Garagiola Maria Luz, Beauchesne Luc, Ducas Robin, Salehian Omid, Sathananthan Gnalini, Windram Jonathan, Grewal Jasmine, Blissett Sarah
Department of Medicine, Division of Cardiology, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Division of Cardiology, Department of Medicine, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
CJC Pediatr Congenit Heart Dis. 2025 Mar 13;4(3):129-137. doi: 10.1016/j.cjcpc.2025.03.001. eCollection 2025 Jun.
The increasing number of people with adult congenital heart disease (ACHD) leads to greater involvement of non-ACHD cardiologists in their care. Defining and supporting the educational priorities of non-ACHD cardiologists is key to ensure care of this population.
Between November 2023 and March 2024, Canadian cardiologists were invited to participate via email and the Canadian Cardiology Society bulletin. They self-identified as ACHD or non-ACHD cardiologists. The survey explored (1) self-identified knowledge gaps of non-ACHD cardiologists, (2) current scope of practice of non-ACHD cardiologists, and (3) ACHD perspectives on the recommended scope of practice of non-ACHD cardiologists. Educational priorities were defined as diagnoses or topics frequently identified as self-identified knowledge gaps or in the current or recommended scope of practice.
A total of 133 of 1263 Canadian Cardiology Society members participated, of whom 32 were ACHD specialists. Thirty-three percent of non-ACHD cardiologists did not have an ACHD specialist on-site, and 24% indicated that there was no ACHD specialist within 100 km. Non-ACHD cardiologists encountered patients with ACHD in the inpatient (42%) and outpatient settings (42%), whereas ACHD cardiologists predominantly encountered outpatients (81%). Frequent self-identified knowledge gaps included great complexity diagnoses and management of pregnancy, arrhythmias, and heart failure. Recommended and current scope of practice involved simple and moderate diagnoses.
Targeted educational resources for non-ACHD cardiologists should initially focus on the identified educational priorities, including simple and some moderate diagnoses, a primer on great complexity diagnoses, acute management of heart failure and arrhythmias, and a primer on pregnancy in patients with ACHD.
患有成人先天性心脏病（ACHD）的人数不断增加，这使得非ACHD心脏病专家更多地参与到对他们的治疗中。明确并支持非ACHD心脏病专家的教育重点是确保对这一人群进行治疗的关键。
在2023年11月至2024年3月期间，通过电子邮件和《加拿大心脏病学会公报》邀请加拿大心脏病专家参与。他们自行确定为ACHD或非ACHD心脏病专家。该调查探讨了：（1）非ACHD心脏病专家自行确定的知识差距；（2）非ACHD心脏病专家目前的执业范围；（3）ACHD患者对非ACHD心脏病专家推荐执业范围的看法。教育重点被定义为经常被确定为自行确定的知识差距或在目前或推荐的执业范围内的诊断或主题。
1263名加拿大心脏病学会成员中共有133人参与，其中32人是ACHD专家。33%的非ACHD心脏病专家所在机构没有ACHD专家，24%的人表示在100公里范围内没有ACHD专家。非ACHD心脏病专家在住院患者（42%）和门诊患者（42%）中遇到过ACHD患者，而ACHD心脏病专家主要遇到门诊患者（81%）。常见的自行确定的知识差距包括复杂的妊娠诊断和管理、心律失常和心力衰竭。推荐的和目前的执业范围涉及简单和中度诊断。
针对非ACHD心脏病专家的有针对性的教育资源应首先关注已确定的教育重点，包括简单和一些中度诊断、复杂诊断入门、心力衰竭和心律失常的急性管理，以及ACHD患者妊娠入门。
