期刊
CARDIOVASCULAR ENDOCRINOLOGY & METABOLISM
卷 10, 期 3, 页码 168-174出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/XCE.0000000000000243
关键词
cardiometabolic medicine; cardiovascular disease; diabetes mellitus; medical education; physician training
Cardiovascular disease remains the leading cause of death in the US, and the population of patients with cardiometabolic conditions is growing, necessitating physicians with specific training to provide medical care. Proposals for US training in cardiometabolic medicine include different models, with the authors believing that a dedicated fellowship program offers significant advantages.
Cardiovascular disease (CVD) remains the leading cause of mortality in the United States, and the population of patients with cardiometabolic conditions, including obesity, metabolic syndrome and diabetes mellitus. continues to grow. There is a need for physicians with specific training in cardiometabolic medicine to provide a `medical home' for patients with cardiometabolic disease, rather than the fractured care that currently exists in the United States. Cardiometabolic specialists will head multidisciplinary clinics, develop practice guidelines, and lead through research. Proposals for US training in cardiometabolic medicine include: maintain the current training model, a dedicated 2-3 year fellowship following internal medicine residency, a 1-year fellowship following either internal medicine residency or fellowship in cardiology or endocrinology, and certification available to any interested clinician. This review discusses the pros and cons of these approaches. The authors believe that a dedicated cardiometabolic training fellowship has significant advantages over the other options. (C) 2021 The Author(s). Published by Wolters Kluwer Health, Inc.
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