Cardiovascular disease training lessons learned during the COVID-19 pandemic: Need for change in training paradigm
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Cardiology Fellowship Program, Magnolia Regional Health Center, Corinth, MS
Received Jul 15, 2020; revised Jul 25, 2020; accepted Jul 29, 2020 doi:10.1007/s12350-020-02314-x
Key Words: Cardiology fellowship Æ COCATS guidelines Æ COVID-19 Æ fellow in training Abbreviations ACC ACGME
American College of Cardiology Accreditation Council for Graduate Medical Education
ASE ASNC
American Society of Echocardiography American Society of Nuclear Cardiology
COCATS COVID-19
Core cardiovascular training statement Corona virus disease 2019
FIT
Fellows in training
IMG NRMP
International medical graduate National resident matching program
USCIS
United States citizenship and immigration services
Reprint requests: Dakshin Gangadharamurthy, MD, MPH, Cardiology Fellowship Program, Magnolia Regional Health Center, 611 Alcorn Drive, Corinth, MS 38834; [email protected] J Nucl Cardiol 1071-3581/$34.00 Copyright Ó 2020 The Author(s).
The novel corona virus (COVID-19) pandemic has led to an astonishing and unprecedented international health crisis which has resulted in exceptional challenges at the workplace and lives of the healthcare community. Patients with preexisting cardiovascular comorbidities are predominantly at high risk of developing complications and over 814,000 patients have succumbed to its overwhelming mortality across the globe as reported by the World Health Organization. There has been a rapid surge of COVID-19 cases recently especially in Arizona, California, Florida and Texas with possibly a second wave of pandemic expected during the next winter. Federal government and the state authorities have taken aggressive measures to limit the spread of infection through social distancing.1,2 However, the reported mortality here in the USA is over 177,000 and has exceeded Vietnam War toll.1,3 Some of the common cardiovascular manifestations include but not limited to heart failure, arrhythmia, fulminant myocarditis, myopericarditis, and thrombophilia.4 Fellows in training (FITs) are at the forefront
Gangadharamurthy Cardiovascular disease training lessons learned during the COVID-19 pandemic
of patient care to meet the clinical demands of overwhelming influx of patients affected with COVID-19. The COVID-19 pandemic has led to extraordinary clinical demands on the healthcare community. In addition, it has affected the didactic activities and training experience of cardiology fellows significantly. Furthermore FITs with children, especially when both the spouses are in training are faced with unique challenges following the closure of schools and daycare which creates logistical problems related to work-life harmony.
Journal of Nuclear CardiologyÒ
time. FITs assigned to non-cardiology services are challenged with infection control, airway management and use of experimental treatments. However, critical care experience and educational mile stones achieved through rotations in cardiovascular intensive care rotations will be helpful as the current reports indicate that COVID-19 infection and cardiovascula
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