Author + information
- Jeffrey J. Popma, MD, FACC, FSCAI⁎,
- George D. Dangas, MD, PhD, FACC, FSCAI†,
- Carl L. Tommaso, MD, FACC, FSCAI‡ and
- Stephanie C. Bailes, ACC Staff Liaison to the Interventional Scientific Council§,⁎ ()
- ↵⁎Reprint requests and correspondence:
Stephanie C. Bailes, American College of Cardiology Interventional Scientific Section and Council, American College of Cardiology, 2400 N Street NW, Washington DC, 20037.
The American Cardiology of Cardiology (ACC) builds its strength by supporting the health of its member constituents. Over the past several years, the interventional cardiovascular community has faced a number of particular challenges relating both to the interpretation of the benefits and risks of new invasive therapies for the treatment of cardiovascular disease and to refined definitions of the optimal use of these therapies in patients with ischemic and structural heart disease. Yet the complexities of recent trials that have been used to support our evidence-based approach to intervention have been, on occasion, reduced to “sound bites” to the generalists and public at a time when more substantial and cognitive discussions of appropriateness and value are critically needed among cardiovascular subspecialties. Moreover, as opposed to paying for performance and optimal outcomes, there is instead an emphasis by payers on reduction of coverage of procedures despite their potential health value. To promote these professional interactions with interventionalists on a number of clinical, educational, and advocacy fronts within the ACC, the ACC Interventional Scientific Council and its Interventional Section were created by the ACC Board of Trustees at their August 2007 meeting. The purposes of the Interventional Council and its Section are to address the rapidly changing therapeutic and educational landscape for the interventional cardiologist and to navigate the increasingly complex relationships of interventional cardiologists to other subspecialties within and outside the ACC. The Interventional Scientific Council was given the charge of developing an overarching strategy for ACC interventional cardiovascular initiatives, promoting effective communications with other organizations with similar interventional interests, and fostering direct communications to the ACC Board of Trustees on interventional initiatives that had high priority to interventionalists (Table 1).
Delineation of the structure of the Interventional Council may provide insight into its function. Members of the Interventional Council are appointed by the President of the ACC every 2 years, and their selection is based on academic status, membership in established ACC Committees that have most relevance to the interventional community (e.g., ACC Cardiac Catheterization and Interventional Committee, the ACC National Cardiovascular Data Registry's CathPCI Registry®), geographic regions of representation, relationship with critical interventional educational programs (e.g., Annual Scientific I2 Sessions, ACC–Society for Cardiac Angiography and Interventions [SCAI] Board Review Program), and publication in journals oriented toward interventionalists (e.g., JACC: Cardiovascular Interventions and JACC: Cardiovascular Imaging). Designated experts in peripheral arterial disease and pediatric intervention are also appointed as Interventional Council members. In addition, the Council has 3 representatives designated by the Executive Board of the Society of Cardiovascular Angiography and Interventions and appointed members from International Societies, such as European Paris Course on Revascularization (EuroPCR) and the European Society of Cardiology/European Association of Percutaneous Coronary Intervention (ESC/EAPCI). For additional information on the section and the leadership on the Council, please go to the Interventional Council Community page found at www.acc.org.
The inaugural meeting of the Interventional Council was held on September 28, 2007, during the Gruentzig Celebration, which was hosted in conjunction with SCAI at the ACC Heart House in Washington, DC. Subsequent meetings have been held during Transcatheter Cardiovascular Therapeutics, and the American Heart Association (AHA) and ACC Annual Scientific Sessions. These meetings were instrumental in identifying the mission and objectives of the Interventional Council and in defining the breadth of interests for the Interventional Council (Fig. 1). Monthly conference calls are held to discuss the numerous strategic interventional matters currently being addressed by the ACC.
The Interventional Council represents the Interventional Section, which was initiated in November 2007 and includes ACC members who are dedicated to the interventional mission within the ACC. The Interventional Section now comprises over 3,000 members, accounting for nearly 15% of ACC physician membership. Interventional Section members have identified themselves as interventional cardiologists who are committed to supporting the educational, advocacy, training, credentialing, and collaborative objectives of the Council, and provide input and guidance to the Interventional Council for its initiatives. The nominal Section dues of $35 per year for all Section members ($25 for Cardiac Care Associates members, no fee for Fellows-in-Training) are for administrative support purposes only. Section members are encouraged to also maintain full membership/fellowship as appropriate in other interventional cardiology societies and organizations worldwide.
The Section has several opportunities to meet throughout the year, including Section meetings during the ACC Annual Scientific Sessions and a networking reception at the upcoming Transcatheter Cardiovascular Therapeutics meeting.
Goals and Objectives of the Interventional Scientific Council and Section
The purposes of the Interventional Council and its Section are to provide a forum for interventionalists within the ACC to develop an overarching interventional strategy, to coordinate the interventional activities within the ACC, and to provide written reports to the ACC Board of Trustees on interventional activities within the ACC. In addition, through periodic Interventional Section meetings, working groups, and ongoing regular discussions, Interventional Section members can participate and provide a collective voice to advance and advocate priorities within the ACC.
Specific objectives of the Interventional Council and Section include the following:
1. To improve quality of care within the interventional cardiovascular subspecialty in conjunction with SCAI and other societies;
2. To represent the interventional cardiovascular subspecialty in standing ACC committees in an organized way and to coordinate relevant intersocietal initiatives;
3. To enhance opportunities for education, mentoring, and career development;
4. To increase the opportunities for focused education, both within the dedicated fellowships as well as after graduation;
5. To strengthen advocacy efforts for the recognition of the interventional cardiovascular subspecialty and its role in patient care and health care advancement;
6. To foster relationships with other organizations with common interests worldwide.
In many respects, the Section serves as a vehicle for collaboration, working to increase synergy with SCAI and other interventional cardiology societies and organizations worldwide. Interventional Section members are invited to volunteer participation in interventional-related ACC initiatives as directed by the Council in parallel to their membership and activities in other organizations.
The rapid response time needed for interventional-related topics, often with 24 h to 48 h deadlines relating to advocacy, appropriateness criteria, payer decisions, and guidelines, requires that the Interventional Council maintain frequent contact with the ACC staff liaison office. To help coordinate the information that passes daily through the Interventional Council, a number of Working Groups have been established within the Council to utilize the expertise and responsiveness of the Interventional Council and Section members. Earlier this year, Council and Section members were surveyed, resulting in the development of the following Interventional Cardiology Working Groups: Clinical Documents and Publications, Education, Interdisciplinary Training, Interventional Meetings, Advocacy and Reimbursement, and National and International Relationships. In addition, the ACC Cardiovascular Catheterization and Intervention Committee finds a new home within the Interventional Council, and its activities under the umbrella of the Interventional Council. As the Council matures, the Catheterization and Intervention Committee is slated to change to a work group of the Council.
With the marked changes that are anticipated within the cardiovascular health care arena over the next several years, it is critical that interventionalists coordinate their educational, advocacy, and training activities to keep pace with the changing technologies available for treatment of structural heart and vascular disease. Development of evidence-based guidelines that are broadly applicable for interventionalists and generalists will improve patient care. Coupled with appropriate advocacy initiatives to make certain that there is sufficient resource allocation to support the health care system, a more streamlined coordination of interventional activities within the ACC will be achieved by the efforts of the Interventional Council and Section. All interventionalists within the ACC are strongly encouraged to participate in this important transition.
- American College of Cardiology Foundation