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A Fellows to a Fellow: resources for cardiology fellows

The excitement continues as 3rd year general cardiology fellows wrap up their training in these last few months. Those pursuing advanced training in interventional cardiology find themselves at a crossroads as they begin a year of procedural training. Being one of those lucky fellows, I recently began searching for resources to help me get started with the transition. This list is definitely not exhaustive, but I hope you find it helpful for those going down this pathway.

Here are my go-to resources to help me get started in interventional cardiology training.

  • CRF (Cardiovascular Research Foundation) Fellows Course Connect
    – This year, it will be presented in a virtual live-streamed format from May 7th-9th. One of the go-to courses every year that features key concepts in interventional cardiovascular medicine. Yes, it’s free for fellows.
    https://www.crf.org/fellows/register
  • ARCH (Advanced Revascularization) Course – Hybrid
    – Takes place both online and with limited in-person registration in St. Louis Missouri at the Ritz-Carlton Hotel. Has a dedicated Fellows course on Wednesday, April 14th, with the goal to prepare cardiology fellows for interventional practice. (Full scholarship included with registration)
    https://archsymposium.com/april-2021-fellows-course/
  • SCAI 2021 (Virtual) Scientific Sessions
    Can’t miss the scientific sessions from SCAI, it’ll be loaded with tons of educational content geared towards interventional cardiology. Dr. Quinn Capers is scheduled as a Keynote speaker discussing “Black Lives Matter….In the Cath Lab, Too! A Role for Interventional Cardiology in Combating Racism”
    https://scai.org/scai2021
  • SCAI Fall Fellows Course
    Tentatively scheduled for Dec 3-7th in Miami, Florida. Always considered one of the best interventional fellow courses to attend. Looking forward to this happening.
    https://scai.org/event/2021-fall-fellows-courses
  • Interventional, Early Career, & FIT Monthly Case Discussions: High Risk and Complex PCI and Mechanical Circulatory Support
    https://www.acc.org/Education-and-Meetings/Meetings/Meeting-Items/2021/02/18/19/44/Webinar-Int-EC-FIT-Monthly-Cath-Case-Discussions-High-Risk-PCI
  • CRT 2021 Virtual
    From Feb 13 – April 24, 2021, every Saturday Morning. From live-stream discussions with the latest in interventional cardiology to live cases. Free registration is a plus.
    http://www.crtmeeting.org
  • Emmanouil Brilakis’ youtube channel. The Manual of PCI (A Step-by-step approach) https://www.youtube.com/watch?v=ELu-yJ7USOU&list=PLrg6KBVL0GBqabghGLCgqbplSrGQEiHh4
    Probably one of the most important youtube channels for all interventional cardiology trainees. If you haven’t started watching these videos, you’re missing out. The accompanying textbook (https://www.pcimanual.org/) is also a must-have.

Now there are also plenty more resources out there, but I felt that this was a good starting place for me. Hopefully, it helps someone.

 

“The views, opinions and positions expressed within this blog are those of the author(s) alone and do not represent those of the American Heart Association. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The copyright of this content belongs to the author and any liability with regards to infringement of intellectual property rights remains with them. The Early Career Voice blog is not intended to provide medical advice or treatment. Only your healthcare provider can provide that. The American Heart Association recommends that you consult your healthcare provider regarding your personal health matters. If you think you are having a heart attack, stroke or another emergency, please call 911 immediately.”

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HOW TO SAY NO: R5

American Heart Association Early Career Guest Blog

Sherry-Ann Brown MD PhD FAHA, Mehnaz Rahman MD

For many of us, to nurture our continuous and whole sense of well-being, we are in a constant process of learning to say “no”. Here is one scenario that can help provide an effective framework for saying “no”.

Consider a new junior attending faculty member at the same academic institution where she trained as a Cardiology fellow. Her pursuit of wellness in this new role has fallen to the sidelines, as she first tries to establish a sense of authority within a society that has only ever known her as a trainee. While navigating this unfamiliar territory, a surprising source of anxiety has come from responding to requests to collaborate on projects. She consistently accepted almost every single one. The fellow in her aimed to please.

Although she approached each with the same work ethic, her interest in them was not as equitably distributed. At the end of her first year, her cup had “runneth over” – she was overworked and overcommitted admittedly she felt by her own doing.

She then realized that she had agreed to those undertakings because she did not quite have the words ready at the tip of her tongue to say “no”.  When respectfully declining a specific ask, she determined that it can help to have a practiced approach to the conversation, one that can produce a beneficial result for both parties.

As we discuss this scenario, we can recognize that in general, people appreciate ideas and potential solutions. Accordingly, we may not be able to fulfill every request, yet we can still be a resource and offer alternatives.

One framework for saying “no” is grounded in R5: Reframe, Refer, Reduce, Reorient, and Recommend. Saying “no” can be challenging. Sometimes we need to say “no” to the way the ask is presented or the specific focus of the ask.

If we can perceive benefit from modifying the ask so that it actually fits with our career goals and specialty interests, then we can say “no” to the original ask while reframing it to a more fitting ask for us.

If we choose not to reframe the ask, we can refer the asker to someone else who we feel could be interested in working on such a task.

Alternatively, we could reduce the original ask to limit the portion for which we would be responsible.

Further, often those asking do not know how full our plates are and may need to be kindly informed or reoriented, so that they can better understand your perspective as you say “no”; you can even solicit their input as you think about how to prioritize your time on pre-existing projects.

Finally, recommend a new deadline or seeking out more resources if you would find working on the opportunity valuable but time-consuming or limited in available resources.

Remember, those asking for your involvement are genuinely interested in working with you, recognize you as an asset, and will more often than not be receptive to your counteroffer. Saying “no” the right way will leave the door open to future opportunities that you may be waiting or looking for.

We can continue to recalibrate our expectations of ourselves, as we engage in projects that keep us passionate and hope that our journeys to wellness become smoother with time and practice.

“The views, opinions and positions expressed within this blog are those of the author(s) alone and do not represent those of the American Heart Association. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The copyright of this content belongs to the author and any liability with regards to infringement of intellectual property rights remains with them. The Early Career Voice blog is not intended to provide medical advice or treatment. Only your healthcare provider can provide that. The American Heart Association recommends that you consult your healthcare provider regarding your personal health matters. If you think you are having a heart attack, stroke or another emergency, please call 911 immediately.”