Adult Congenital Heart Disease as a Career? Examining Encouraging and Deterring Factors in the Global ACHD Survey.
Por:
Bravo-Jaimes K, Srour MHDO, Jenkins P, Raquel Luna López, Tutarel O, Kandavello G, Guerrero-Chalela CE, García-Cruz E, Ackerman J, Elizari A, Valdez-Ramos M, Cupido B, Zentner D, Almasri M, Phillips S, McLeod CJ, Burchill LJ, Kamath C, Bullock-Palmer RP and Windram J
Publicada:
5 ago 2025
Ahead of Print:
21 jul 2025
Resumen:
BACKGROUND: There is a global mismatch between the number of adults with congenital heart disease and adult congenital heart disease (ACHD) cardiologists, potentially impacting patient outcomes. This survey explores factors influencing trainees and cardiologists' career choices in ACHD. METHODS: An online, anonymous global survey on demographics, ACHD as a career choice, encouraging and deterring factors assessed via a 5-point Likert scale and open-ended questions on recommending ACHD was distributed through targeted emails and social media. Responses meeting a 75% completion criterion were analyzed using descriptive statistics and thematic analysis. RESULTS: Among 811 included responses, most were from women (53.5%), aged 31 to 40 years (48.3%), White individuals (43.3%), non-Hispanic individuals (85%), from outside the ACHD field (79.0%), and from North America (42.7%). Only 30.9% of non-ACHD physicians considered specializing in ACHD despite 78.9% recommending it. Encouraging factors included awareness of ACHD significance, mentor influence, and clinical exposure. Key deterrents were inadequate financial incentives, limited job opportunities, and lengthy training. Regional variations showed that longer training duration and lack of compensation incentives were the main deterrents in North America. Suggested solutions included structured training programs, salary improvements, and early ACHD exposure during medical education. CONCLUSIONS: Less than a third of respondents considered ACHD as a career largely due to inadequate financial incentives, limited job opportunities, and long training duration. Addressing these barriers could enhance recruitment and help meet the growing demands of the ACHD population.
Filiaciones:
Bravo-Jaimes K:
Mayo Clinic Jacksonville Jacksonville FL USA
Srour MHDO:
Mayo Clinic Jacksonville Jacksonville FL USA
Jenkins P:
Liverpool Heart and Chest Hospital NHS Foundation Trust Liverpool United Kingdom
Raquel Luna López:
Hospital Clinic Barcelona Hospital Sant Joan De Déu Barcelona Spain
Tutarel O:
Department of Congenital Heart Disease-Pediatric Cardiology Deutsches Herzzentrum der Charité Berlin Germany
Charité-Universitätsmedizin Berlin corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin Berlin Germany
Kandavello G:
Paediatric and Congenital Heart Center Institut Jantung Negara Kuala Lumpur Malaysia
Guerrero-Chalela CE:
Fundación Cardioinfantil-Instituto de Cardiología Bogota Colombia
García-Cruz E:
Instituto Nacional de Cardiología Ignacio Chávez Ciudad de México Mexico
Ackerman J:
Hospital General De Niños Pedro Elizalde Buenos Aires Argentina
Elizari A:
Instituto Cardiovascular de Buenos Aires Buenos Aires Argentina
Valdez-Ramos M:
Hospital Maria Auxiliadora Lima Peru
Cupido B:
University of Cape Town, Groote Schuur Hospital Cape Town South Africa
Zentner D:
Royal Melbourne Hospital Melbourne Australia
Faculty of Medicine, Dentistry and Health Sciences University of Melbourne Melbourne Australia
Almasri M:
Arkansas Children's Hospital. University of Arkansas for Medical Sciences. Little Rock AR USA
Phillips S:
Mayo Clinic Jacksonville Jacksonville FL USA
McLeod CJ:
Mayo Clinic Jacksonville Jacksonville FL USA
Burchill LJ:
Mayo Clinic Rochester Rochester MN USA
Kamath C:
Mayo Clinic Rochester Rochester MN USA
Bullock-Palmer RP:
Deborah Heart and Lung Center Browns Mills NJ USA
Thomas Jefferson University Philadelphia PA USA
Windram J:
University of Alberta Edmonton Alberta Canada
Green Submitted, gold
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