Interventional/Surgery
High-volume gets demoted in new PCI-competence document
May 9, 2013 11:30 EDT
Professional societies have released an update to the "core competence" required of physicians wanting to perform percutaneous coronary interventions. In it, average annual volumes are lower, while patient-centered care, procedure appropriateness, and awareness of personal stats have moved to the forefront.

Orlando, FL - "How many of these do you do?" is often the first question a patient asks a doctor. In recent years, however, a number of high-volume cardiologists have made headlines for performing more procedures than medically warranted. This is at least part of the reason why volume is no longer the cornerstone of a new "clinical-competence" document intended to set out what skills and attributes an operator needs to perform PCI [1].

The American College of Cardiology (ACC), the American Heart Association, and the Society for Cardiovascular Angiography and Interventions (SCAI) released the updated document yesterday on the opening day of the Society for Cardiovascular Angiography and Intervention 2013 Scientific Sessions.
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