Author + information
- aDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
- bDivision of Cardiovascular Medicine, Samuel and Jean Frankel Cardiovascular Center, University of Michigan, Ann Arbor, Michigan
- cDivision of Cardiology, The Johns Hopkins School of Medicine, Baltimore, Maryland
- ↵∗Address for correspondence:
Dr. Michael W. Cullen, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905.
“Life is the transition from one form to another.”
—Leo Tolstoy (1)
The New Year always offers time for reflection and contemplation. As we embark on another year serving as section editors for the Journal’s Fellows-in-Training (FIT) and Early Career (EC) page, we herein review the highlights of the page from 2017, share insight on the review and publication processes, and renew our vision for this page for 2018 and beyond.
In the first FIT/EC page of 2017, we invited submissions on topics germane to the FIT and EC audience (2). These included health care policy, health system reform, innovations in digital technology, emerging subspecialty disciplines, and pursuit of nontraditional and hybrid cardiology careers. In response, topics of publications in the FIT/EC page throughout 2017 included the Medicare Access and CHIP Reauthorization Act (i.e., MACRA) (3), the effect of evolving federal immigration policies on cardiovascular care (4), the emergence of precision medicine and sports cardiology as subspecialties (5,6), and the growth of combined training programs in adult congenital heart disease and advanced heart failure (7). We also published timely and topical pieces outside of these specific areas that directly affect the personal and professional development of FITs and EC cardiologists. Examples include publications about opportunities for women in interventional cardiology (8), the perspective of a cardiologist’s son on parenting (9), and the emergence of novel training pathways for those seeking leadership opportunities within learning health systems (10).
The breadth and depth of manuscripts we review continues to impress us. In 2017’s inaugural piece, we articulated key criteria for publications in the FIT/EC page. We stressed relevance to the FIT and EC audience, differentiating one’s manuscript from prior FIT/EC page publications, and appropriately acknowledging background literature. Addressing these concerns remains paramount for publication in the FIT/EC page.
We reject manuscripts for other common reasons. Frequently, submissions do not have a clearly articulated thesis statement or lack an explicit organizational construct. We often ask authors to clarify: “What are you actually trying to say?” For prospective authors, the message should be readily apparent. Define and articulate your thesis, then present supporting details with concision and organization. Avoid expounding on ideas not connected to your main thesis.
Another frequent challenge during our review of FIT/EC page submissions stems from a lack of focus on issues relevant to the page’s intended audience. As we highlighted last year, we frequently reject manuscripts if the connection and relevance to cardiologists in training or those in the formative stages of their careers are not readily apparent. We receive a number of submissions that would make excellent and detailed review or opinion papers but lack clear connections to FITs and EC cardiologists. To those aspiring to publish an FIT/EC page in 2018 and beyond, please ensure that your writing aligns with the page’s target audience. Be explicit about those connections, and consistently connect your points to the lives—whether personal, professional, or both—of FITs and EC cardiologists.
Finally, we must remind authors to proofread their work. If necessary, utilize a professional copyediting service. Be mindful of the quality of the product you submit. Minor mistakes are understandable and easily rectifiable. The more pervasive these technical and grammatical errors become, however, the more challenging it is for us to recommend publication for even the most deserving and otherwise engaging manuscripts.
As we look forward to 2018, we now formally issue a new call for submissions. An enduring theme for FIT and EC cardiologists is that of transition. FITs transition from rotation to rotation and clinical service to clinical service. During these transitions, they acquire the foundational knowledge, skills, and habits for their future careers. At the end of training, a monumental yet potentially vulnerable transition occurs as FITs graduate the supervised training environment and enter independent practice in any number of settings: academic, private groups, or otherwise. It is quite possible that this transition leads to more intense and focused learning than at any other point in one’s career. The EC period is also marked with transitions, not only into one’s first practice, but also as EC cardiologists gain seniority, transition from mentee to mentor roles, assume leadership positions, and transition into subspecialty clinical niches.
Therefore, our call for papers to the FIT/EC page for 2018 requests a focus on these and other transitions so common for our demographic. For example, we invite FITs to describe the transition into a novel clinical subspecialty or emerging area of research. Papers might articulate why an FIT transitioned into a particular area of clinical focus or how training programs might optimize transitions between aspects of the fellowship curriculum to advance learning. We invite ECs to discuss transition into their early jobs or the transition from junior to more senior roles. ECs might discuss the difficulties of transitioning between areas of clinical, research, and educational focus, balancing transitions across personal and professional responsibilities, or transitioning to completely new career paths. We ask prospective writers to consider how the lessons from these transitions are applicable to the broader FIT and EC community and how experience from 1 or a series of transitions may inform others. Barriers facing FITs and EC academic cardiologists have been highlighted in the Journal previously and may also serve as inspiration for further reflection and commentary (11–14).
Our call for submissions comes with the expectation that authors prepare any papers focusing on the theme of transitions with the same academic rigor, focus, and structure we sought in previously published FIT/EC pages. We also remain open to and encourage submissions outside of this theme.
As we turn the page on another calendar, another volume of JACC, and another enlightening and engaging set of FIT/EC pages, we thank Dr. Fuster and his associate editors for their support and vision to establish and grow the FIT/EC page. We hope you all take advantage of the opportunity to share your insights with other FITs and EC cardiologists. Thank you for your consideration, and we wish you the best of luck transitioning into 2018 and beyond.
- Valentin Fuster, MD, PhD ()
RESPONSE: The Next Stage of Ever-Evolving Transitions
In the above manuscript by Editors Michael Cullen, Shashank Sinha, and Garima Sharma, they focus on the theme of transitions. Over time, we learn that our lives are in constant transition, and we must embrace these many changes—regardless of which stage of our lives we have reached.
Likewise, we would like to see the Fellows-in-Training and Early Career (FIT/EC) pages begin to transition to incorporate more content from early career cardiologists. Most of our FIT/EC pages have been written by and for fellows-in-training, and we have been proud of the many high-quality submissions that JACC has received and will continue to publish from this community. However, we think this is also an important forum for the early career cardiologists, who are in transition to midcareer. In other words, we want to hear what is specifically germane to their environments as they join hospital staffs across the world and how they envision the near future. My vision for these FIT/EC pages has been that they are a unique place in the peer-reviewed literature for both of these communities—the fellows and now particularly the early career cardiologists—to engage and flourish.
I also want to express my gratitude to Drs. Cullen, Sinha, and Sharma, who work tirelessly to support the Journal as the Editors of these pages.
All authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- 2018 American College of Cardiology Foundation
- ↵Tolstoy L. The Spiritual Works of Leo Tolstoy.
- Sharma G.,
- Fuster V.,
- Cullen M.W.,
- Sinha S.S.
- Adusumalli S.,
- Walpole H.,
- Fiorilli P.N.,
- Saybolt M.D.
- Fanari Z.,
- Zoghbi W.A.
- Afari M.E.,
- Molossi S.
- Vaduganathan M.,
- Ginsburg G.S.,
- Qamar A.,
- Aragam K.
- Menachem J.N.,
- Khairy P.
- Yong C.M.,
- Mehran R.
- Lee M.,
- Lee M.A.
- Kalra A.,
- Tcheng J.E.,
- Adusumalli S.,
- Sinha S.S.
- Tong C.W.,
- Madhur M.S.,
- Rzeszut A.K.,
- et al.
- Tong C.W.,
- Ahmad T.,
- Brittain E.L.,
- et al.
- Narang A.,
- Sinha S.S.,
- Rajagopalan B.,
- et al.
- Lindman B.R.,
- Tong C.W.,
- Carlson D.E.,
- et al.