ArticleAmerican journal of preventive cardiology2025
Training the modern sports cardiologist: Designing a fellowship curriculum for a growing subspecialty.
Article in American journal of preventive cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sports cardiology is a rapidly evolving subspecialty addressing the prevention, evaluation, and management of cardiovascular disease in athletes and highly active individuals. Despite rising demand, no Accreditation Council for Graduate Medical Education (ACGME)-accredited fellowship exists, resulting in limited and inconsistent training pathways. Objective: We describe the development of a nonstandard training (NST) fellowship curriculum in sports cardiology at our institution, outlining its rationale, structure, and competencies to provide a potential model for other programs. Methods: Guided by American College of Cardiology (ACC) and European Society of Cardiology (ESC) frameworks, we designed a curriculum integrated into the third year of general cardiology fellowship. Core elements include structured clinical rotations, didactic teaching, case-based learning, pre-participation screenings, and scholarly activities. A multidisciplinary consortium of regional cardiologists was formed to expand clinical exposure and mentorship opportunities. Results: The curriculum emphasizes key competencies: pre-participation screening, distinguishing exercise-induced cardiac remodeling from pathology, management of symptomatic or diagnosed athletes, and shared decision-making. Clinical experiences are complemented by formal educational sessions, research opportunities, and collaborative conferences. Conclusion: A rigorous, competency-based NST fellowship in sports cardiology is feasible within existing fellowship structures. Our model may serve as a framework for institutions seeking to formalize training in this emerging subspecialty.
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