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The 5th Cardiovascular Diseases Fellowship Program Directors Survey examined how PDs and CV training programs evaluate fellow competence across training. The survey included 15 items covering trainee evaluation, competency development, and assessment methods, including ACGME Milestones and competency-based medical education.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/program-directors-survey-on-competency-assessment-in-cardiology-fellowship-original-research/441909/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/program-directors-survey-on-competency-assessment-in-cardiology-fellowship-original-research/441909.png","ImageObject",300,407,{"name":92,"@type":93},"Terk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What gap does the study address about competency assessment in cardiology fellowships?","Question",{"text":112,"@type":113},"The study targets limited data on how CV fellowship programs and PDs assess the competence of cardiology fellows across training.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What survey elements were included to evaluate competency assessment practices?",{"text":117,"@type":113},"The survey used 15 items focused on trainee evaluation, competency development, and assessment across cardiology fellowship, including assessment related to ACGME Milestones and competency-based medical education.",{"name":119,"@type":110,"acceptedAnswer":120},"Which assessment approaches and tools were most common, according to the results?",{"text":121,"@type":113},"Direct faculty supervision and case discussion were the most common ways to assess competence at the beginning of training, and faculty evaluations were commonly used for most ACGME Core Competencies; the American College of Cardiology In-Training Examination was used by 93% of programs for medical knowledge.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},441909,1791035138,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},1099525198933,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","J A C C : A D V A N C E S V O L . 5 , N O . 1 , 2 0 2 6  \n© 2 0 2 6 T H E A U T H O R S . P U B L I S H E D BY E L S E V I E R O N B E H A L F O F T H E A M E R I C A N  \nC O L L E G E O F C A R D I O L O GY F O U N D A T I O N . T H I S I S A N O P E N A C C E S S A R T I C L E U N D E RT H E C C B Y-N C-N D L I C E N S E ( [h t t p : / / c r e a t i v e c o m m o n s . o r g / l i c e n s e s / b y-n c-n d / 4 . 0 /](h t t p : / / c r e a t i v e c o m m o n s . o r g / l i c e n s e s / b y-n c-n d / 4 . 0 /) ) .  \nORIGINAL RESEARCH  \nProgram Directors Survey on Competency Assessment in Cardiology Fellowship  \nMichael W. Cullen, MD,a Eric H. Yang, MD,b Victor Soukoulis, MD, PHD,c Friederike K. Keating, MD,d Islam Abudayyeh, MD, MPH,e Meera Kondapaneni, MD,f Donna M. Polk, MD, MPH,g Paul Theriot, BA, BS,h Julie B. Damp, MD,i Gaby Weissman, MDj  \nABSTRACT  \nBACKGROUND Limited data exist regarding how cardiovascular disease (CV) fellowship programs and program directors (PDs) assess the competence of cardiology fellows.  \nOBJECTIVES The 5th Cardiovascular Diseases Fellowship Program Directors Survey sought to understand how PDs and CV training programs assess fellow competence throughout CV training.  \nMETHODS Our survey contained 15 items focused on trainee evaluation, competency development, and assessment in cardiology fellowship. Specific survey items focused on competence at the beginning of CV training, the Accreditation Council for Graduate Medical Education Milestones, fellow evaluation, and competency-based medical education.  \nRESULTS The survey response rate was 49%, with most responding PDs representing university-based programs (60%) . Direct faculty supervision and discussion of cases (90%) was the most common means of assessing fellow competence atthe beginning of training. Evaluations from faculty were the most common tool programs used to assess 5 of 6 Accreditation Council for Graduate Medical Education Core Competencies. In contrast, 93% of programs used the American College of Cardiology’s In-Training Examination to assess the medical knowledge competency. On average, only 60% of faculty complete the majority of fellow evaluations. Despite challenges, 81% of PDs reported confidence in their ability to assess global competence of their fellows. Most (90%) of PDs felt fellows were sufficiently competent after meeting time and case-counts in COCATS 4, and only 39% were prepared to move away from time and case-counts.  \nCONCLUSIONS Direct engagement from teaching faculty plays a critical role in fellow assessment. Despite challenges, PDs remain confident in their ability to assess fellow competence and express reluctance about moving toward a paradigm of purely competency-based medical education. (JACC Adv. 2026;5:102473) © 2026 The Authors. Published by Elsevieron behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/)).  \nFrom the aDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; bDivision of Cardiology, Department of Medicine, University of California at Los Angeles, Los Angeles, California, USA; cDivision of Cardiovascular Medicine, University of Virginia, Charlottesville, Virginia, USA; dDivision of Cardiology, University of Vermont Larner College of Medicine, Burlington, Vermont, USA; eDepartment of Medicine, Charles Drew University, Loma Linda Veterans Healthcare, Loma Linda, California, USA; fCase Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio, USA; gAccreditation Council for Graduate Medical Education, Chicago, Illinois, USA; hAmerican College of Cardiology, Washington, District of Columbia, USA; iDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA; and the jDepartment of Cardiology, Medstar Heart and Vascular Institut","cbCaisGhBjNoMFG8","https://ap.wps.com/l/cbCaisGhBjNoMFG8","pdf",3625345,11,"English","# Abstract\n## Background\n## Objectives\n## Methods\n## Results\n## Conclusions","[{\"question\":\"What gap does the study address about competency assessment in cardiology fellowships?\",\"answer\":\"The study targets limited data on how CV fellowship programs and PDs assess the competence of cardiology fellows across training.\"},{\"question\":\"What survey elements were included to evaluate competency assessment practices?\",\"answer\":\"The survey used 15 items focused on trainee evaluation, competency development, and assessment across cardiology fellowship, including assessment related to ACGME Milestones and competency-based medical education.\"},{\"question\":\"Which assessment approaches and tools were most common, according to the results?\",\"answer\":\"Direct faculty supervision and case discussion were the most common ways to assess competence at the beginning of training, and faculty evaluations were commonly used for most ACGME Core Competencies; the American College of Cardiology In-Training Examination was used by 93% of programs for medical knowledge.\"}]","Program Directors Survey on Competency Assessment in Cardiology Fellowship - Original Research | PDF",1790698062,28]