Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training
Background Team‐based models of cardio‐obstetrics care have been developed to address the increasing rate of maternal mortality from cardiovascular diseases. Cardiovascular clinician and trainee knowledge and comfort with this topic, and the extent of implementation of an interdisciplinary approach...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-04-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.121.024229 |
| _version_ | 1797301653383151616 |
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| author | Natalie A. Bello Akanksha Agrawal Melinda B. Davis Colleen M. Harrington Kathryn J. Lindley Margo B. Minissian Garima Sharma Mary Norine Walsh Ki Park |
| author_facet | Natalie A. Bello Akanksha Agrawal Melinda B. Davis Colleen M. Harrington Kathryn J. Lindley Margo B. Minissian Garima Sharma Mary Norine Walsh Ki Park |
| author_sort | Natalie A. Bello |
| collection | DOAJ |
| description | Background Team‐based models of cardio‐obstetrics care have been developed to address the increasing rate of maternal mortality from cardiovascular diseases. Cardiovascular clinician and trainee knowledge and comfort with this topic, and the extent of implementation of an interdisciplinary approach to cardio‐obstetrics, are unknown. Methods and Results We aimed to assess the current state of cardio‐obstetrics knowledge, practices, and services provided by US cardiovascular clinicians and trainees. A survey developed in conjunction with the American College of Cardiology was circulated to a representative sample of cardiologists (N=311), cardiovascular team members (N=51), and fellows in training (N=139) from June 18, 2020, to July 29, 2020. Knowledge and attitudes about the provision of cardiovascular care to pregnant patients and the prevalence and composition of cardio‐obstetrics teams were assessed. The widest knowledge gaps on the care of pregnant compared with nonpregnant patients were reported for medication safety (42%), acute coronary syndromes (39%), aortopathies (40%), and valvular heart disease (30%). Most respondents (76%) lack access to a dedicated cardio‐obstetrics team, and only 29% of practicing cardiologists received cardio‐obstetrics didactics during training. One third of fellows in training reported seeing pregnant women 0 to 1 time per year, and 12% of fellows in training report formal training in cardio‐obstetrics. Conclusions Formalized training in cardio‐obstetrics is uncommon, and limited access to multidisciplinary cardio‐obstetrics teams and large knowledge gaps exist among cardiovascular clinicians. Augmentation of cardio‐obstetrics education across career stages is needed to reduce these deficits. These survey results are an initial step toward developing a standard expectation for clinicians’ training in cardio‐obstetrics. |
| first_indexed | 2024-03-07T23:25:37Z |
| format | Article |
| id | doaj.art-57716fbe77754c318f4f75024e7d0f4b |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-03-07T23:25:37Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-57716fbe77754c318f4f75024e7d0f4b2024-02-21T04:32:43ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802022-04-0111810.1161/JAHA.121.024229Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in TrainingNatalie A. Bello0Akanksha Agrawal1Melinda B. Davis2Colleen M. Harrington3Kathryn J. Lindley4Margo B. Minissian5Garima Sharma6Mary Norine Walsh7Ki Park8Department of Cardiology Smidt Heart Institute Cedars‐Sinai Medical Center Los Angeles CAEmory Heart and Vascular Center Emory Women’s Heart Center Emory University School of Medicine Atlanta GADivision of Cardiovascular Medicine University of Michigan Ann Arbor MIDivision of Cardiovascular Medicine Department of Medicine University of Massachusetts School of Medicine Worcester MACardiovascular Division Department of Medicine Washington University in St Louis MOBarbra Streisand Women’s Heart Center Cedars‐Sinai Smidt Heart Institute and the Geri and Richard Brawerman Nursing Institute Cedars‐Sinai Medical Center Los Angeles CACiccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MDDivision of Cardiology St. Vincent Heart Center Indianapolis INDivision of Cardiovascular Medicine University of Florida College of Medicine Gainesville FLBackground Team‐based models of cardio‐obstetrics care have been developed to address the increasing rate of maternal mortality from cardiovascular diseases. Cardiovascular clinician and trainee knowledge and comfort with this topic, and the extent of implementation of an interdisciplinary approach to cardio‐obstetrics, are unknown. Methods and Results We aimed to assess the current state of cardio‐obstetrics knowledge, practices, and services provided by US cardiovascular clinicians and trainees. A survey developed in conjunction with the American College of Cardiology was circulated to a representative sample of cardiologists (N=311), cardiovascular team members (N=51), and fellows in training (N=139) from June 18, 2020, to July 29, 2020. Knowledge and attitudes about the provision of cardiovascular care to pregnant patients and the prevalence and composition of cardio‐obstetrics teams were assessed. The widest knowledge gaps on the care of pregnant compared with nonpregnant patients were reported for medication safety (42%), acute coronary syndromes (39%), aortopathies (40%), and valvular heart disease (30%). Most respondents (76%) lack access to a dedicated cardio‐obstetrics team, and only 29% of practicing cardiologists received cardio‐obstetrics didactics during training. One third of fellows in training reported seeing pregnant women 0 to 1 time per year, and 12% of fellows in training report formal training in cardio‐obstetrics. Conclusions Formalized training in cardio‐obstetrics is uncommon, and limited access to multidisciplinary cardio‐obstetrics teams and large knowledge gaps exist among cardiovascular clinicians. Augmentation of cardio‐obstetrics education across career stages is needed to reduce these deficits. These survey results are an initial step toward developing a standard expectation for clinicians’ training in cardio‐obstetrics.https://www.ahajournals.org/doi/10.1161/JAHA.121.024229cardio‐obstetricscontinuing medical educationmedical knowledgepregnancy |
| spellingShingle | Natalie A. Bello Akanksha Agrawal Melinda B. Davis Colleen M. Harrington Kathryn J. Lindley Margo B. Minissian Garima Sharma Mary Norine Walsh Ki Park Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardio‐obstetrics continuing medical education medical knowledge pregnancy |
| title | Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training |
| title_full | Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training |
| title_fullStr | Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training |
| title_full_unstemmed | Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training |
| title_short | Need for Better and Broader Training in Cardio‐Obstetrics: A National Survey of Cardiologists, Cardiovascular Team Members, and Cardiology Fellows in Training |
| title_sort | need for better and broader training in cardio obstetrics a national survey of cardiologists cardiovascular team members and cardiology fellows in training |
| topic | cardio‐obstetrics continuing medical education medical knowledge pregnancy |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.121.024229 |
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