CV with competencies in IC, HF or CCC leading to a non-ABIM certificate. Total fellowship duration varied between 4-7 years after a three-year internal medicine residency. While multiple articles commented on the ability to integrate the fellowship training pathways into a holistic and seamless training curriculum, few have highlighted how this may be achieved to meet competencies and standards.

Conclusions:

In 20 articles describing CV/CCM, CCC, and hybrid training, there remains significant heterogeneity on the standardized training paradigms to meet training competencies and board certifications, highlighting an unmet need to define CCC competencies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Systematic_reviews Idioma: En Revista: JACC Adv Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Systematic_reviews Idioma: En Revista: JACC Adv Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos