Design
Editorial
Discusses the value of subspecialty training and the historical impact of cardiology on improving clinical outcomes.
It seems just yesterday that the value of specialty training was unchallenged and the health benefits associated with the care and procedures provided by subspecialists were unquestioned. In cardiology, for example, the extra two or three years of clinical training were assumed to translate into improved clinical skills for treating patients with cardiac disorders.Cardiologists led the way in performing large-scale, randomized trials to demonstrate the benefits of medications and procedures in patients with acute myocardial infarction, chronic ischemic heart disease, or congestive heart failure. Not surprisingly, age-adjusted rates of mortality due to coronary heart disease in the United States . . .
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Lee Goldman (1996) studied this question.
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