Gawalkar Atit A, Paramasivam Ganesh, Akkineni Krishna Prasad, Vijayvergiya Mahek, Karki Pragya, Ghati Nirmal, Padmakumar R, Narang Rajiv, Vijayvergiya Rajesh
All India Institute of Medical Sciences, New Delhi, India.
Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Indian Heart J. 2025 Jul-Aug;77(4):286-289. doi: 10.1016/j.ihj.2025.05.010. Epub 2025 May 20.
The Core Cardiology Training Symposium (COCATS) guidelines, endorsed by the American College of Cardiology (ACC) emphasize competency-based training and establish milestones to be met during cardiology training. However, India lacks such guidelines for training cardiology fellows.
The study aimed to evaluate the self-declared competencies of cardiology fellows across multiple preselected domains as per the COCATS-4 recommendations.
The study was conducted at three premier institutions across India between June 2022 and December 2024. A total of 52 cardiology fellows who had recently completed their 3-year core cardiology training course were included in the study. These candidates completed a questionnaire that included a checklist assessing different levels of competency in various preselected aspects of cardiovascular medicine. Candidates were also asked about their awareness of COCATS-4 standards and cardiology training in India.
While all trainees reported Level 1 competency in cardiac catheterization, heart failure, and adult congenital heart disease, a significantly lower percentage of trainees achieved Level 1 competency in nuclear medicine (1.9 %), cardiac MRI (3.8 %), and cardiac CT (17.3 %). At Level 2, cardiac catheterization (73.1 %) and echocardiography (63.5 %) had the highest self-declared competencies, whereas nuclear medicine (3.8 %), cardiac MRI (0 %), and cardiac CT (0 %) had the lowest. Only 23.1 % of trainees were aware of COCATS-4, and 82.7 % believed that standardized guidelines would improve cardiology training in India.
The results emphasize the wide variability in self-reported competencies of cardiology trainees across India and highlight the deficiencies in certain core areas like cardiovascular imaging.
由美国心脏病学会（ACC）认可的核心心脏病学培训研讨会（COCATS）指南强调基于能力的培训，并设定了心脏病学培训期间要达到的里程碑。然而，印度缺乏针对心脏病学住院医师培训的此类指南。
本研究旨在根据COCATS - 4建议评估心脏病学住院医师在多个预选领域自我宣称的能力。
该研究于2022年6月至2024年12月在印度的三所顶尖机构进行。共有52名最近完成3年核心心脏病学培训课程的心脏病学住院医师纳入研究。这些候选人完成了一份问卷，其中包括一个清单，用于评估心血管医学各个预选方面的不同能力水平。候选人还被问及他们对COCATS - 4标准以及印度心脏病学培训的了解情况。
虽然所有受训者都报告在心脏导管插入术、心力衰竭和成人先天性心脏病方面达到了1级能力，但在核医学（1.9%）、心脏磁共振成像（3.8%）和心脏CT（17.3%）方面达到1级能力的受训者比例显著较低。在2级水平上，心脏导管插入术（73.1%）和超声心动图（63.5%）的自我宣称能力最高，而核医学（3.8%）、心脏磁共振成像（0%）和心脏CT（0%）的自我宣称能力最低。只有23.1%的受训者了解COCATS - 4，82.7%的人认为标准化指南将改善印度的心脏病学培训。
结果强调了印度各地心脏病学受训者自我报告能力的广泛差异，并突出了心血管成像等某些核心领域的不足。
