SPCTPD ACC Meeting Minutes - April 2, 2022
Attendees virtual and in person; view video recording here
1. Welcome and Introductions- Armsby, announced new PDs from around the country
2. Update on ABP Pediatric Cardiology Board Content revisions and Exam details - Sue Woods, ABP Exec Vice President
You can upload your new incoming trainees to ABP roster. In your portal, you can also see who has registered for boards.
Absences from training- 1 month/year for vacation etc. then you can ALSO have a waiver for 2 more months if they are competent by the end of their training. No less than 31 months of training.
For combined fellows (PICU/cardiology), you can only have 6 weeks as the “extra” since the cardiology fellowship part is shorter anyway.
Time limited eligibility: graduate has 7 years from graduating to pass boards. If they don’t pass, they need to do supervised practice and then take it again. 15 supervised practice plans so far.
Content outline update : updated every 5-6 years in order to stay current. Draft is sent to all peds cardiologists for Feedback. The content outline is not super detailed on purpose so that it can stay current. There should be fewer esoteric questions going forward.
The Portal: now we can submit the verification forms for graduation online. No more paper.
MOCA Peds- option for recertification. Questions delivered every quarter. Renew it every 5 years. The articles you get with MOCA peds in quarter 1 are for the entire year.
3. Update on 2022 ACGME PD/PC FTE Decision- Rupali reviewed the proposed ACGME FTE Allotment for PDs and the SOCTPD response to it. ACGME June meeting will decide for implementation July 1.
4. Update on 2022 Fellowship Interview Process - Rupali - Nothing to report currently as most of us will be bound by our GME if they say it must be virtual. APPD still gathering input.
5. 2022 4th Year Fellowship Survey and Website Materials - Lowell
Database of programs 4th year spots gets updated yearly now by SPCTPD. It is on our website. We are in the middle is surveying programs.about 50 programs have responded so far. We are also collecting information from 4th year programs directors. (53/65 programs have responded). Will be online by May 1st.
6. Update on Milestone 2.0 revisions - Lowell
We report on 21 milestones even though there are about 51 milestones! Revised- peds residency has already been using the shorter revised milestones. 14 milestones are “fixed” and we have to report them. The remainder need to be revised to reflect cardiology milestones. EPAs are not currently used but might be in the future. There are 6 cardiology-specific EPAs and 7 standard one.
7. Update on CoPS Discussions - Lowell
Meeting next month. Workforce initiative to recruit people into peds subspecialties. We are about 1:1 currently for cardiology fellowship with few unmatched.
8. 2022 AAP Specialty Review Course Details - Laurie
AAP review course- 8/8-8/12
Mayo course is a few weeks later in California. 5 day course. In-person with some virtual components that can be accessed later so that there isn’t so much crammed into 5 days.
9. Shared materials for a Board Review Prep Curriculum
What are PDs doing for board review curriculum over the 3 years for fellows. Could this be a joint project for program directors?
Some programs do twice/month board review with reading and reviews with faculty.
Moss & Adams or Nadas chapter reviews
Bring back PC-NES for the hard topics (exercise physiology etc).
Use in-service exam results to focus fellows’ study areas.
Laurie will put together a small group who wants to work on this.
SPCTPD February 10, 2022 Meeting Minutes
ACGME FTE changes (Rupali) - presented the data and SPCTPD response to ACGME
ACC Programming (Susan) - presented the ACC schedule for fellows and PDs
Discussion about virtual v. in-person recruitment.
Most people seemed to think all virtual recruitment would be best. Some wanted hybrid but acknowledge that it’s very hard to make it fair. Concerns about finances and geographical locations that are less easy to get to. Lots of equity concerns if you give applicants a choice about virtual v. in-person.
One suggestion: applicants could come in-person to see the place and meet people informally after our rank lists are due but before their list is due. There would be only a 2-3 week window of time to get visits in, which can be hard, but it might be better than nothing.
Another suggestions: applicants could come and tour the hospital but not meet us. We would have to be shielded from knowing who came.
We plan to survey PDs and the applicants to see what they would prefer for recruitment. David will be sending the link for us to send to first-year fellows and the fellows who will start July 2022.
4th year Subspeciality fellowship survey and listings (Lowell, Sinai):
Survey will be going out to all PDs again that asks which 4th years are offered and who is the contact person.
For Cardiac ICU 4th spots, last year was the first year that 24 program that agreed to use a common applications and a common “offer” date. Most programs seemed to like the shared timeline with regards to receiving applications, and the common applications, but they may not have liked the offer process. The process may favor larger training programs. Smaller programs at a disadvantage. Perspective from the applicants in not known yet. Sinai thinks they probably preferred the common offer date. We also do not know how many applicants matched outside of this common application system.
ABP New Content Outline for Cardiology Boards (effective for 2022 exam). (Laurie)
Content domains are not new. The categories are a little different.
AAP board review course August 8-12 in Chicago at AAP headquarters. It will be in-person and virtual option.
Some parts of the course will include more interactive content - including study groups etc.
AAP early career group has been asked by it’s constituents to help create more board prep material. They are trying to create/collect review questions to send out to all fellows.
Individual Program Board Review Prep - could we share our resources amongst each other so that any of our fellows could attend. Laurie will work on this.
Julie Glickstein said Leo at her program has a great course that he made available to fellows last year, and she will as him if he can do the same again.
SPCTPD October 15, 2021 Meeting Minutes
Match Day will be December1, 2022
The AAP-SPCTPD Career Pathways in Medical Education trainee workshop will be Friday 10/29/21 at 3 pm Eastern time, 12:00 noon Pacific
Jen Huang from Pediatric Cardiology Exercise Medicine Core Curriculum Committee presented the exercise guidelines.
Lowell Frank presented data on Recruiting trends
Diversity, Equity and Inclusion
Carly Fifer spoke about DEI issues
David Werho presented on Virtual Interviewing in Pediatric Cardiology and how is it working?
The 4th Year application process is ongoing
PLEASE FORWARD TO LAURIE ARMSBY ANY GOALS or ACTION ITEMS THAT YOU THINK ARE IMPORTANT FOR THE NEXT 2 YEARS
Society of Pediatric Cardiology Training Program Directors
Program Director Meeting
June 9, 2021
Virtual Meeting Format
ABP Verification Process – we are online at last! ABP Program Director Portal website appears to work remarkably well.
4th year Fellowship Application Process – Live on website is updated 2021 data on potential and actual 4th year fellowships by subspecialty, including program contacts. Please encourage people looking at 4th year fellowships. Continued work on standardizing timelines for applicants. Need fellow input on process and Kristin Bonello our SPCTPD Fellow Representative has put together a survey for fellows to gather more data; draft will be sent to PDs for review.
Pediatric Subspecialty and Internal Medicine Match Date Process - Peds subspecialties have been 2 weeks later in match process than IM. Problems with couples matching, those applying in both like infectious disease etc. IM does not want to move due to larger groups, high % of international applicants with Visa issues, tighter timeline for scramble for unmatched applicants, etc. Peds would move up by 2 weeks, new deadline for rank list submission would be before Thanksgiving (not for this coming 2021-22 season). SPCTPD vote is planned although we may not have an alternative; informal straw poll 85% approved.
ACHD milestones are being developed for the first time – this is a good time to have input into creation of these.
Progress in Pediatric Cardiology Journal – our SPCTPD partner journal – PPC board is interested in a yearly special edition dedicated to fellow/trainee research and QI projects. Consideration for possible oral symposium in the future. Timeline for abstract submission early 2022 for published edition 3rd quarter of 2022. Rob Ross is looking for volunteers to help with editorial oversight board for the special edition: email@example.com
Exercise Medicine Curriculum: pediatric cardiology fellowship exercise training standards have been developed by a group of collaborators. The guidelines are being prepared for eventual publication. Heart University topics are being developed. As we work toward 2025 training guidelines revision this work would be included.
SPCTPD in person meeting: planning underway for our meeting at AAP meeting in Philadelphia PA. Friday October 8th 2022 late afternoon. Trainee workshop planning for Saturday late afternoon October 9th 2022. Mark your calendars!
2021-2022 Interview Season – recommendation from APPD, CoPS and others that this coming interview season be virtual. Multiple program directors noted they are bound to respect their hospital’s GME decision to be virtual this coming season. Pros and cons discussed – with general consensus that programs get to know applicants better than applicants get to know programs. Most agree that interaction/time with fellows, chance interactions with other faculty, sense of program culture and overall “fit” is diminished with virtual interviewing. Balanced by finances, equity, timing, scheduling, ease of interviewing. Discussion of need to get data from our new 2021 fellows on the process to inform subsequent years decision.
Diversity, equity, and inclusion – agenda item for SPCTPD meeting in October in Philadelphia. Carly Fifer (U Michigan, email: firstname.lastname@example.org ) has volunteered to chair SPCTPD task force. First step to gather info on where we are to inform how to proceed, some preliminary data reviewed. Key question – how do we attract more URM to Peds Cardiology?
Elections for SPCTPD Board: 2021-2023 Secretary/Treasurer – current board is now accepting peer or self-nominations for the Secretary/Treasurer role. Our SPCTPD board roles move up stepwise every 2 years, so this is an 8-year commitment. Candidate statements (less than 1 page) and photo due by Aug 11. Voting opens Aug 16, closes Sept 3. Results announced Sept 13. New board takes effect AAP meeting 2021. Please send nominations to Lowell Frank at email@example.com
Society of Pediatric Cardiology Training Program Directors
Program Director Meeting
March 31, 2021
Virtual Meeting Format
-Lowell Frank called the meeting to order and referred those in attendance to the minutes of the previous meeting on the SPCTPD Website
- Shared New Fellows Bootcamp
-4th Year Fellowship Discussion
-Standardized 4th year match and application
There are different types of a uniform match that are possible at this point
1. Handshake agreement
2. San Francisco Match
- this group already runs the match for other programs such as orthopedic surgery
- There is a fee of 100-200 dollars per program for each 4th year offered
- more flexible and not as robust enforcement as the NRMP
- SPCTPD would determine on dates to submit a quota, a rank list and the match day and then a posting of unfilled positions and unmatched candidates like the NRMP.
- would need 25 programs in total
– not flexible on time line and would occur at the time of the General peds Cards match
Society of Pediatric Echocardiography is cautiously on board
Ongoing discussions with PACES and Intervention groups are planned
Most favor the ability to opt out for internal candidates
Overarching goal is for the SPCTPD to partner and be engaged more with the 4th year training with a strategy that would include
year 1 – Make the 4th year program stakeholders aware that the SPCTPD exists and how it can work for them
year 2 – some level of standardization for fellows starting in 2023
Issues relating to the Common 4th year Match
Julie Glickstein presented her excellent lecture of Professionalism in Cardiology Fellowship’
A buddy system groups made up of a 1st,2nd and 3rd year fellows
Work and social engagement
Making sure they junior fellows are prepared but also doing a wellness check in
She mentioned a fellow run program with a brief top 10 articles from the year and a short 5-minute review – not to replace Journal Club
Lectures about writing a condolence letter, spirituality, palliative care, child life, dealing with mistakes, racism and health inequity, career night, taxes and finances
Susan Etheridge and Lowell discussed ACC/ACPC Community day on May 7th the schedule to be posted on the website
Susan Etheridge Reviewed financials
$24,036.61 in bank
47 programs are up to date on dues
Laurie Armsby discussed AAP meeting scheduled in Fall in Philadelphia
Glenn Wetzel discussed the weekly fellow ECG reading emails - please contact Glenn at firstname.lastname@example.org if you/your fellows want to participate
How can we as SPCTPD address underrepresented minorities in pediatric cardiology? How do we compare to other subspecialties?
· Collect data on # of fellows
· Number who applied for a 4th year
· Number granted a 4th year
· Number with a job related to the 4th year
· Number who stayed internal
· Diversity and gender data
· Gather data back for 3 years and then yearly moving forward
Society of Pediatric Cardiology Training Program Directors
Program Director Meeting
February 2, 2021
Virtual Meeting Format
Agenda:1. 2021 NRMP trends
2. Pediatric Milestones 2.0
3. 4th year application timeline
4. New SPCTPD Fellow Liaison
5. Coaching for PDs
1. 2021 NRMP trends
2. Pediatric Milestones 2.0
3. 4th year application timeline
4. Common match with adult subspecialties
5. New SPCTPD fellow liaison
6. Coaching for PDs
7. PC-NES planning
8. ACC planning
Cardiology, 4th Floor
81 North Mario Capecchi Dr
Salt Lake City, UT, 84113
SPCTPD Meeting Minutes
April 27, 2020 1:00 - 2:15 Eastern
32 participants via Zoom
COVID update and check in
Lowell Frank opened the meeting with a question about how we and our fellows were doing in these difficult times.
There was an interesting and informative dialogue about how the fellows and the fellowships were doing in NYC. Julie Glickstein from NYU gave us an update. As an aside Julie hosted a fantastic webinar this past Friday AAP SOCCS – COVID and the Impact on Pediatric Cardiology Patients and Practices that is available to review. https://www.youtube.com/watch?v=octqLzM0oBo&t=3270s
The NY programs have been hardest hit thus far and second and third year fellows have been voluntarily redeployed to care for adult COVID patients.
Some of these fellows are dealing with new stressors such as caring for a dying patient who cannot be with family or loved ones. Ideas for additional resiliency and wellness training were discussed.
Some faculty mentioned push back from fellows about returning to increased clinical duties. Some of this might relate to stress but also to child care issues considering schools and day cares are closed.
We will be putting together a PD survey as a follow-up to the initial PD survey about fellow duties in this time of pandemic.
Virtual interview season
It is likely that the upcoming fall fellowship interview season will be a virtual interview. The APPD will be addressing this Wednesday – session information at www.appd.org/home/virtual cafe.cfm
We as a group are concerned about this but all seem to agree that whatever is done should be uniform across all fellowships. Most thought this should even pertain to internal candidates to make it as fair as possible.
This will likely be mandated by the local GME of each institution.
This is likely to be a big concern and Rob Ross brought up the problematic recent interview season in which there were 12 unfilled fellowship positions and concern that this number could increase as a result of this and the difficult pediatric cardiology job market.
Quarantine of new fellows
This is an issue in some locations and it does not appear that there is consensus or uniformity
Job Market and Hiring Freeze
There seems to be as general hiring freeze at least in academic positions with this likely to affect the job market not just this July but also next year. Thus, it could impact our present second year fellows. There also may be some loss of 4th year positions as the funding for these might be pulled.
The group thought that this is an important project for the SPCTPD to deal with the landscape for jobs and 4th years for at least the next 2 years. We should reach out to the division directors across the nation for possible jobs and 4th year positions. Different mechanisms for finding the division chiefs were discussed.
Susan relayed the executive committees vote to increase the dues to 250 dollars beginning July 2020.
There has not been a dues increase since the inception of the Society.
Administrative costs are increasing. We are planning to continue to support the fellow lectures although these will change to once a week.
We hope to use some of this as grant support for educational and PD collaborative projects from the Society.
This is dues to the program not just the PD.
Cardiology fellowship for CCM-trained fellows
There was a short discussion on the details of cardiology training for CCM-trained fellows. Some programs will not accept them for two years. Mary McBride, a cardiac intensivist from Lurie Children’s, is working on this through PCICS and offered to work with the SPCTPD on this.
Society of Pediatric Cardiology Training Program Directors Fall 2019 Meeting at the American Academy of Pediatrics Conference
October 25, 2019, 12:00 – 1:30 PM
New Orleans, LA
Highlights/action items (details below):· Please submit nominations of your interested fellows for the SPCTPD fellow liaison (first or second year fellow only) to Lowell Frank by January 31st
The SPCTPC welcomes Dr. Susan Etheridge (Primary Children’s Hospital, UT) as the newly elected Secretary/Treasurer. Dr. Laurie Armsby (Oregon Health Sciences University, OR) is the incoming Vice President and Dr. Lowell Frank (Children’s National, DC) leads the board as President.
Typically the past president remains an active member of the board and serves as the SPCTPD representative to the Council of Pediatric Subspecialities (CoPS). However our past president, Dr. Antonio Cabrera, has recently resigned as the fellowship program director at Texas Children’s Hospital to become the director of the Children’s Heart Center at Primary Children’s Hospital. Dr. David Brown (Boston Children’s Hospital), the outgoing past present of the SPCTPD will continue as past president and CoPs represtentative. Appreciation was extended to Dr. Cabrera for his service and dedication to the SPCTPD over the past 6 years.
Dr. Josh Kurtz, outgoing SPCTPD fellow liaison, is graduating fellowship. Appreciation was extended to Dr. Kurtz for his engagement in the society over the past two years. Nominations for the SPCTPD Fellow Liaison 2019-2021 may be submitted to Dr. Lowell Frank. This is a great opportunity for fellows to engage in national work and develop relationships with leaders in education across the field.
Ms. Morton presented information about the value of AAP membership for pediatric cardiology fellows. This includes opportunities for fellows in mentorship, advocacy, PREP cardiology, Peds in Review. The cost of membership for trainees is $140/member. This is less than the cost of PREP cardiology alone. Membership pays for itself. Some programs sponsor membership for their trainees. If a program would like to do this, or for more information about AAP membership, call 630-626-6061.
III. AAP Early Career Physician Workgroup: S. Menon
The co-chairs of the SOCCS Early Career Workgroup presented information about their work. The mission of this workgroup is to facility integration of early career physicians and fellows into activities of the AAP and SOCCS. They are creating a clinical guidelines repository, a current list of grant opportunities, developing a mentor-mentee program and collecting information about P&T processes at different institutions. They are also working on an Early Career Workforce Survey, which will collect information about salary, wRVU issues, work satisfaction, outcome of job searches and aspects of their positions that facilitate their happiness and success within their program. They are looking into opportunities to work together with the SPCTPD.
IV. AAP Specialty Review Course 2020 Update: L Armsby
The 2020 AAP Specialty Review Course in Pediatric Cardiology will be held August 17-21, in Chicago, IL.
The curriculum is outstanding this year, with a number of new faculty and a re-organization of topics. A Practice Q&A and Study Guide booklet will be provided to the registrants this year. Please encourage your fellows to attend!
Co-directors and Planning Committee: Maria Serratto, Laurie Armsby, David Brown, Antonio Cabrera, Shaji Menon, Amy McCammond, John Colquitt. Admin: Jane Whitener, Vivian Thorne.
V. ACGME Program Requirements GME in Pediatric Cardiology specific to Research: L Frank
We discussed the ACGME requirements which state “Fellows must have a minimum of 12 months dedicated to research and scholarly activity…” It isn’t clear to many PDs how this 12 month period is defined, specifically whether research could be combined with call or clinical elective activities. Some PDs expressed that their fellows felt that 12 months was excessive as it drew them away from clinical educational activities. We learned that at CoPS some specialities are pushing to move from 3 years to 2 years as they are struggling to attract enough new physicians into their subspecialty. The ABP is pushing back to require a full year of research. We also discussed that research requirements are somewhat specific to the individual fellow and to specific types of projects. Some fellows can integrate research into their clinical work, while others require blocks of time for productive research. While many PDs were aware of this requirement others learned about it for the first time at the APPD conference. We discussed appointing a liaison to the ACGME so that we are able to contribute to the discussion about directives early in the process. It was also suggested that the PDs share information about site reviews with regard to how this research requirement is being assessed during the re-accreditation process.
Work Force: Rob and David discussed the pediatric cardiology workforce survey which was completed one year ago. The reason the survey has not been released is because other pediatric subspecialties are also creating similar surveys, and the AAP is creating common language to be included in all. This process has been protracted. Concern was raised over the delays in this process. Even if the survey data was available today, and programs changed their quotas in response, the impact of these quota changes would not be realized for 3-4 years. The SPCTPD membership voted to move ahead to send out the survey.
ABP Roadmap project: Dr. Carole Lannon spoke about the ABP roadmap project “to increase the resilience, emotional and mental health of pediatric patients with chronic conditions and their families.” The premise is that subspecialists can do more to identify children with these challenges and “provide empathy, intervention and resources for those identified at risk or struggling.” A Toolkit for PDs will be available to guide the education of our fellows and faculty in this area. The ACC community day in March 2020 will also have a session on the resiliency roadmap.
Other CoPS updates: There was agreement regarding the importance of supporting women in leadership positions and through academic promotions. Also, data was presented on pay discrepancies. Pediatric Cardiology is one of the top 3 subspecialties. It was remarked that some subspecialties are relatively poorly reimbursed. Again, some subspecialties are suggesting shortening training in part to help attract more trainees into their specialty.
The SPCTPD funds are healthy and have increased slightly. Our balance has risen to $ 20,119.41. To date we have only collected 55% of 2019-2020 dues collections. We collected 75% of the dues for 2018-2019.
Organizational updates for 2019: Lindsay Attaway has joined the SPCTPD as an administrative assistant. She has been extremely helpful this year. Lindsay maintains the SPCTPD website, manages the collection of dues, handles posts and assists with data collection for the National Fellow Registry and manages the Wild Apricot and Survey Monkey accounts.
Two PDs shared the structure, philosophy and challenges related to their Didactic Curricula.
Drs. Sonal Owens (Mott, MI) and Thomas Chin (Penn State, PA) presented. Dr. Lowell Frank suggested that the SPCTPD develop an anonymized survey of pediatric cardiology programs to better understand the didactic curriculum across a wide array of ped cardiology training programs. This would not only identify current practices but could provide information to PDs to help guide curricular development.
The ACC is scheduled for March 27-30, 2020 in Chicago, IL. CHD Community Day is on Friday, 3/27. There is currently a conflict between SPCTPD, CHD Community Day and Adult CVTPD sessions. The SPCTPD meeting will take place mid-day on Saturday, March 28. We realize this may impact ease of calling in; however, Friday attendance has been poor in recent years because of the extra day of travel as well as scheduling conflicts. The fellow mentoring session will be on Sunday, March 29. Please share this date with your fellows. We also recommend attending the CV Training Program Director’s Section Meeting all day on Friday, March 27. Much of the information is relevant to our programs, and Julie Glickstein, PD for Morgan Stanley Children’s Hospital/Columbia is an invited speaker.
XI. President’s Message: L Frank
Respectfully submitted by SPCTPD Board
Spring ACC Meeting Minutes
New Administrative support for SPCTPD
How other programs do QI and Research
Julie Glickstein spoke about the QI experience at Morgan Stanley Children's Hospital. They have had multiple projects, but one of the most successful projects (nearing publication) focused on improving the fellow clinic experience, including continuity of care.
Susan Etheridge spoke about fellow research at the University of Utah, including a number of research forums and mentoring opportunities. “Research on a napkin” is a novel concept discussed. New this year - "Formal" off-site Pediatric Cardiology Fellowship Research Night, with 10-minute formal PPT presentations. They also offer a “Spirited Research Meeting” - established by fellows, with a relaxed atmosphere. There are also grant writing workshops sponsored by the Department of Pediatrics, taking place in Deer Valley in spring and fall (off season for skiing). They have many opportunities, including Intermountain Health, population science, basic, clinical, translational, genetics, and personalized medicine. A MSCI offered to one fellow per year - fellows apply to the program. They offer full financial support for any type of fellow presentation at meetings.
Rob Ross updated the group on CoPS. Our past-president is our CoPS Representative. Rob has been on the CoPs for a number of years and is now sponsored by the AAP. Rob is also chair of the CoPS workforce survey, the next edition of which is coming soon. CoPs is also interested in advocacy, and will be attending congressional sessions in May advocating for medical education and training. He reminded PDs that Progress in Pediatric Cardiology https://www.journals.elsevier.com/progress-in-pediatric-cardiology (PPC) is the official journal of the SPCTPD, and is a great target for QI projects. PPC offers a quick turnaround - fellows should mention that they are in training and it will be quick.
2018 CoPS Annual Meeting - presented at SPCTPD/AAP meeting 2018
SPCTPD Spring 2018 Newsletter
The minutes from the 2018 American College of Cardiology Meeting in Orlando can be found here.
SPCTPD Fall 2017 Newsletter
The minutes from the 2017 American Academy of Pediatrics meeting in Chicago can be found here.