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With more than 600,000 coronary interventions performed annually in the United States, the American College of Cardiology (ACC), the American Heart Association (AHA), and the Society for Cardiovascular Angiography and Interventions have released a document outlining the skills required to successfully perform coronary-based interventions. The newly released criteria are an update of the initial 2007 statement that was released, and is in response to the changing landscape of interventional cardiology.
The new report states that the criteria for evaluating clinical competency should reach beyond procedural volume and include an evaluation of risk-adjusted outcomes, periodic case reviews of patient selection, and other factors. Some of the clinical competency tenets listed are:
“It is the first cardiovascular competency statement to fully utilize the six domains structure promulgated by the Accreditation Council of Graduate Medical Education and adopted and endorsed by the American Board of Internal Medicine,” said John Gordon Harold, MD, MACC, president of the ACC and chair of the writing committee. “It goes beyond medical knowledge and procedure performance, to include the important issues of leading an interdisciplinary team, working in a complex system, communicating effectively, engaging in continuous quality improvement at the individual and system levels, adhering to evidence-based medicine, and demonstrating the highest levels of professionalism.”
“We hope this report will be used as a tool to help health care systems and physicians provide the best possible care to patients receiving coronary-based interventions,” Dr. Bass said. “It reflects a greater appreciation of the multiple dimensions shaping physician competency and provides much broader guidance in these areas.”
In addition to addressing clinical competency, the document also provides hospitals/facilities with PCI programs with recommendations, including: