Cardiologists of Tomorrow, Russia

847 CardioPulse • Equitable access to the opinion of a consultant cardiologist and that the out-of-hours workload is shared across the consultant cardiology workforce with all consultant cardiologists expected to contribute to both the planning and delivery of out-of-hours care of patients with cardiovascular disease; • Timely access to appropriate investigations for diagnosing myocardial infarctions including echocardiography and support for catheter laboratory procedures; • Pathways of cardiovascular care to be agreed between hospitals and across regions to optimise delivery of care and use of resources; • Cardiac physiology services should be extended over seven days. The BCS view the creation of new Urgent and Emergency Care Networks in England as an opportunity to redesign and improve outof-hours cardiology services and that such cardiovascular care should be planned at network or regional level. While improvements in the delivery of 24/7 emergency stenting treatment was recognized following the introduction of specialist centres, the BCS felt the success of this model should be followed for other elements of the out-of-hours cardiac service, such as the management of complex arrhythmias. Some cardiovascular conditions— such as STEMI, complete heart block, ventricular tachycardia, and other tachyarrhythmias—that require urgent or emergency specialist attention can be competently identified by ambulance crews, who can then ensure that the patient is taken directly to the most appropriate hospital. BCS President and consultant cardiologist Dr Sarah Clarke said: ‘Patients should be able to access high quality services whatever time of day or night, or whatever day of the week they present to the healthcare system. This report presents challenges to cardiologists, hospitals, ambulance services and commissioners at a time when there are staff shortages and significant financial pressures on the NHS. However, we have a duty to deliver the best possible care to our patients and it is important that clinicians and hospitals collaborate to address the issues raised by this report’. Professor Nilesh Samani, Medical Director of the British Heart Foundation, said: ‘Despite marked progress in the delivery of care to patients with a major myocardial infarction, this report shows that for many other heart conditions, care could be improved - especially when patients present out of hours, at weekends or in nonspecialist centres’. He added that the report and its recommendations present the opportunity to ‘address these inadequacies and take action to ensure that cardiac patients receive the same high quality standard of care wherever and whatever time they go to hospital’. Mark Nicholls doi:10.1093/eurheartj/ehx070 Cardiologists of Tomorrow, Russia The working group of Young Cardiologists of the Russian Society of Cardiology “Youth is the time for assimilation of Wisdom” Jean–Jacques Rousseau Introduction A story about a young cardiologists group should begin with the words of the great French philosopher—Jean-Jacques Rousseau. It appears that youth and wisdom are not compatible. Indeed, a newly graduated young specialist is just a beginner taking the first steps in his medical career and he has much to learn before gaining practical experience. At In examining job descriptions for new consultant cardiologist posts, it emerged that some do not include any reference to out-ofhours responsibility and at some hospitals, according to the BCS report, consultant cardiologists are simply not available during the weekend, despite several studies having reported that patients admitted to hospital at weekends are sicker and at higher risk of mortality than patients admitted during the working week. Significant concerns were also raised by cardiologists about the sustainability of rotas to deliver urgent stenting procedures for myocardial infarctions with current levels of staffing, whilst a lack of such ‘competent’ staff to carry out basic tests which detect damage following a heart attack was cited by the BCS as major barrier to the provision of comprehensive out-of-hours care. The BCS working group has now made recommendations aimed at addressing the staff shortfall and inconsistencies in on-call practices and to help deliver ‘equitable access to prompt, safe, effective, and high-quality care at all times’. The recommendations include: 848 CardioPulse the same time, youth is the best time for education and accumulation of new knowledge and we believe it is especially important for young doctors to be aware of their teachers’ experience and wisdom. The history of Young Cardiologists in Russia Working Group of Young Cardiologists today: challenges and perspectives Nowadays, the Russian Young Cardiac Community includes about 600 professionals, interested in the field of cardiology and representing different regions of our country. We appreciate the immense support from the Russian Society of Cardiology led by Academician Evgeny Shlyakhto that undoubtedly influences a serious approach to practical and scientific activities of young colleagues. New leaders of the Working Group are practicing cardiologists who are also involved in multiple scientific projects who continue innovative traditions for the potential growth of the young cardiac community. Anna Cher nova, Head of the Young Cardiologists Group coordinates research and educational projects and has practical experience in organizing training programs for young professionals. Assistant chairman Ruslan Shepel is responsible for media relations providing new online formats for the education of young cardiologists and internists. The secretary of Working Group, Svetlana Garkina is coordinator of some international projects for Young Cardiologists that contributes to better communication and networking between different countries. Anna Chernova MD Head of the Working Group Associate Professor, Department of Internal Diseases Voino-Yasenetsky Krasnoyarsk State Medical University Partisana Zeleznyka St. 1, Krasnoyarsk, Russia Clinical cardiologist Krasnoyarsk Interdistrict Clinical Hospital No 20 660124, Instrumentalnaya St. 12, Krasnoyarsk, Russia Head of Russian-Italian laboratory of Medical Genetics We appreciate the Russian Society of Cardiology for their support and significant contribution to the development of the Working Group of Young Cardiologists. We will continue our active work and implement further scientific projects and practical ideas for young professionals. Ruslan Shepel MD Vice-chairman of Working Group Junior researcher Department of fundamental and applied aspects of obesity National Research Center for Preventive Medicine Ministry of Healthcare, Russian Federation 101990, Petroverigskiy Lane, 10, Moscow, Russia Svetlana Garkina PhD MD Secretary of Working Group Cardiologist, Department of Interventional Arrhythmias Research Associate, Laboratory of Neuromodulation Department of Arrhythmias Federal A (...truncated)