Division of Cardiology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Division of Cardiology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Am J Cardiol. 2014 Aug 15;114(4):629-34. doi: 10.1016/j.amjcard.2014.05.046. Epub 2014 Jun 6.
Understanding the perspective of early-career cardiologists is important to design effective responses to the challenges in modern cardiovascular (CV) training programs. We conducted a web-based survey on a total of 272 early-career cardiologists (within 10 postgraduate years) who registered for the 2011 annual Japanese Circulation Society Meeting. Main outcome measures were satisfaction with their training, confidence in their clinical skills, and professional expectations, scaled from 0 to 10. The median training time was 6 years, with 2 years for internal medicine and 4 years for CV disease. Most received their training in university hospitals at some point during their career (79.5%) and were interested in a subspecialty training, such as interventional cardiology (38.6%), electrophysiology (15.1%), and advanced heart failure (10.3%); only 9.6% showed interest in general cardiology. The respondents felt comfortable in managing common CV conditions such as coronary artery disease (average score 6.3 ± 2.4 on an 11-point Likert scale) but less so in peripheral arterial disease (3.8 ± 2.8), arrhythmias (3.7 ± 2.3), and congenital heart disease (2.9 ± 2.2). Their satisfaction rate with their CV training positively correlated with their clinical proficiency level and was associated with volume of coronary angiograms, percutaneous coronary interventions, and echocardiograms completed. In conclusion, the current young cardiologists have a positive perception of and interest in procedure-based subspecialty training, and their training satisfaction was related to volume of cardiac procedures. Additional effort is needed in enforcing the training in underappreciated subspecialty areas.
了解青年心脏病专家的观点对于设计针对现代心血管（CV）培训计划挑战的有效应对措施很重要。我们对总共 272 名注册参加 2011 年日本循环学会年会的青年心脏病专家（在研究生毕业后的 10 年内）进行了一项基于网络的调查。主要观察指标是对培训的满意度、对临床技能的信心以及职业期望，分值为 0 到 10 分。中位培训时间为 6 年，内科培训 2 年，CV 疾病培训 4 年。大多数人在职业生涯中的某个时候在大学医院接受过培训（79.5%），并对介入心脏病学（38.6%）、电生理学（15.1%）和高级心力衰竭（10.3%）等亚专科培训感兴趣；只有 9.6%的人对普通心脏病学感兴趣。受访者在管理常见的 CV 疾病方面感到舒适，如冠心病（11 点 Likert 量表上的平均得分 6.3 ± 2.4），但在周围动脉疾病（3.8 ± 2.8）、心律失常（3.7 ± 2.3）和先天性心脏病（2.9 ± 2.2）方面的舒适度较低。他们对 CV 培训的满意度与其临床熟练程度呈正相关，与完成的冠状动脉造影、经皮冠状动脉介入治疗和超声心动图的数量有关。总之，当前的年轻心脏病专家对基于程序的亚专科培训有积极的看法和兴趣，他们的培训满意度与心脏手术的数量有关。需要进一步努力加强在不受重视的亚专科领域的培训。
