September 13th, 2010
Fellowship Training Around the World
In the last of a series of posts from the ESC meetings, Susan Cheng offered some interesting insights into differences between the ESC and the large U.S. meetings such as AHA and ACC, including major differences in how research is funded and performed in countries outside the U.S. Comoderator Andy Kates and I started thinking about how the training of cardiologists also varies across countries. In the U.S., the “format” of clinical training for cardiovascular specialists is highly regulated (even over-regulated!) by the ACGME and ABIM and so is fairly similar across institutions. However, it differs vastly from the training formats in many other countries. For example, in my interactions with a number of cardiovascular fellows from Brazil, I’ve observed the following differences:
- Students complete medical school at a younger age than in the U.S.
- Internal medicine training is brief.
- “General cardiology” training does not include developing expertise in basic procedures such as diagnostic catheterization and echo interpretation.
- Fellows may elect or apply for additional training in catheterization, echo, EP, etc., but do not have broad-based training in all of these core skills.
We’d love to hear from you about your insights into differences in training across countries, and in particular, whether there are features that we should consider adopting in the U.S.