TY - JOUR
T1 - The Implications of Acute Clinical Care Responsibilities on the Contemporary Practice of Interventional Cardiology
AU - Workgroup on Acute Care Cardiology and the Interventional Section Leadership Council
AU - American College of Cardiology
AU - Klein, Lloyd W.
AU - Rab, Tanveer
AU - Anderson, H. Vernon
AU - Lotfi, Amir
AU - Truesdell, Alexander G.
AU - Duffy, Peter L.
AU - Welt, Frederick
AU - Mehran, Roxana
AU - Kleiman, Neal S.
N1 - Funding Information:
Dr. Truesdell has served as a consultant and on the Speakers Bureau for Abiomed. Dr. Welt has received research funding from Siemens; and has served on the advisory board for Medtronic. Dr. Mehran has received grants from and served as a consultant for Abbott Laboratories, Abiomed, Boston Scientific, Cardiovascular Systems, Inc, Medscape, Siemens Medical Solutions, PLx Opco, Inc./dba PLx Pharma Inc., Regeneron Pharmaceuticals Inc., Roivant Sciences, Inc., Spectranetics/Phillips/Volcano Corporation, The Medicines Company, Sanofi, AstraZeneca, Bayer, Beth Israel Deaconess, Bristol-Myers Squibb, CSL Behring, Eli Lilly/Daiichi-Sankyo Inc., Medtronic, Novartis Pharmaceuticals, OrbusNeich, Claret Medical, Elixir Medical, Janssen Pharmaceuticals, Osprey Medical, and Watermark Research Partners. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Publisher Copyright:
© 2019 American College of Cardiology Foundation
PY - 2019/3/25
Y1 - 2019/3/25
N2 - The responsibilities of the interventional cardiologist (IC) have evolved in contemporary practice to include substantial acute care clinical duties outside of the cardiac catheterization laboratory. In particular, the IC has assumed a central role in the global management of myocardial infarction and other acute coronary syndromes in the intensive care unit and beyond. These duties have expanded to include many nonprocedural tasks. The Interventional Section Leadership Council (ISLC) of the American College of Cardiology (ACC) therefore recommends: 1) these implications should be directly considered in the ACC's future planning and policy statements concerning manpower, competence, education, and reimbursement; 2) the development of an acute care cardiology subspecialty should be undertaken; 3) steps should be taken to adjust the number of ICs primarily on the basis of optimizing procedural volume and quality; and 4) the annual number of coronary interventions performed should not solely define competence in the future, but should include the performance of acute cardiology responsibilities.
AB - The responsibilities of the interventional cardiologist (IC) have evolved in contemporary practice to include substantial acute care clinical duties outside of the cardiac catheterization laboratory. In particular, the IC has assumed a central role in the global management of myocardial infarction and other acute coronary syndromes in the intensive care unit and beyond. These duties have expanded to include many nonprocedural tasks. The Interventional Section Leadership Council (ISLC) of the American College of Cardiology (ACC) therefore recommends: 1) these implications should be directly considered in the ACC's future planning and policy statements concerning manpower, competence, education, and reimbursement; 2) the development of an acute care cardiology subspecialty should be undertaken; 3) steps should be taken to adjust the number of ICs primarily on the basis of optimizing procedural volume and quality; and 4) the annual number of coronary interventions performed should not solely define competence in the future, but should include the performance of acute cardiology responsibilities.
KW - acute care cardiology
KW - quality assessment
KW - subspecialization
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U2 - 10.1016/j.jcin.2018.12.030
DO - 10.1016/j.jcin.2018.12.030
M3 - Review article
C2 - 30898257
AN - SCOPUS:85062603227
SN - 1936-8798
VL - 12
SP - 595
EP - 599
JO - JACC: Cardiovascular Interventions
JF - JACC: Cardiovascular Interventions
IS - 6
ER -