PII: S0735-1097(97)00552-4


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PII: S0735-1097(97)00552-4

  1. 1. Interventional cardiology: an added qualification to the cardiovascular boards WW Parmley J. Am. Coll. Cardiol. 1998;31;716-717 This information is current as of July 22, 2010 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://content.onlinejacc.org Downloaded from content.onlinejacc.org by on July 22, 2010
  2. 2. 716 JACC Vol. 31, No. 3 March 1, 1998:716 –7 EDITOR’S PAGE Interventional Cardiology: An Added Qualification to the Cardiovascular Boards WILLIAM W. PARMLEY, MD, FACC Editor-in-Chief Journal of the American College of Cardiology Of great interest to cardiologists who perform invasive proce- primary operator of at least 150 cardiac interventional proce- dures is the new added qualification certification program of dures in the 2 years before application for certification, or 500 the American Board of Internal Medicine (ABIM) in inter- interventional procedures during the candidate’s career. Can- ventional cardiology. Those of us with gray (or little) hair not didates will be required to generate procedural logs for the 2 only remember when cardiology training was only 2 years in years before application. The accuracy of this log must be length, but also remember those oral examinations in cardiol- verified by each catheterization laboratory director before ogy. Since then, the oral examination has disappeared, and submitting an application to the ABIM. A procedural experi- training for cardiology has been increased from 24 months to ence form will require a careful description of all the proce- 36 months. The first added qualification certificate in cardiol- dures performed at each institution where the candidate ogy was electrophysiology, which required an additional year performs interventional procedures. The ABIM will verify a of training. Now, a new added qualification is available to sample of procedure reports with the catheterization labora- interventional cardiologists. The first annual certification ex- tory director, who will be asked to provide copies of the amination in interventional cardiology will be offered at mul- candidate’s log and attest to its accuracy. Furthermore, all tiple sites throughout the country on November 3, 1999. Of candidates must save their procedural logs for 5 years. The great importance is the fact that for the first three examina- training pathway requires 12 months of satisfactory fellowship tions, candidates will be admitted through a practice pathway, training in interventional cardiology in addition to 3 years of or “grandfather” pathway. After the year 2001, only fellows cardiovascular fellowship. One cannot double count a given who have had 12 months of formal training in interventional cardiology in addition to the required 3 years in cardiology will year in this sequence. Until interventional cardiology training be admitted. Although the ABIM rightly indicates that certi- programs are accredited by the Accreditation Council for fication is not required of practitioners in interventional car- Graduate Medical Education (ACGME), the interventional diology and that the certificate does not confer privileges to cardiology training must occur within accredited cardiovascu- practice, it is clear that more and more hospitals will probably lar training programs. During training in interventional cardi- use this as a hurdle for those who wish to practice interven- ology, the fellow must have performed at least 250 cardiac tional cardiology. interventional procedures that must be documented and at- There will be four components to the program, including 1) tested to by the training program director. admission requirements, 2) practice experience and training Clinical competence requirements will require substantia- requirements, 3) clinical competence requirements, and 4) the tion by local authorities that the candidate’s clinical compe- interventional cardiology certification examination. Admission tence as an interventional cardiology consultant is satisfactory requirements include a valid unrestricted license to practice and that the candidate is in good standing in the medical medicine and current certification by the ABIM in cardiovas- community. The certification examination itself will be a cular disease. The practice experience and training require- comprehensive 1-day examination of multiple-choice questions ments for the years 1999 to 2001 require performance as the in the one-best answer format with an absolute standard for passing. Registration for the first examination (November 3, 1999) will extend from January 1 to April 1, 1999. The Address for correspondence: William W. Parmley, MD, Editor-in-Chief, Journal of the American College of Cardiology, 415 Judah Street, San Francisco, examination will assess the candidate’s knowledge and clinical California 94122. judgment in case selection (25%), procedural techniques ©1998 by the American College of Cardiology Downloaded from content.onlinejacc.org by on July 22, 2010 0735-1097/98/$19.00 Published by Elsevier Science Inc. PII S0735-1097(97)00552-4
  3. 3. JACC Vol. 31, No. 3 PARMLEY 717 March 1, 1998:716 –7 EDITOR’S PAGE (25%), basic science (15%), pharmacology (20%), imaging the American College of Cardiology/American Heart Associ- (10%) and miscellaneous items (5%). ation guidelines, coupled with specialized training for interven- I anticipate that not every cardiology training program may tional cardiology, may reduce the numbers in the future who necessarily have the ability to certify every fellow in interven- wish to engage in this subspecialty. Alternatively, the estab- tional cardiology. It is likely that this will result in a pyramidal lishment of a separate Board examination for an added system so that only a selected few will meet the required qualification may increase the incentive for more individuals training numbers. It is incumbent on training programs to be to qualify for the examination to broaden their options. In sure that they can provide the appropriate experience for any event, this is another important step by the ABIM, and interventional training before accepting fellows for this addi- the purpose of this Editor’s Page is to widely disseminate tional year. this information among cardiologists and cardiovascular It appears that the minimum number of cases required by trainees. Downloaded from content.onlinejacc.org by on July 22, 2010
  4. 4. Interventional cardiology: an added qualification to the cardiovascular boards WW Parmley J. Am. Coll. Cardiol. 1998;31;716-717 This information is current as of July 22, 2010 Rights & Permissions Information about reproducing this article in parts (figures, tables) or in its entirety can be found online at: http://content.onlinejacc.org/misc/permissions.dtl Reprints Information about ordering reprints can be found online: http://content.onlinejacc.org/misc/reprints.dtl Downloaded from content.onlinejacc.org by on July 22, 2010