Impact of the COVID-19 pandemic on interventional cardiology fellowship training in the New York metropolitan area: A perspective from the United States epicenter.
Tanush Gupta, Tamim M Nazif, Torsten P Vahl, Hasan Ahmad, Anna E Bortnick, Frederick Feit, Rajiv Jauhar, Ruben Kandov, Michael Kim, Annapoorna Kini, William Lawson, Robert Leber, Alexander Lee, Abel E Moreyra, Robert M Minutello, Terrence Sacchi, Pranaychan J Vaidya, Martin B Leon, Sahil A Parikh, Ajay J Kirtane, Susheel Kodali
Author Information
Tanush Gupta: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA. ORCID
Tamim M Nazif: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA.
Torsten P Vahl: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA.
Hasan Ahmad: Westchester Medical Center, Valhalla, New York, USA.
Anna E Bortnick: Montefiore Medical Center, Bronx, New York, USA. ORCID
Frederick Feit: NYU Langone Health, New York, New York, USA.
Rajiv Jauhar: Northshore University Hospital, Northwell Health, Manhasset, New York, USA.
Ruben Kandov: Staten Island University Hospital, New York, New York, USA.
Michael Kim: Lennox Hill Hospital, New York, New York, USA.
Annapoorna Kini: Mount Sinai Medical Center, New York, New York, USA. ORCID
William Lawson: Stony Brook University Hospital, Stony Brook, New York, USA.
Robert Leber: Mount Sinai Morningside Hospital, New York, New York, USA.
Alexander Lee: Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Abel E Moreyra: Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.
Robert M Minutello: New York-Presbyterian Hospital/Weil Cornell Medical Center, New York, New York, USA.
Terrence Sacchi: New York-Presbyterian/Brooklyn Methodist Hospital, Brooklyn, New York, USA.
Pranaychan J Vaidya: Hackensack University Medical Center, Hackensack, New Jersey, USA.
Martin B Leon: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA.
Sahil A Parikh: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA.
Ajay J Kirtane: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA.
Susheel Kodali: New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York, USA.
BACKGROUND: The healthcare burden posed by the coronavirus disease 2019 (COVID-19) pandemic in the New York Metropolitan area has necessitated the postponement of elective procedures resulting in a marked reduction in cardiac catheterization laboratory (CCL) volumes with a potential to impact interventional cardiology (IC) fellowship training. METHODS: We conducted a web-based survey sent electronically to 21 Accreditation Council for Graduate Medical Education accredited IC fellowship program directors (PDs) and their respective fellows. RESULTS: Fourteen programs (67%) responded to the survey and all acknowledged a significant decrease in CCL procedural volumes. More than half of the PDs reported part of their CCL being converted to inpatient units and IC fellows being redeployed to COVID-19 related duties. More than two-thirds of PDs believed that the COVID-19 pandemic would have a moderate (57%) or severe (14%) adverse impact on IC fellowship training, and 21% of the PDs expected their current fellows' average percutaneous coronary intervention (PCI) volume to be below 250. Of 25 IC fellow respondents, 95% expressed concern that the pandemic would have a moderate (72%) or severe (24%) adverse impact on their fellowship training, and nearly one-fourth of fellows reported performing fewer than 250 PCIs as of March 1st. Finally, roughly one-third of PDs and IC fellows felt that there should be consideration of an extension of fellowship training or a period of early career mentorship after fellowship. CONCLUSIONS: The COVID-19 pandemic has caused a significant reduction in CCL procedural volumes that is impacting IC fellowship training in the NY metropolitan area. These results should inform professional societies and accreditation bodies to offer tailored opportunities for remediation of affected trainees.
