Cardiometabolic medicine - the US perspective on a new subspecialty

Cara Reiter-Brennan1,2, Miguel Cainzos-Achirica1, Garshasb Soroosh1

  • 1Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Insights

A new medical subspecialty, cardiometabolic medicine, is proposed to address the growing burden of cardiovascular disease and diabetes. This involves integrated training in cardiology, endocrinology, and other essential disciplines for comprehensive patient care.

Area of Science:

  • Cardiology and Endocrinology
  • Public Health

Background:

  • Rising prevalence of cardiovascular disease and diabetes worldwide necessitates innovative healthcare solutions.
  • Current healthcare systems face increasing burdens due to complex cardiometabolic conditions.
  • Existing medical training structures may not adequately prepare physicians for managing these multifaceted diseases.

Purpose of the Study:

  • To advocate for the establishment of a new medical subspecialty: cardiometabolic medicine.
  • To propose a comprehensive training program for this emerging field.
  • To emphasize the need for an interdisciplinary approach to cardiometabolic patient care.

Main Methods:

  • Literature review of PubMed articles and analysis of professional society guidelines.
  • Synthesis of knowledge from cardiology, endocrinology, epidemiology, biostatistics, behavioral science, and psychology.
  • Development of a proposed curriculum framework for cardiometabolic medicine specialization.

Main Results:

  • A detailed curriculum integrating core concepts from multiple disciplines is outlined.
  • Cardiometabolic medicine training should span from medical school through continuing medical education (CME).
  • The proposed specialization aims to enhance the care of patients with multiple co-morbidities.

Conclusions:

  • Establishing cardiometabolic medicine as a subspecialty is crucial for managing the global health crisis of cardiometabolic diseases.
  • A paradigm shift towards interdisciplinary and collaborative training and treatment is essential.
  • Lifelong learning in cardiometabolic medicine will improve patient outcomes and reduce healthcare system strain.

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