Attitudes of early-career cardiologists in Japan about their cardiovascular training programs

Takashi Kohno, Shun Kosaka, Kazuki Ohshima, Yasuyoshi Takei, Akira Yamashina, Keiichi Fukuda

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Understanding the perspective of early-career cardiologists is important to design effective responses to the challenges in modern cardiovascular (CV) training programs. We conducted a web-based survey on a total of 272 early-career cardiologists (within 10 postgraduate years) who registered for the 2011 annual Japanese Circulation Society Meeting. Main outcome measures were satisfaction with their training, confidence in their clinical skills, and professional expectations, scaled from 0 to 10. The median training time was 6 years, with 2 years for internal medicine and 4 years for CV disease. Most received their training in university hospitals at some point during their career (79.5%) and were interested in a subspecialty training, such as interventional cardiology (38.6%), electrophysiology (15.1%), and advanced heart failure (10.3%); only 9.6% showed interest in general cardiology. The respondents felt comfortable in managing common CV conditions such as coronary artery disease (average score 6.3 ± 2.4 on an 11-point Likert scale) but less so in peripheral arterial disease (3.8 ± 2.8), arrhythmias (3.7 ± 2.3), and congenital heart disease (2.9 ± 2.2). Their satisfaction rate with their CV training positively correlated with their clinical proficiency level and was associated with volume of coronary angiograms, percutaneous coronary interventions, and echocardiograms completed. In conclusion, the current young cardiologists have a positive perception of and interest in procedure-based subspecialty training, and their training satisfaction was related to volume of cardiac procedures. Additional effort is needed in enforcing the training in underappreciated subspecialty areas.

Original languageEnglish
Pages (from-to)629-634
Number of pages6
JournalAmerican Journal of Cardiology
Volume114
Issue number4
DOIs
Publication statusPublished - 2014 Aug 15

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Japan
Cardiology
Education
Cardiac Volume
Clinical Competence
Electrophysiology
Peripheral Arterial Disease
Percutaneous Coronary Intervention
Internal Medicine
Cardiac Arrhythmias
Coronary Artery Disease
Heart Diseases
Angiography
Cardiovascular Diseases
Heart Failure
Outcome Assessment (Health Care)
Cardiologists
Surveys and Questionnaires

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Attitudes of early-career cardiologists in Japan about their cardiovascular training programs. / Kohno, Takashi; Kosaka, Shun; Ohshima, Kazuki; Takei, Yasuyoshi; Yamashina, Akira; Fukuda, Keiichi.

In: American Journal of Cardiology, Vol. 114, No. 4, 15.08.2014, p. 629-634.

Research output: Contribution to journalArticle

Kohno, Takashi ; Kosaka, Shun ; Ohshima, Kazuki ; Takei, Yasuyoshi ; Yamashina, Akira ; Fukuda, Keiichi. / Attitudes of early-career cardiologists in Japan about their cardiovascular training programs. In: American Journal of Cardiology. 2014 ; Vol. 114, No. 4. pp. 629-634.
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