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[ACC2012]发扬传统,开拓创新
——ACC 2012主席David R. Holmes教授专访
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编辑:DavidR.HolmesJr. 时间:2012/3/23 16:16:47专家访谈(专题)  关键字:主动脉瓣置换术 TAVR 主动脉瓣狭窄 

 

  David R. Holmes:美国梅奥医学研究生院医学教授,是心血管介入治疗领域的权威。2006年David教授获得ACC临床领域杰出科学家奖,2009年当选为ACC继任主席。

大会亮点

    大会的亮点包括维持认证(Maintenance of CertificationMOC由美国医学专业委员会提出的专业继续教育认证)和证书维护(Maintenance of licensureMOL美国联邦医学委员会联盟进行的资格认证),这在美国是很重要的事项(其他国家和地区也将如此)。本次ACC大会第二个重要的版块是引入“即时学习”(Just-in-Time learning)的理念。如果能有一个获取最新指南信息的方便的来源,那么我们在和患者交谈时就能做到胸有成竹,知道什么是对该患者进行评估和治疗的最佳策略。第三,我们将有机会与心血管内科领域的传奇人物进行互动。有一些心血管内科领域的传奇人物是每一位心内科医生都耳熟能详的,例如Eugene BraunwaldValentin Fuster,他们为现代心血管医学实践作出了巨大贡献,我们将聚焦这些传奇人物。他们将展示他们自己所研究的领域,并对我们自身也可能成为传奇人物的奋斗过程给出有益的建议。第四,最新临床试验无疑是另一个重要的板块,本次大会公布了18项最新临床试验,全面覆盖了以下领域:冠状动脉外科手术与PCI的疗效对比,充血性心力衰竭和心肌的干细胞修复,CT影像学,急性心肌梗死治疗中的血栓清除,为急性冠状动脉综合征治疗结果最优化而研发的新型药物。

        <International Circulation>: What is particularly exciting at ACC.12 this year?

  《国际循环》:今年的ACC.12大会有哪些精彩内容?
  Dr Holmes: The intent of this meeting was to bring to bear the latest educational strategies that have continued to evolve over the past couple of years. Our two co-Chairs have designed our meeting around that. The highlights of the meeting include maintenance of certification which is a huge deal in the United States (as it will become throughout the rest of world as society demands that we keep up-to-date). These sessions around maintenance of certification and eventually maintenance of licensure will be absolutely packed as we identify learner needs. This is very interesting and important. The second important dimension at ACC is introducing the concept of Just-in-Time learning. People have talked about this in the past, but what the Just-in-Time learning concept does is to say that there is a vast amount of information in guidelines as well as published press and other non-guideline publications that deal with patient care issues. If we are in the middle of a daily busy clinic schedule and we are asked to see a patient with a condition we are not exactly as up-to-date as we might be, it would be very nice to have a readily available source of information with which we can look at the latest guidelines. Then,  when we go in to talk to the patient,  we have a sense of what are the best strategies for evaluation and treatment of the patient. That too is a terribly important element of this meeting. Thirdly, we are going to have the potential chance to interact with the Legends of Cardiovascular Medicine. There are Legends of Cardiovascular Medicine that every single cardiologist in the world has heard about such as Eugene Braunwald and Valentin Fuster. Those people have made such a huge difference to the practice of modern cardiovascular care, so we are focusing on those legends. They are going to talk about the lessons they have learned and the lessons that they would give to us as we begin our journey perhaps towards becoming legends ourselves. That looks like it will be incredibly exciting. We have live cases from around the world and we will interact with physicians from around the world. The global network is becoming increasingly important as we think about long-distance learning. We have a very robust group of Fellows-in-Training who will interact with colleagues from around the world to really disseminate information very quickly. Then we have the late breaking clinical trials. There are eighteen late breaking clinical trials. They vary widely from things like: the comparative effectiveness of coronary surgery versus PCI, to stem cells for congestive heart failure and for myocardial repair, to CT imaging, to approaches for acute infarction in terms of thrombus removal, to new pharmaceutical agents for optimizing the results of the treatment of patients with acute coronary syndrome. There will be a wide range and wide breadth of information related to all of these different topics. It is a large meeting and networking is a hugely important part of that. Ten years ago, no one knew what networking was. The chance to talk about cases, the chance to compare professional experiences, to think about problems and talk about employment opportunities; all these opportunities will exist at this meeting.



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