Division of Cardiology, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Heart and Vascular Institute, Lee Health, Fort Myers, Florida, USA.
Clin Cardiol. 2022 Nov;45(11):1135-1138. doi: 10.1002/clc.23914. Epub 2022 Sep 7.
C. Richard (Dick) Conti was a pioneer in innovation…not only in clinical and academic fields, but also in the exposure of academicians, clinicians, and trainees to various environments for expansion of their knowledge base…and world view. In an evolving environment of systems of medical care, engagement in management and planning by physicians and all members of the care team is essential to ensure quality for patients and to develop processes that work effectively for practitioners. This is particularly true in cardiovascular disease, where the majority of physicians are now part of integrated healthcare systems. Such integration can have advantages, but can also lead to a perceived and real loss of professional control over the practice of medicine. As health systems grow, even those practitioners who remain "independent" require the ability to actively engage in system programs, processes, and planning. Tools to effectively contribute to such skill sets are not commonly part of formal training. This communication describes the needs for training in nonclinical competencies, some current resources, and a model for formal integration of such instruction into cardiology fellowship training. An approach such as this honors the memory of Dick Conti, as an educator and leader who continuously looked for avenues to improve the practice of cardiovascular medicine.
C. Richard（迪克）·康迪是创新的先驱……不仅在临床和学术领域，还在于让学者、临床医生和受训者接触到各种环境，以扩展他们的知识库……和世界观。在医疗保健系统不断发展的环境中，医生和护理团队的所有成员都必须参与管理和规划，以确保患者的质量，并制定对从业者有效的流程。在心血管疾病中尤其如此，现在大多数医生都属于综合医疗保健系统。这种整合可能有优势，但也可能导致对医学实践的专业控制的感知和实际丧失。随着医疗系统的发展，即使那些保持“独立”的从业者也需要有能力积极参与系统项目、流程和规划。有效贡献这些技能组合的工具通常不是正规培训的一部分。本通讯描述了非临床能力培训的需求、一些现有资源，以及将此类指导正式纳入心脏病学研究员培训的模式。这种方法是对迪克·康迪的敬意，他是一位教育家和领导者，一直在寻找途径来改善心血管医学的实践。
