Current Status of Training and Certification for Congenital Heart Surgery Around the World: Proceedings of the Meetings of the Global Council on Education for Congenital Heart Surgery of the World Society for Pediatric and Congenital Heart Surgery

2021 ◽  
Vol 12 (3) ◽  
pp. 394-405
Author(s):  
Christo I. Tchervenkov ◽  
Claudia Herbst ◽  
Jeffrey P. Jacobs ◽  
Zohair Al-Halees ◽  
Frank Edwin ◽  
...  

The optimal training of the highly specialized congenital heart surgeon is a long and complex process, which is a significant challenge in most parts of the world. The World Society for Pediatric and Congenital Heart Surgery (WSPCHS) has established the Global Council on Education for Congenital Heart Surgery as a nonprofit organization with the goal of assessing current training and certification and ultimately establishing standardized criteria for the training, evaluation, and certification of congenital heart surgeons around the world. The Global Council and the WSPCHS have reviewed the present status of training and certification for congenital cardiac surgery around the world. There is currently lack of consensus and standardized criteria for training in congenital heart surgery, with significant disparity between continents and countries. This represents significant obstacles to international job mobility of competent congenital heart surgeons and to the efforts to improve the quality of care for patients with Congenital Heart Disease worldwide. The purpose of this article is to summarize and document the present state of training and certification in congenital heart surgery around the world.

2018 ◽  
Vol 9 (4) ◽  
pp. 392-406 ◽  
Author(s):  
Jeffrey P. Jacobs ◽  
Christo I. Tchervenkov ◽  
Giovanni Stellin ◽  
Hiromi Kurosawa ◽  
Constantine Mavroudis ◽  
...  

The World Society for Pediatric and Congenital Heart Surgery (WSPCHS) is the largest professional organization in the world dedicated to pediatric and congenital heart surgery. The purpose of this article is to document the first decade of the history of WSPCHS from its formation in 2006, to summarize the current status of WSPCHS, and to consider the future of WSPCHS. The WSPCHS was incorporated in Canada on April 7, 2011, with a head office in Montreal, Canada. The vision of the WSPCHS is that every child born anywhere in the world with a congenital heart defect should have access to appropriate medical and surgical care. The mission of the WSPCHS is to promote the highest quality comprehensive cardiac care to all patients with congenital heart disease, from the fetus to the adult, regardless of the patient’s economic means, with an emphasis on excellence in teaching, research, and community service.


2019 ◽  
Vol 10 (4) ◽  
pp. 492-498
Author(s):  
James D. St. Louis ◽  
Christo I. Tchervenkov ◽  
Richard A. Jonas ◽  
Nestor Sandoval ◽  
Hao Zhang ◽  
...  

The World Database for Pediatric and Congenital Heart Surgery was created to provide a resource for centers to be able to perform complex outcomes analyses of children undergoing repair of a congenital heart defect. In just under two years, the World Society for Pediatric and Congenital Heart Surgery (WSPCHS) has amassed over 13,000 procedures from 55 centers into the database. This Proceedings of the 3rd World Database Symposium held at the 6th Scientific Meeting of the WSPCHS summarizes the presentations of international experts in the fields of outcomes analysis and care of children with congenital heart surgery.


2018 ◽  
Vol 9 (4) ◽  
pp. 383-391 ◽  
Author(s):  
Richard A. Jonas

This paper was presented by the author at the 2016 biannual scientific meeting in Abu dhabi of the World Society for Pediatric and Congenital Heart Surgery as his incoming presidential address. In addition to listing the accomplishments of the World Society including several successful international scientific meetings and regional meetings, the Society has established the only journal devoted to congenital heart surgery and is in the process of establishing the new World Society database. The mission statement of the World Society emphasizes equitable global management of patients with congenital heart disease and includes an emphasis on excellence in education, research and community service. The Society will promote international exchange of trainees in congenital heart surgery, the facilitation of international teaching and treatment missions as well as a system for global certification of congenital heart surgeons to facilitate international movement of surgeons to areas of greatest need.


2008 ◽  
Vol 18 (S2) ◽  
pp. 177-187 ◽  
Author(s):  
David R. Clarke ◽  
Linda S. Breen ◽  
Marshall L. Jacobs ◽  
Rodney C.G. Franklin ◽  
Zdzislaw Tobota ◽  
...  

AbstractAccurate, complete data is now the expectation of patients, families, payers, government, and even media. It has become an obligation of those practising congenital cardiac surgery. Appropriately, major professional organizations worldwide are assuming responsibility for the data quality in their respective registry databases.The purpose of this article is to review the current strategies used for verification of the data in the congenital databases of The Society of Thoracic Surgeons, The European Association for Cardio-Thoracic Surgery, and The United Kingdom Central Cardiac Audit Database. Because the results of the initial efforts to verify data in the congenital databases of the United Kingdom and Europe have been previously published, this article provides a more detailed look at the current efforts in North America, which prior to this article have not been published. The discussion and presentation of the strategy for the verification of data in the congenital heart surgery database of The Society of Thoracic Surgeons is then followed by a review of the strategies utilized in the United Kingdom and Europe. The ultimate goal of sharing the information in this article is to provide information to the participants in the databases that track the outcomes of patients with congenitally malformed hearts. This information should help to improve the quality of the data in all of our databases, and therefore increase the utility of these databases to function as a tool to optimise the management strategies provided to our patients.The need for accurate, complete and high quality Congenital Heart Surgery outcome data has never been more pressing. The public interest in medical outcomes is at an all time high and “pay for performance” is looming on the horizon. Information found in administrative databases is not risk or complexity adjusted, notoriously inaccurate, and far too imprecise to evaluate performance adequately in congenital cardiac surgery. The Society of Thoracic Surgeons and European Association for Cardio-Thoracic Surgery databases contain the elements needed for assessment of quality of care provided that a mechanism exists within these organizations to guarantee the completeness and accuracy of the data. The Central Cardiac Audit Database in the United Kingdom has an advantage in this endeavour with the ability to track and verify mortality independently, through their National Health Service.A combination of site visits with “Source Data Verification”, in other words, verification of the data at the primary source of the data, and external verification of the data from independent databases or registries, such as governmental death registries, may ultimately be required to allow for optimal verification of data. Further research in the area of verification of data is also necessary. Data must be verified for both completeness and accuracy.


Author(s):  
Christo I. Tchervenkov ◽  
Giovanni Stellin ◽  
Hiromi Kurosawa ◽  
Jeffrey P. Jacobs ◽  
Constantine Mavroudis ◽  
...  

2008 ◽  
Vol 18 (S2) ◽  
pp. 63-69 ◽  
Author(s):  
Christo I. Tchervenkov ◽  
Jeffrey Phillip Jacobs ◽  
Pierre-Luc Bernier ◽  
Giovanni Stellin ◽  
Hiromi Kurosawa ◽  
...  

AbstractThe diagnosis and treatment for paediatric and congenital cardiac disease has undergone remarkable progress over the last 60 years. Unfortunately, this progress has been largely limited to the developed world. Yet every year approximately 90% of the more than 1,000,000 children who are born with congenital cardiac disease across the world receive either suboptimal care or are totally denied care.While in the developed world the focus has changed from an effort to decrease post-operative mortality to now improving quality of life and decreasing morbidity, which is the focus of this Supplement, the rest of the world still needs to develop basic access to congenital cardiac care. The World Society for Pediatric and Congenital Heart Surgery [http://www.wspchs.org/] was established in 2006. The Vision of the World Society is that every child born anywhere in the world with a congenital heart defect should have access to appropriate medical and surgical care. The Mission of the World Society is to promote the highest quality comprehensive care to all patients with pediatric and/or congenital heart disease, from the fetus to the adult, regardless of the patient’s economic means, with emphasis on excellence in education, research and community service.We present in this article an overview of the epidemiology of congenital cardiac disease, the current and future challenges to improve care in the developed and developing world, the impact of the globalization of cardiac surgery, and the role that the World Society should play. The World Society for Pediatric and Congenital Heart Surgery is in a unique position to influence and truly improve the global care of children and adults with congenital cardiac disease throughout the world [http://www.wspchs.org/].


2007 ◽  
Vol 17 (E-S2) ◽  
pp. 1-25 ◽  
Author(s):  
Jeffrey Phillip Jacobs ◽  
Christo I. Tchervenkov ◽  
Richard A. Jonas ◽  
Giovanni Stellin ◽  
Hiromi Kurosawa ◽  
...  

2012 ◽  
Vol 3 (2) ◽  
pp. 156-158 ◽  
Author(s):  
Constantine Mavroudis

At the Third Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery in June 2011 in Istanbul, Turkey, Professor Francis Fontan and Dr Guillermo Kreutzer were honored for their contributions to the world of pediatric and congenital heart surgery. The presentation included a video of each physician being interviewed about their clinical and historical experiences. The presentation and videos are summarized herein.


2017 ◽  
Vol 27 (10) ◽  
pp. 1939-1946 ◽  
Author(s):  
Richard A. Jonas

AbstractIn the opening plenary address of the 2017 7th World Congress of Pediatric Cardiology and Cardiac Surgery the author, who represented the World Society for Pediatric and Congenital Heart Surgery at the Congress and is currently the Society’s president, described the history of the formation of the World Society. He listed accomplishments of the World Society including publication of the only journal devoted to congenital cardiac surgery, development of a global database, and convening several international conferences dating back to the inaugural conference in Washington, DC in 2007. The general theme of the presentation is the importance of teamwork in managing patients and families with CHD. Challenges facing congenital heart teams are discussed including the fragility of cardiac programmes, that can be heavily influenced by the administrative structure of a paediatric hospital; the difficulty of recruiting skilled surgeons into the field as training in general cardiothoracic surgery contracts and general surgery becomes predominantly laparoscopic with few open procedures; and increasing barriers to the international movement of surgeons including the opportunities for United States of America-based surgeons to acquire international experience at leading global centres. Finally, the author focusses on the danger that the team approach poses to maintaining empathy and emotional support for the family with CHD undergoing a stressful hospitalisation. He discusses strategies to optimise holistic support of the child and family.


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