Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI, USA.
Am J Cardiol. 2012 Jul 1;110(1):124-8. doi: 10.1016/j.amjcard.2012.02.059. Epub 2012 Apr 4.
We evaluated preventive cardiology education in United States cardiology fellowship programs and their adherence to Core Cardiovascular Training Symposium training guidelines, which recommend 1 month of training, faculty with expertise, and clinical experience in cardiac rehabilitation, lipid disorder management, and diabetes management as a part of the prevention curricula. We sent an anonymous survey to United States cardiology program directors and their chief fellow. The survey assessed the program curricula, rotation structure, faculty expertise, obstacles, and recommended improvements. The results revealed that 24% of surveyed programs met the Core Cardiovascular Training Symposium guidelines with a dedicated 1-month rotation in preventive cardiology, 24% had no formalized training in preventive cardiology, and 30% had no faculty with expertise in preventive cardiology, which correlated with fewer rotations in prevention than those with specialized faculty (p = 0.009). Fellows rotated though the following experiences (% of programs): cardiac rehabilitation, 71%; lipid management, 37%; hypertension, 15%; diabetes, 7%; weight management/obesity, 6%; cardiac nutrition, 6%; and smoking cessation, 5%. The program directors cited "lack of time" as the greatest obstacle to providing preventive cardiology training and the chief fellows reported "lack of a developed curriculum" (p = 0.01). The most recommended improvement was for the American College of Cardiology to develop a web-based curriculum/module. In conclusion, most surveyed United States cardiology training programs currently do not adhere to basic preventive cardiovascular medicine Core Cardiovascular Training Symposium recommendations. Additional attention to developing curricular content and structure, including the creation of an American College of Cardiology on-line knowledge module might improve fellowship training in preventive cardiology.
我们评估了美国心脏病学住院医师培训计划中的预防心脏病学教育，以及它们对核心心血管培训研讨会培训指南的遵守情况，该指南建议在预防课程中进行为期 1 个月的培训、具备专业知识的教师以及在心脏康复、脂质紊乱管理和糖尿病管理方面的临床经验。我们向美国心脏病学项目主任及其首席研究员发送了一份匿名调查。该调查评估了项目课程、轮转结构、教师专业知识、障碍以及建议的改进措施。结果显示，24%的调查项目符合核心心血管培训研讨会指南，即设有专门的 1 个月轮转预防心脏病学，24%的项目没有正式的预防心脏病学培训，30%的项目没有预防心脏病学专业知识的教师，这与具有专业教师的项目相比，预防轮转较少（p = 0.009）。住院医师轮转的经历如下（占项目的百分比）：心脏康复，71%；脂质管理，37%；高血压，15%；糖尿病，7%；体重管理/肥胖，6%；心脏营养，6%；以及戒烟，5%。项目主任将“缺乏时间”列为提供预防心脏病学培训的最大障碍，首席研究员报告称“缺乏已开发的课程”（p = 0.01）。最推荐的改进措施是美国心脏病学会开发一个基于网络的课程/模块。总之，目前大多数接受调查的美国心脏病学培训项目不符合核心心血管培训研讨会的基本预防心血管医学建议。更多关注课程内容和结构的开发，包括创建美国心脏病学会在线知识模块，可能会改善预防心脏病学的住院医师培训。
