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Cardiology
Training Program Guidelines, Case Numbers, and Maintenance of Certification
Built from Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease
What’s inside
10 sections · 101 slides
Overview
- Scope of this topic
Bodies that set the standards
- Why formal training standards were needed
- COCATS versus the Advanced Training Statements
- Lifelong Learning Statements
- Accreditation Council for Graduate Medical Education
- Residency Review Committees
- Purpose of the program requirements
- Common Program Requirements
- Sponsoring institution and program director
- Core faculty requirements
- Adjunct program directors for subspecialty tracks
- Institutional volume and support requirements
- Required components of the training program
- Operators working in a cardiac catheterization laboratory
- COCATS 4 and endorsement of the standards
- Division of responsibility
Competency domains and case numbers
- Sources of the training goals and standards
- The 2023 Advanced Training Statement
- The six competency domains
- Professionalism and patient care
- Knowledge, improvement and communication domains
- Entry requirement for Level III training
- Level III minimum procedural volumes
- Composition of the 250 procedures
- Interventional cardiology training pathway
- Prerequisite competency during CVD fellowship
- Coronary angiogram of the left coronary system
- Building blocks of core interventional procedural skills
- Core coronary procedural skills
- Balloon angioplasty and stent deployment in a coronary artery
- Core peripheral vascular procedural skills
- Core structural heart procedural skills
- Three areas of interventional practice
Certification and credentialing
- Role of the American Board of Internal Medicine
- What initial certification means
- Pathway to interventional cardiology certification
- Eligibility for board certification
- Requirements for ABIM endorsement
- What the certifying examination assesses
- Content categories of the interventional cardiology examination
- Interventional cardiology examination blueprint
Documented procedural and cognitive mastery
- Clinical conditions fellows must manage
- Peri-procedural and critical care competence
- Pharmacological and support device competence
- Management of procedural complications
- Procedural performance requirements
- Named procedures fellows must perform
- Physiological and imaging procedures required
- Knowledge of lesions and revascularization
- Knowledge of physiology, radiation and thrombosis
- Knowledge of therapies, evidence and surgical backup
- Knowledge of invasive and noninvasive assessment
Maintenance of Certification
- Purpose of Maintenance of Certification
- Eligibility components for maintenance of certification
- Procedural attestation for interventional cardiology
- Which certificates must be maintained
- Controversy over recertification
- Recognition of the NBPAS pathway
- NBPAS recertification requirements
- ABIM maintenance compared with NBPAS
- Institutional credentialing
- Credentialing for new procedures
Certification in Europe
- EAPCI certification
- Structure of the EAPCI certification
- UEMS training requirements and ESC support
Subspecialty training pathways
- Development of endovascular training
- ABVM endovascular certification requirements
- ABVM fellowship and procedural conditions
- Peripheral vascular procedural volume requirements
- Evolution of structural heart intervention
- Aortic root complex and the aortic annulus
- Level III knowledge for structural interventions
- Transcatheter aortic valve training volumes
- Component structural procedure minimums
Adult congenital heart disease intervention
- Emergence of adult congenital heart disease
- ACHD training and practice pathways
- SCAI recommendations on ACHD interventional training
- Device closure procedure minimums
- Angioplasty and stenting procedure minimums
- Access, valve and septal procedure minimums
- Vascular access and angiography minimums
Conclusions
- Why training requirements keep changing
- Expected direction of travel
- Expectations beyond technical competence
- The program director's role in certification
- Key numbers to carry
- Summary of the training and certification system
- References
- References (continued)
- References (continued)
- Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease
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