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VIDEO: Why Are There So Many Foreign Doctors?

Cardiovascular Business | March 26, 2019

William Pinsky, M.D., a pediatric cardiologist and CEO of the Educational Commission for Foreign Medical Graduates (ECFMG), and Mandeep Mehra, M.D., medical director of the Brigham and Women’s Hospital (BWH) Heart and Vascular Center and professor of medicine at Harvard Medical School, explain the U.S. doctor shortage and how foreign doctors help fill the gap.

According to 2017 data provided by the Association of American Medical Colleges (AAMC), 40 percent of interventional cardiologists, 30 percent of cardiovascular disease specialists, and 26 percent of pediatric cardiologists in the United States are international medical graduates (IMGs). However, as the physician shortage continues to impact primary care doctors, psychiatrists, OB/GYNs, among others, the U.S. also expects to see a shortage of cardiologists within the next 10 years, according to a spotlight cardiology study issued by the professional services firm PYA, which specialized in healthcare consulting.

The interview was shot at the American College of Cardiology (ACC) 2019 meeting.

 

 

Conference Videos

Cardiovascular Ultrasound | August 28, 2017

This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Strain Imaging - Common Errors and Artifacts." It is presented by Zoran Popovic M.D., Ph.D., staff, cardiovascular imaging section, Heart and Vascular Institute, Cleveland Clinic. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org. 

For more educational videos on echocardiography, visit the DAIC education channel. 

Nuclear Imaging | August 24, 2017

Prem Soman, M.D., director of nuclear cardiology at the Heart and Vascular Institute, University of Pittsburgh, and president-elect of the American Society of Nuclear Cardiology (ASNC), explained advances in PET and SPECT imaging and the learning curve involved in reading scans from the new CZT SPECT cameras. Watch the VIDEO: Trends in Nuclear Cardiology Imaging, an iknterview with David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida. Read the related article "Advances in Cardiac Nuclear Imaging."

Nuclear Imaging | August 24, 2017

Randy Thompson, M.D., attending cardiologist, St. Luke’s Mid-America Heart Institute, Kansas City, explains protocols and what to consider when working with the newer generation CZT-SPECT camera systems for nuclear cardiology. He spoke during the 2017 American Society of Nuclear Cardiology (ASNC) Today technology update meeting. Watch the related VIDEO "PET vs. SPECT in Nuclear Cardiology and Recent Advances in Technology." Read the related articles "Managing Dose in PET and SPECT Myocardial Perfusion Imaging,"  and "Advances in Cardiac Nuclear Imaging."

CT Angiography (CTA) | July 21, 2017

DAIC and ITN Editor Dave Fornell discusses some of the most innovative new computed tomography (CT) technology and trends at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Read the article "Advances in Cardiac CT Technology" and watch VIDEO: Advances in Cardiac CT Imaging.

Cardiovascular Surgery | July 19, 2017

This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Surgical Options for Right Ventricular (RV) Dysfunction and Tricuspid Regurgitation (TR) in Left Ventricular Assist Device (LVAD) Patients." It is presented by Nahush Mokadam, M.D., FACC, FACS, LeRoss Endowed Professor of cardiovascular surgery, director of heart transplant and mechanical circulatory support, program director cardiothoracic residency, University of Washington. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org

Cardiovascular Ultrasound | July 19, 2017

This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Ramping it Up: Left Ventricular Assist Device (LVAD) Echo Assessment in the ICU." It is presented by Jerry Estep, M.D., FASE, FACC, associate professor of clinical medicine, section head of heart transplant and mechanical circulatory support, division of heart failure, medical director of the Heart Transplant and LVAD Program, Houston Methodist Debakey Heart and Vascular Center. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.  Estep was involved in the ROADMAP LVAD Study of the HeartMate IIRead the article “Leading Cardiovascular Societies Release New Guidance on Use of Heart Pumps.”

 

Cardiac Imaging | July 18, 2017

Leslee Shaw, Ph.D., director of clinical research and professor of medicine at Emory University, Atlanta, and past-president of the Society of Cardiovascular Computed Tomography, discusses how cardiac computed tomography angiography (CTA) offers value in today's cost-conscience environment at the SCCT 2017 meeting. Watch the VIDEO “Value–based Imaging,” and interview with Daniel Berman, M.D., Cedars-Sinai Medical Center. Watch the VIDEO ”The Value of the Cardiovascular Service Line.” An interview with Linda Gillam, M.D., Atlantic Health System, who suggests how cardiology-related services can demonstrate their value to providers and patients.

CT Angiography (CTA) | July 18, 2017

Matthew Budoff, M.D., FACC, professor of medicine, David Geffen School of Medicine at UCLA, endowed chair of preventive cardiology, Harbor-UCLA Medical Center, discusses the PROMISE and PICTURE trials at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Watch the VIDEO "The Role of Cardic CT in Value-based Medicine."

Cardiovascular Business | July 13, 2017

Randall Thompson, M.D., outlines three new CPT codes for FFR-CT, a smart phone-based single-lead ECG system and PET nuclear perfusion imaging. Thompson is a professor of medicine at the University of Missouri, Kansas City, attending cardiologist, Mid-America Heart Institute, St. Luke’s Health, and member of the Society of Cardiovascular Computed Tomography (SCCT) Advocacy Committee, American College of Cardiology (ACC) Coding Taskforce and the American Society of Nuclear Cardiology (ASNC) treasurer, speaks at the SCCT 2017 annual meeting.  Read the story "FFR-CT Gains CPT Code for Reimbursement."

Computed Tomography (CT) | July 11, 2017

Todd Villines, M.D., FACC, FAHA, FSCCT, director of cardiac CT, Georgetown Medical Center, and president of the Society of Cardiovascular CT (SCCT), discusses evidence being presented over the past several years for the use of cardiac CT at SCCT 2017. Watch the related VIDEO “The Future of Cardiac CT in the Next Decade,” an interview with Leslee Shaw, Ph.D. Read the related article “Advances in Cardiac CT Technology.”

CT Angiography (CTA) | July 10, 2017

David Bluemke, M.D., Ph.D., FAHA, professor of radiology, University of Wisconsin - Madison, incoming editor of RSNA’s journal Radiology and previously the radiologist in chief of imaging services at the NIH, at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Watch the related VIDEO “The Future of Cardiac CT in the Next Decade,” an interview with Leslee Shaw, Ph.D. Read the related article “Advances in Cardiac CT Technology.”

Cardiovascular Ultrasound | June 29, 2017

Leyla Elif Sade, M.D., MESC, professor of cardiology at Başkent University, Ankara, Turkey, discusses use of echo for CRT optimization at the 2017 American Society of Echocardiography (ASE) annual meeting. Related content includes the VIDEO "Echocardiography Strain Fundamentals Made Easy," and the articles "A Glimpse Into the Future of Cardiac Ultrasound," "Automation Enhances, Streamlines Echocardiography" and "What is New in Electrophysiology Technologies."

Clinical Decision Support | June 29, 2017

Rami Doukky, M.D., system chair, Division of Cardiology, professor of medicine, Cook County Health and Hospitals System, Chicago, discusses the new CMS requirements for clinical decision support (CDS) appropriate use criteria (AUC) documentation in cardiac imaging starting on Jan. 1, 2018. He spoke at the 2017 American Society of Nuclear Cardiology (ASNC) meeting. Read the article "CMS to Require Appropriate Use Criteria Documentation for Medical Imaging Orders."

Cardiovascular Ultrasound | June 27, 2017

Partho Sengupta, M.D., professor of medicine, director of cardiovascular imaging and chair of cardiac innovations at the West Virginia University Heart and Vascular Institute, discusses the 2017 Echovation Challenge, which highlighted workflow efficiency, at the 2017 American Society of Echocardiography (ASE) annual meeting. See all the stories and VIDEOS from ASE 2017 in the "Top Echocardiography News and Video From ASE 2017."
 

 

Cardiovascular Business | June 23, 2017

Linda Gillam, M.D., MPH, FACC, FAHA, FASE, chair, cardiovascular medicine, Atlantic Health System, suggests how cardiology-related services can demonstrate their value to providers and patients at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related VIDEO "MACRA's Impact on Cardiology," an interview with Kim A. Williams, Sr., M.D., chief of cardiology at Rush University Medical Center, Chicago. Read the article "HHS Finalizes Cardiology Bundled Payment Model to Lower Healthcare Costs."

Cardiovascular Ultrasound | June 19, 2017

DAIC Editor Dave Fornell takes a tour of some of the most innovative new cardiac ultrasound technologies at the American Society of Echocardiography (ASE) 2017 annual scientific sessions. Watch the related ASE VIDEO "Ultrasound Technology Trends and Technology to Watch."

Cardiovascular Ultrasound | June 15, 2017

Madhav Swaminathan, M.D., FASC, FAHA, clinical director of cardiothoracic anesthesiology, at Duke University Medical Center, discusses use of cardiac ultrasound in cardiac surgery and interventional structural heart procedures at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related VIDEO "What is Required for Interventional Echo - Discussion With Rebecca Hahn," or read the article “Requirements for Interventional Echocardiographers.” 

Cardiovascular Ultrasound | June 15, 2017

Partho Sengupta, M.D., professor of medicine, director of cardiovascular imaging and chair of cardiac innovations at the West Virginia University Heart and Vascular Institute, discusses futuristic technologies that are entering cardiac ultrasound at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related ASE 2017 VIDEO "Ultrasound Technology Trends and Technology to Watch."

 

Heart Valve Technology | June 14, 2017

A discussion with Rebecca Hahn, M.D., FASE, director of interventional echocardiography and professor of medicine at Columbia University Medical Center / New York-Presbyterian Hospital, New York. She is the national principal investigator for the SCOUT I Trial for the Trialign Percutaneous Tricuspid Valve Annuloplasty System. For information on the development of transcatheter mitral valve  technologies read the article "Transcatheter Mitral Valve Replacement Devices in Development." Watch a video with Hahn explaining the requirements for creating an interventional echo program to support structural heart interventions.

Cardiovascular Ultrasound | June 07, 2017

Chi-Ming Chow, M.D., MSc, FRCPC, FACC, FASE, attending staff cardiologist, St. Michael's Hospital, and associate professor, Department of Medicine, University of Toronto, discusses new technology trends in ultrasound and what developments will effect the future of cardiac ultrasound. Read the article "Automation Enhances, Streamlines Echocardiography." Chow also discusses advancements in strain imaging and how this diagnostic tool is becoming more important. Watch this VIDEO session on the basics of cardiac strain imaging from the American Society of Echocardiography (ASE) 2016.

Cardiovascular Business | June 06, 2017

Andrea Natale, M.D., FACC, FHRS, FESC, executive medical director, Texas Cardiac Arrhythmia Institute at St. David's Medical Center, discusses how to build an electrophysiology (EP) program at the 2017 Heart Rhythm Society annual meeting. Read the article "Growing a Cardiac Rhythm Program in a Community Setting."
 

 

Implantable Cardioverter Defibrillator (ICD) | June 01, 2017

Lucas Boersma, M.D., Ph.D., FESC, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands, discusses how subcutaneous implantable cardioverter defibrillator (S-ICD) technology works, selecting patient appropriate patients and new S-ICD technologies in development at the 2017 Heart Rhythm Society annual meeting. Read the article "Subcutaneous ICD System Shows Positive Outcomes in Largest Real-world Study."
 

 

EP Lab | May 26, 2017

DAIC Editor Dave Fornell takes a tour of some of the most innovative new electrophysiology (EP) technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Learn more about the Heart Rhythm Society 2017 late-breaking electrophysiology trials.
 

Cardiovascular Ultrasound | May 26, 2017

This video, provided in partnership with the American Society of Echocardiography (ASE), is titled "Intraoperative Transesophegeal Echo (TEE) for Left Ventricular Assist Devices (LVAD)." It is presented by Kent Rehfeldt, M.D., FASE, associate professor of anesthesiology, Mayo Clinic, Rochester, Minn. This is one of the educational seminars presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.

Cardiovascular Ultrasound | May 26, 2017

This video, provided in partnership with the American Society of Echocardiography (ASE), is titled "Strain Fundamentals Made Easy - Strain in Routine clinical Practice: Knobology and Beyond." It is presented by Teerapat Yingchocharoen, M.D., FASE, from Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. He is also a co-director of the Echo ASE ASEAN conference. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.

Leads Implantable Devices | May 25, 2017

Bruce Wilkoff, M.D., director of cardiac pacing and tachyarrhythmia devices at Cleveland Clinic, discusses advancements in lead management technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Read the article “ Study Shows Occlusion Balloon Saves Lives During Lead Extraction.”  Read the articles “Advances in Transvenous Lead Extraction,” and  “Strategies, New Technologies Aid Lead Management.”

 

Pacemakers | May 23, 2017

Vivek Reddy, M.D., director of cardiac arrhythmia services and professor of medicine, cardiology, Mount Sinai Hospital, N.Y., discusses advancements in leadless pacemaker technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Read the articles “Leadless Endocardial CRT Pacing Effective for Heart Failure Patients,” and “New Data Showcases Long-term Benefits of Nanostim Leadless Pacemaker.”

 

Cardiac Resynchronization Therapy Devices (CRT) | May 23, 2017

This video, provided by ERB, demonstrates the function and implantation of the WiSE CRT (Wireless Stimulation Endocardially for cardiac resynchronization therapy) leadless CRT pacing system for heart failure patients. Read the article “Leadless Endocardial CRT Pacing Effective for Heart Failure Patients.” 

Atrial Fibrillation | May 17, 2017

Hugh Calkins, M.D., FACC, FAHA, FHRS, director of cardiac arrhythmia services and professor of medicine at Johns Hopkins Hospital, discusses advancements in AF ablation at the 2017 Heart Rhythm Society (HRS) annual meeting. Read about the new AF expert consensus statement released at HRS 2017.

EP Lab | May 17, 2017

This video, provided by Spectranetics, demonstrates how to deploy the Bridge Occlusion Balloon used to seal accidental tears in the superior vena cava (SVC) during EP device lead extraction procedures. A review of post-market release data shown it can bridge the patient to open surgical repair and significantly reduce the usual 50 percent mortality associated with this complication. Read the article about the late-breaking clinical trial presentation from Heart Rhythm 2017.

Pacemakers | May 16, 2017

This video, provided by Medtronic, demonstrates the implantation of Micra transcatheter pacing system (TPS). The device is a leadless pacemaker for single chamber pacing and eliminated the need for a surgical pocket or transvenous leads. The design concept is to simplify pacemaker implantation and eliminate the need for leads, which open the patient up to additional device and infection complications. 

Watch the VIDEO “Current State of Leadless Pacemaker Technology,” an interview with Vivek Reddy, M.D., at the Heart Rhythm Society 2017 meeting.

Read the 2018 article "New Pacemaker Technologies."

Read the article “Safety, Performance of the World's Smallest Pacemaker Reinforced in Real-world Patients.”
 

Cardiovascular Business | May 03, 2017

Kim A. Williams, Sr., M.D., chief of cardiology at Rush University Medical Center, Chicago and former president of both the American College of Cardiology (ACC) and the American Society of Nuclear Cardiology (ASNC), explains the impact of healthcare reform on cardiology and specifically on nuclear perfusion imaging. Read the article "HHS Finalizes Cardiology Bundled Payment Model to Lower Healthcare Costs."

 

 

Angiography | May 03, 2017

Tom Kloetzly, sales and marketing VP for Shimadzu Medical Systems USA, explains the evolution of Shimadzu Corporation since its founding 142 years ago. Kloetzly focuses on the Trinias Interventional X-ray line shown at RSNA 2016. Kloetzly states “A key feature of Trinias, is the ability to image from fingertip to fingertip during a transradial approach which makes for much shorter hospital stay with the patient up and moving almost immediately after the procedure. Features Like RSM-DSA, a type of motion correction subtraction, eliminates patient movement during acquisition while STENTVIEW, is an enhanced visualization during stent placement in real-time." For more information: www.shimadzu.com/med/products/angio/index.html.

 

Nuclear Imaging | April 28, 2017

David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida and past-president of the American Society of Nuclear Cardiology (ASNC), discusses advancements in nuclear imaging and some of the issues facing the subspecialty. Read the article “PET vs. SPECT — Will PET Dominate Over the Next Decade?”

Ventricular Assist Devices (VAD) | April 14, 2017

A discussion with William O'Neill, M.D., FACC, FSCAI, medical director of the Center for Structural Heart Disease at Henry Ford Hospital, Detroit. He presented a late-breaking study on the outcomes for 15,259 U.S. patients with acute MI in cardiogenic shock supported with the Impella percutenous ventricular assist device. Read more about the Detroit Cardiogenic Shock Initiative.

Analytics Software | April 13, 2017

The shift to value-based payment models requires focused attention on quality and cost. Lumedx’s Cardiovascular Performance Program offers a new approach to managing this transition so hospitals can improve outcomes — and dramatically reduce costs. See how complications reduction, cost-per-case variations and other key metrics delivered in real-time can drive radical change.  For more information, visit www.lumedx.com.

EP Lab | April 10, 2017

A discussion with Heart Rhythm Society (HRS) President Michael Gold, M.D., Ph.D., director of cardiology and associate dean at the Medical University of South Carolina (MUSC), at the American College of Cardiology 2017 annual meeting. Read the article "What is New in Electrophysiology Technologies."
 

 

ACC | April 03, 2017

DAIC Editor Dave Fornell takes a tour of some of the interesting new technologies from the vendor booths on the expo floor at the 2017 meeting of the American College of Cardiology (ACC). For key technology trends at ACC.17, watch the VIDEO "Cardiac Technology Trends at ACC.17."

Stents Bioresorbable | March 30, 2017

Stephen Ellis, M.D., professor of medicine and director of interventional cardiology at Cleveland Clinic, discusses the two year outcomes of the ABSORB III trial of Absorb vs. Xience. The late-breaking trial was presented at ACC 2017. Read the article on the ABSORB III results.  Watch a VIDEO with Gregg Stone, M.D., "Poor Outcomes for Bioresorbable Stents in Small Coronary Arteries."

Cath Lab | March 28, 2017

MDBuyline analyst Tom Watson shares some of the most important trends in cardiac technology he saw at the 2017 American College of Cardiology (ACC) Scientific Sessions. For a list of late-breaking trials and links to related articles read "ACC 2017 Late-Breaking Trials." Watch a VIDEO of Watson's assessment of trends at ACC.16.

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