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Humanities

Fellowship in the Time of Coronavirus Disease 2019 (COVID-19): A Time to Adapt

Educational Objective
To understand the importance of fellowship within the medical community as they adjust to adapt to a post-COVID-19 world

1 Credit CME

JAMA Cardiology

Published Online: May 20, 2020

From the Heart

Article Information and Disclosures

Katherine H. Chau, MD¹;

Shayan Nabavi Nouri, MD¹;

Mahesh V. Madhavan, MD¹

Author Affiliations

¹NewYork-Presbyterian/Columbia University Irving Medical Center, New York

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Over the past few years, the members of the fellowship class entering in 2017 have seen and participated in a number of memorable and what we believe to be career-defining cases, from massive ST-segment elevation myocardial infarctions to incessant arrhythmias to cardiogenic shock. As we started our third year of cardiology fellowship at NewYork-Presbyterian/Columbia University Irving Medical Center, we all understood that we had committed to a lifetime of learning from patients, and the challenging cases we continued to see as the fellow on call prepared us to be humbled by the unexpected. The weeks surrounding the developing coronavirus disease 2019 (COVID-19) pandemic suggest that we have reached that very point of unexpectedness. The very pillars of our fellowship training—patient care, education, and scholarship—have been upended by this unprecedented challenge.

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Article Information

Corresponding Author: Katherine H. Chau, MD, NewYork-Presbyterian/Columbia University Irving Medical Center, PH 10-203, 622 W 168 St, New York, NY 10032 (khc2001@cumc.columbia.edu).

Published Online: May 20, 2020. doi:10.1001/jamacardio.2020.1562

Conflict of Interest Disclosures: Drs Chau and Madhavan report being supported by an institutional grant by the National Institutes of Health/National Heart, Lung, and Blood Institute to Columbia University Irving Medical Center (grant T32 HL007854). No other disclosures were reported.

Additional Contributions: We would like to warmly acknowledge the other members of our fellowship class, Laura P. Cohen, MD, MPP; Timothy J. Poterucha, MD; Stephanie M. Kochav, MD, MHS; and Jonathan D. Kochav, MD (NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY). We thank these individuals not only for their substantial editing contributions to this piece, but also for being wonderful coworkers, colleagues, and lifelong friends, whom we have had the pleasure of training with and going through these challenging times with. They have not received compensation. We would also like to thank the leadership of our fellowship program for their support, mentorship, and guidance.

References

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Biggerstaff M , Cauchemez S , Reed C , Gambhir M , Finelli L . Estimates of the reproduction number for seasonal, pandemic, and zoonotic influenza: a systematic review of the literature. BMC Infect Dis. 2014;14:480. doi:10.1186/1471-2334-14-480 PubMed Google Scholar Crossref

Wu Z , McGoogan JM . Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in china: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. Published online February 24, 2020. doi:10.1001/jama.2020.2648 PubMed Google Scholar

Driggin E , Madhavan MV , Bikdeli B , et al. Cardiovascular considerations for patients, health care workers, and health systems during the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Cardiol. Published online March 18, 2020. doi:10.1016/j.jacc.2020.03.031 PubMed Google Scholar

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.