Heart failure & cardiomyopathiesGuideline or statement

Identifying Palliative Care Competencies for Cardiology Fellowship Training

JACC AdvPublished

  • modified Delphi study
  • consensus threshold >75% established a priori for each round
  • 3 Delphi rounds
  • 5-point Likert scale

Authors' conclusion

This Delphi study achieved consensus on 14 core PC skills that CVD fellows should master by the end of their training. There is an opportunity to include these competencies in formal expectations for cardiology fellowship training programs, which may contribute to the delivery of high-quality, patient-centered cardiovascular care.

Study context

Population
Experts in cardiovascular disease (CVD), palliative care (PC), and medical educationinitially consented to participate, of the 120 experts identified · Responded to the first and second rounds 31 · Responded to the third round 28
Participants
36 experts

Recommendations

As reported in the abstract

Competencies reaching consensus (of 35 potential PC competencies) · By the end of round 2

Competencies that had reached consensus

28 (82%)

Competencies that reached >95% consensus

8

Further findings

Classification of competencies · Round 3

Competencies deemed "core"
14 (50%)
Competencies deemed "desirable"
14 (50%)

Participation

Experts identified
120
Initially consented to participate
36 (30%)

Original publication

Identifying Palliative Care Competencies for Cardiology Fellowship Training. JACC Adv. Published 13 January 2026. doi:10.1016/j.jacadv.2025.102514

Summarised from the published abstract; every number is checked against it