Heart failure & cardiomyopathies

Identifying Palliative Care Competencies for Cardiology Fellowship Training: A National Delphi Consensus Study

JACC AdvPublished modified Delphi study

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
Outcome
Competencies reaching consensus (of 35 potential PC competencies)
Follow-up
By the end of round 2
Methodological detailsconsensus threshold >75% established a priori for each round, 3 Delphi rounds, 5-point Likert scale
  • Consensus threshold >75% established a priori for each round
  • 3 Delphi rounds
  • 5-point Likert scale

Recommendations

As reported in the abstract

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: A National Delphi Consensus Study. JACC Adv. Published 13 January 2026. doi:10.1016/j.jacadv.2025.102514

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