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September 18, 2026Journal of Cardiac FailureOpen Access

Advanced heart failure cardiologists report high intellectual stimulation despite dissatisfaction with compensation and work-life balance.

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Population

Advanced Heart Failure and Transplant Cardiology (AHFTC) physicians

Design

Cross-sectional

Key result

A national survey of Advanced Heart Failure and Transplant Cardiology physicians revealed high intellectual stimulation but dissatisfaction with compensation and work-life balance.

Authors

PPPriyesh PatelMDMark H. DraznerASAustin Seals

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Overview

Compensation dissatisfaction may deter AHFTC trainees; leaves open whether reforms can reverse declining fellowship applications.

Key Points

  • To evaluate self-reported compensation, clinical productivity, and occupational satisfaction among advanced heart failure and transplant cardiology specialists.
  • Administered a national survey to practicing advanced heart failure and transplant cardiology (AHFTC) physicians.
  • Assessed professional satisfaction, intellectual stimulation, work-life balance, and compensation parity relative to the complexity of care and additional fellowship training.
  • Physicians reported high levels of job-related intellectual stimulation and professional satisfaction within AHFTC practice.
  • Respondents expressed marked dissatisfaction with their financial compensation and work-life balance relative to clinical workload and training requirements.
  • Marginal financial recognition for specialized training was characterized as a primary factor contributing to declining trainee applications for AHFTC fellowships.

Study Design

Type

Cross-Sectional

Multicenter

Yes

Structured PICO

P
Population
Advanced Heart Failure and Transplant Cardiology (AHFTC) physicians
O
Outcome
Job-related intellectual stimulation, satisfaction, compensation, and work-life balance

AHFTC physicians experience high intellectual stimulation but dissatisfaction with compensation and work-life balance, which may deter trainees from the subspecialty.

Cite This Study

Patel et al. (2026) conducted a cross-sectional in Advanced Heart Failure and Transplant Cardiology (AHFTC) physicians. Advanced Heart Failure and Transplant Cardiology (AHFTC) practice was evaluated on Job satisfaction, compensation, and work-life balance. A national survey of Advanced Heart Failure and Transplant Cardiology physicians revealed high intellectual stimulation but dissatisfaction with compensation and work-life balance.

synapsesocial.com/papers/6aacf5ed0c46fbdff987dd58https://doi.org/10.1016/j.cardfail.2026.09.011
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