2017 ACC/AHA/HFSA/ISHLT/ACP Advanced Training Statement on Advanced Heart Failure and Transplant Cardiology

A Report of the ACC Competency Management Committee

Published 1 June 2017

Mariell Jessup, Mark H. Drazner, Wendy Book, Joseph C. Cleveland, Ira Dauber, Susan Farkas, Mahazarin Ginwalla, Jason N. Katz, Peggy Kirkwood, Michelle M. Kittleson, Joseph E. Marine, Paul Mather, Alanna A. Morris, Donna M. Polk, Antoine Sakr, Kelly H. Schlendorf, Esther E. Vorovich

Jessup M, Drazner M, Book W, et al. J Am Coll Cardiol. Jun 2017;69(24):2977-3001

  • Advanced Heart Failure & Transplantation
  • Cardiology
  • Cardiothoracic Surgery
  • Joint Statement
  • Publications & Journals
  • Standards & Guidelines

(Revision of the ACCF/AHA/ACP/HFSA/ISHLT 2010 Clinical Competence Statement on Management of Patients With Advanced Heart Failure and Cardiac Transplant)

American College of Cardiology (ACC) LogoAmerican Heart Association (AHA) LogoHeart Failure Society of America (HFSA) LogoISHLTAmerican College of Physicians (ACP)

American College of Cardiology (ACC) Advanced Training Statements define selected competencies that go beyond those expected of all cardiologists and require training beyond a standard 3-year cardiovascular disease fellowship. This includes sub-subspecialties for which there is an ABIM added-qualification designation, such as advanced heart failure and transplant cardiology (AHFTC). The Advanced Training Statements also describe key experiences and outcomes necessary to maintain or expand competencies during practice, although over time, these will be supplemented by additional lifelong learning statements that address the commitment to sustaining and enriching competency over the span of a career.

This Advanced Training Statement was developed by a broad range of members representing the ACC, the American Heart Association (AHA), the Heart Failure Society of America (HFSA), the International Society for Heart & Lung Transplantation (ISHLT), and the American College of Physicians (ACP). It addresses the added competencies required of sub-subspecialists in AHFTC for diagnosis and management at a high level of skill of patients with advanced heart failure who may also undergo placement of mechanical circulatory support devices or cardiac transplantation. It is intended to complement the basic training in heart failure required of all trainees during the standard 3-year cardiovascular fellowship. The training requirements and designated clinical competencies in this report focus on the core competencies reasonably expected of all AHFTC specialists. It also identifies some aspects of AHFTC that go beyond the core expectations and that may be achieved by some AHFTC specialists based on career focus, either during or following formal AHFTC fellowship training.

Read at JACC