JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL. 65, NO. 17, 2015 ª 2015 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 0735-1097/$36.00 PUBLISHED BY ELSEVIER INC. http://dx.doi.org/10.1016/j.jacc.2015.03.017 TRAINING STATEMENT ACC 2015 Core Cardiovascular Training Statement (COCATS 4) (Revision of COCATS 3) A Report of the ACC Competency Management Committee Task Force Introduction/Steering Committee Task Force 3: Training in Electrocardiography, Members Jonathan L. Halperin, MD, FACC Ambulatory Electrocardiography, and Exercise Testing (and Society Eric S. Williams, MD, MACC Gary J. Balady, MD, FACC, Chair Representation) Valentin Fuster, MD, PHD, MACC Vincent J. Bufalino, MD, FACC Martha Gulati, MD, MS, FACC Task Force 1: Training in Ambulatory, Jeffrey T. Kuvin, MD, FACC Consultative, and Longitudinal Cardiovascular Care Lisa A. Mendes, MD, FACC Valentin Fuster, MD, PHD, MACC, Co-Chair Joseph L. Schuller, MD Jonathan L. Halperin, MD, FACC, Co-Chair Eric S. Williams, MD, MACC, Co-Chair Task Force 4: Training in Multimodality Imaging Nancy R. Cho, MD, FACC Jagat Narula, MD, PHD, MACC, Chair William F. Iobst, MD* Y.S. Chandrashekhar, MD, FACC Debabrata Mukherjee, MD, FACC Vasken Dilsizian, MD, FACC Prashant Vaishnava, MD Mario J. Garcia, MD, FACC Christopher M. Kramer, MD, FACC Task Force 2: Training in Preventive Shaista Malik, MD, PHD, FACC Cardiovascular Medicine Thomas Ryan, MD, FACC Sidney C. Smith, JR, MD, FACC, Chair Soma Sen, MBBS, FACC Vera Bittner, MD, FACC Joseph C. Wu, MD, PHD, FACC J. Michael Gaziano, MD, FACC John C. Giacomini, MD, FACC Quinn R. Pack, MD Donna M. Polk, MD, MPH, FACC Neil J. Stone, MD, FACC Stanley Wang, MD, JD, MPH This document was approved by the American College of Cardiology Board of Trustees in March 2015. For transparency, disclosure information for the ACC Board of Trustees, the board of the convening organization of this document, is available at: http://www.acc.org/about-acc/leadership/officers-and- trustees. The American College of Cardiology requests that this document be cited as follows: Halperin JL, Williams ES, Fuster V, Cho NR, Iobst WF, Mukherjee D, Vaishnava P, Smith SC Jr, Bittner V, Gaziano JM, Giacomini JC, Pack QR, Polk DM, Stone NJ, Wang S, Balady GJ, Bufalino VJ, Gulati M, Kuvin JT, Mendes LA, Schuller JL, Narula J, Chandrashekhar YS, Dilsizian V, Garcia MJ, Kramer CM, Malik S, Ryan T, Sen S, Wu JC, Ryan T, Berlacher K, Lindner JR, Mankad SV, Rose GA, Wang A, Dilsizian V, Arrighi JA, Cohen RS, Miller TD, Solomon AJ, Udelson JE, Garcia MJ, Blankstein R, Budoff MJ, Dent JM, Drachman DE, Lesser JR, Grover-McKay M, Schussler JM, Voros S, Wann LS, Hundley WG, Kwong RY, Martinez MW, Raman SV, Ward RP, Creager MA, Gornik HL, Gray BH, Hamburg NM, Mohler ER, White CJ, King SB III, Babb JD, Bates ER, Crawford MH, Dangas GD, Voeltz MD, Calkins H, Awtry EH, Bunch TJ, Kaul S, Miller JM, Tedrow UB, Jessup M, Ardehali R, Konstam MA, Mathier MA, Manno BV, McPherson JA, Sweitzer NK, O’Gara PT, Adams JE III, Drazner MH, Indik JH, Kirtane AJ, Klarich KW, Newby LK, Scirica BM, Sundt TM III, Warnes CA, Bhatt AB, Daniels CJ, Gillam LD, Stout KK, Harrington RA, Barac A, Brush JE Jr, Hill JA, Krumholz HM, Lauer MS, Sivaram CA, Taubman MB, Williams JL. ACC 2015 core cardiovascular training statement 4 (COCATS 4) (revision of COCATS 3). J Am Coll Cardiol 2015;65:1721–3. Copies: This document is available on the World Wide Web site of the American College of Cardiology (http://www.acc.org). For copies of this document, please contact Elsevier Inc. Reprint Department, fax 212-462-1935, e-mail [email protected]. Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American College of Cardiology. Requests may be completed online via the Elsevier site (http://www.elsevier.com/about/policies/ author-agreement/obtaining-permission). 1722 Halperin et al. JACC VOL. 65, NO. 17, 2015 Core Cardiovascular Training Statement 4 MAY 5, 2015:1721– 3 Task Force 5: Training in Echocardiography Task Force 11: Training in Arrhythmia Diagnosis Thomas Ryan, MD, FACC, FASE, Chair and Management, Cardiac Pacing, and Kathryn Berlacher, MD, FACC Electrophysiology Jonathan R. Lindner, MD, FACC, FASE Hugh Calkins, MD, FACC, FHRS, Chair Sunil V. Mankad, MD, FACC, FASEy Eric H. Awtry, MD, FACC Geoffrey A. Rose, MD, FACC, FASE Thomas Jared Bunch, MD, FACC Andrew Wang, MD, FACC Sanjay Kaul, MBBS, FACC John M. Miller, MD, FACC, FHRS Task Force 6: Training in Nuclear Cardiology Usha B. Tedrow, MD, MSC, FHRSzz Vasken Dilsizian, MD, FACC, Chair James A. Arrighi, MD, FACC, FASNCz Task Force 12: Training in Heart Failure Rose S. Cohen, MD, FACC Mariell Jessup, MD, FACC, Chair Todd D. Miller, MD, FACC Reza Ardehali, MD, PHD, FACC Allen J. Solomon, MD, FACC Marvin A. Konstam, MD, FACCxx James E. Udelson, MD, FACC, FASNC Bruno V. Manno, MD, FACC Task Force 7: Training in Cardiovascular Michael A. Mathier, MD, FACC Computed Tomographic Imaging John A. McPherson, MD, FACC Mario J. Garcia, MD, FACC, Chair Nancy K. Sweitzer, MD, PHD, FACC Ron Blankstein, MD, FACC Matthew J. Budoff, MD, FSCAIx Task Force 13: Training in Critical Care Cardiology John M. Dent, MD, FACC Patrick T. O’Gara, MD, FACC, Chair Douglas E. Drachman, MD, FACC Jesse E. Adams III, MD, FACC John R. Lesser, MD, FACC Mark H. Drazner, MD, MSC, FACC Maleah Grover-McKay, MD, FACC, FASNC Julia H. Indik, MD, FACC Jeffrey M. Schussler, MD, FACC, FSCAIk Ajay J. Kirtane, MD, SM, FACC Szilard Voros, MD, FACC{ Kyle W. Klarich, MD, FACC L. Samuel Wann, MD, MACC, FASNCz L. Kristen Newby, MD, MHS, FACC Benjamin M. Scirica, MD, MPH, FACC Task Force 8: Training in Cardiovascular Thoralf M. Sundt III, MD, FACC Magnetic Resonance Imaging Chair Christopher M. Kramer, MD, FACC, Task Force 14: Training in Care of Adult Patients W. Gregory Hundley, MD, FACC with Congenital Heart Disease Raymond Y. Kwong, MD, MPH Carole A. Warnes, MD, FACC, Chair Matthew W. Martinez, MD, FACC Ami B. Bhatt, MD, FACC Subha V. Raman, MD, FACC# Curt J. Daniels, MD, FACC R. Parker Ward, MD, FACC Linda D. Gillam, MD, MPH, FACC Karen K. Stout, MD, FACC Task Force 9: Training in Vascular Medicine Mark A. Creager, MD, FACC, MSVM, Chair Task Force 15: Training in Cardiovascular Research Heather L. Gornik, MD, FACC, FSVM** and Scholarly Activity Bruce H. Gray, DO, MSVMyy Robert A. Harrington, MD, FACC, Chair Naomi M. Hamburg, MD, FACC, FSVM Ana Barac, MD, PHD, FACC William F. Iobst, MD* John E. Brush, JR, MD, FACC Emile R. Mohler III, MD, FACC, FSVM Joseph A. Hill, MD, PHD, FACC Christopher J. White, MD, FACC Harlan M. Krumholz, MD, SM, FACC Task Force 10: Training in Cardiac Michael S. Lauer, MD, FACCkk Catheterization Chittur A. Sivaram, MBBS, FACC Spencer B. King III, MD, MACC, FSCAI, Chair Mark B. Taubman, MD, FACC Joseph D. Babb, MD, FACC, FSCAIk Jeffrey L. Williams, MD, FACC Eric R. Bates, MD, FACC, FSCAI Michael H. Crawford, MD, FACC George D. Dangas, MD, FACC, FSCAI Michele D. Voeltz, MD, FACC Christopher J. White, MD, FACC, FSCAI JACC VOL. 65, NO. 17, 2015 Halperin et al. 1723 MAY 5, 2015:1721– 3 Core Cardiovascular Training Statement 4 {Society of Atherosclerosis Imaging and Prevention Representative. #Society for Cardiovascular Magnetic Resonance Representative. *American Board of Internal Medicine Representative. **Society for Vascular Medicine Representative. yAmerican Society of Echocardiography yyAmerican Board for Vascular Medicine Representative. Representative. zzHeart Rhythm Society Representative. zAmerican Society of Nuclear Cardiology xxHeart Failure Society of America Representative. Representative. kkDr. Lauer participated in this work as part of his official Federal xSociety for Cardiovascular Computed Tomography duties. However, the opinions expressed in this paper do not Representative. necessarily reflect the official positions of the NHLBI, the NIH, or the kSociety for Cardiovascular Angiography and U.S. Department of Health and Human Services. Interventions Foundation Representative. ACC Eric S. Williams, MD, MACC, Chair Susan Fernandes, LPD, PA-C Competency Jonathan L. Halperin, MD, FACC, Co-Chair Rosario Freeman, MD, FACC Management Nkechinyere Ijioma, MD Committee James A. Arrighi, MD, FACC Jeffrey T. Kuvin, MD, FACC Eric H. Awtry, MD, FACC Joseph E. Marine, MD, FACC Eric R. Bates, MD, FACC John A. McPherson, MD, FACC Salvatore Costa, MD, FACC Lisa A. Mendes, MD, FACC Lori Daniels, MD, FACC Chittur A. Sivaram, MBBS, FACC Akshay Desai, MD, FACC Andrew Wang, MD, FACC Douglas E. Drachman, MD, FACC Howard H. Weitz, MD, FACC JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL.65,NO.17,2015 ª 2015 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 0735-1097/$36.00 PUBLISHED BY ELSEVIER INC. http://dx.doi.org/10.1016/j.jacc.2015.03.020 COCATS 4 Introduction Jonathan L. Halperin, MD, FACC Valentin Fuster, MD, PHD, MACC Eric S. Williams, MD, MACC 1. EVOLUTION OF TRAINING Council for Graduate Medical Education (ACGME) RECOMMENDATIONS FOR SPECIALISTS and its Internal Medicine Residency Review Com- IN ADULT CARDIOVASCULAR MEDICINE mittee. The ACGME establishes both common and subspecialty-specific program requirements regarding Recommendations for training in adult cardiovascular training duration, institutional infrastructure, faculty medicine were first published in the Journal in 1995 as leadership and clinician educators, and training a consensus statement emanating from the Core Car- environment and safety, as well as the minimum re- diology Training Symposium (COCATS) held at Heart quirements for program content. Whereas the ACGME House in Bethesda, Maryland, the previous year (1). accredits training programs, the American Board of The term “COCATS” has since been used when refer- Internal Medicine (ABIM) certifies individuals as ring to the American College of Cardiology (ACC) specialists in cardiovascular disease.