|Task Force||Area||Level||Minimal Number of Procedures||Cumulative Duration of Training (mo)||Cumulative Number of Procedures|
|2||Electrocardiography||1||500 to 3,500*,#||3,500|
|2||greater than 3,500|
|5||Nuclear cardiology||1||80 hours||2||80 hours|
|2||300 cases||4 to 6||300+ cases|
|3||600 cases||12||600+ cases|
|6||Electrophysiology, pacing, and arrhythmias||1||2|
|7||Research||1||6 to 12†|
|3||24 to 36|
|8||Heart failure and transplantation||1||1†,§|
|9||Congenital heart disease||1||Core lectures†|
|2||6 to 12|
|11||Vascular medicine and peripheral catheter-based intervention||1||2*|
|Vascular Medicine Specialist||2||14¶||400+ noninvasive cases**|
|Peripheral Vascular Intervention||3||20††||160+§§|
|Vascular Medicine Specialist plus Vascular Intervention||3||34‡‡|
|12||Cardiovascular magnetic resonance imaging||1||1‡||50|
|2||3 to 6||150|
Cath = catheterization; TEE = transesophageal echocardiography; and TTE = transthoracic echocardiography.
↵* Can be taken throughout the training program.
# The committee strongly recommends that cardiologists achieve Level 2 training in ECG interpretation.
↵† Can be taken as part of 9 months of required nonlaboratory clinical practice rotation.
↵‡ Can be taken as part of 6 months of noninvasive imaging rotation.
§ It is assumed that trainees will obtain additional training in heart failure and preventive cardiology beyond the 1-month core training as part of the experience during other clinical months, such as consult services and CCU.
↵¶ 2 months of vascular medicine as defined by Level 1, plus 12 months of Level 2 training. Level 2 training is not a prerequisite for Level 3 training but is intended for individuals who want to become a vascular medicine specialist.
↵** In addition, observing 25 peripheral angiograms and 25 peripheral interventions
↵†† Including 2 months of vascular medicine training as defined by Level 1, 8 months of diagnostic catheterization training, and 12 months of interventional lab training. Interventional training for Level 3 requires a 4th year. The 12 months of Level 2 training are not required for this interventional training year.
↵‡‡ Including 2 months of Level 1 and 12 months of Level 2 vascular medicine training, 8 months of diagnostic catheterization training, and 12 months of interventional lab training.
↵§§ Including 100 diagnostic peripheral angiograms, 50 peripheral interventions, and 10 thrombolysis/thrombectomies.