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• W2790619674 abstract "Whenever the word “team” is used in the context of cardiovascular disease, it is assumed to represent the interaction of multiple physicians and health care providers in the care of an individual patient. Cardiologists and cardiac surgeons have long collaborated in the care of patients with a variety of cardiovascular disorders. With the advent of transcatheter aortic valve replacement, this collaboration became more intense and grew to involve the entire spectrum of those involved in the care of heart patients. The expanded availability of percutaneous and/or minimally invasive therapeutic procedures involving other valve abnormalities, and congenital and electrophysiologic diseases cemented the role of the heart team in contemporary cardiology and cardiac surgery. However, there is another “team” that is even more important for each of us, and that is the group of individuals that work with us side by side in our daily activities. Every day I count on a number of people to deliver the clinical care, perform research, teach, and do a variety of administrative tasks that are part of my regular life. Whether they are nurse practitioners or nurses, administrative assistants, laboratory managers, research technicians, or a variety of other individuals, I depend on these people to help get the job done. They are crucial not only in supporting me to be efficient, but also in enabling me to undertake a spectrum of activities that would be impossible without them. They collaborate in one way or another in every patient and endeavor that I do. They are my personal heart team, and they are responsible for the end result being greater than the sum of the parts. I am confident that every one of us has a similar group of associates. Each of us has an administrative assistant (AA) that supports scheduling, correspondence, financial interactions, and a variety of other organizational tasks. In my case it is a woman named Kate Greathouse who has worked with me in two states for over 30 years. As is true I believe for most of us, my relationship with Kate is a true partnership. She helps to organize me (occasionally keeping me from becoming further overcommitted), manages the finances of my grants, screens calls and appointment requests with great skill, and does a million other things that never appear in a job description. In my experience, a similar person exists for nearly everyone with whom I come in contact. I learned a long time ago that it was often easier to get something done if I dealt with the AA than with the boss. These individuals are in large part the glue that holds the personal team together. All of us depend on nursing staff in one form or another for many of the things we do. In my case the nurse coordinator is Vicki Nassar. She basically runs my clinical practice. Having worked in cardiology for many years, including with me for the last 15, she is extremely knowledgeable and has super people skills. At UCSD similar individuals exist in most specialties, and their network is invaluable in getting patients the care they need. I am very fortunate in having someone like Vicki on my personal team, but there are numerous other nurses and nursing personnel that my colleagues and I work with on a daily basis that are critical to our success. Given their years of experience, we often rely on them as much as we do on house staff and fellows. My patients often say that they are OK if I retire someday, but they dread the loss of Vicki. Those of us with a significant involvement in investigation typically have a manager of the research lab. For a period of over 30 years in three different states, Oi Ling Kwan was that person for me. For those of us who are juggling multiple activities, such individuals are critical. While multiple research fellows or post-docs may rotate through the lab, the manager is the constant presence that keeps things on track and ensures that things are done right. Busy surgeons or interventional cardiologists need to be in the OR/Cath Lab for long periods of time, and often depend upon key research associates to be their surrogate in the investigational laboratory. In the setting of clinical research, the role of the research coordinator is now well recognized. In my case Wendy Davila serves in this capacity, and handles a great deal of the paperwork and IRB issues as well as being the main conduit to the study for most patients. As I am sure is true for many of us, we could not participate in a spectrum of clinical studies without the crucial collaboration of research coordinators. They have become an integral part of the personal team. Depending upon our individual activities and interests, many of us have a variety of other individuals that are part of our personal team. For many years I have been involved in the editorial work of journals, and have had the good fortune to work with Glenn Collins as managing editor. Glenn is supremely talented, and I often wonder if he is assisting me or I am assisting him. The spectrum of talents of individuals who populate personal teams varies, but the contribution is usually similar. They share in common the fact that, upon completing some undertaking, many of us reflect that it could not have been accomplished without their input. It is my impression that while the concept of the “heart team” has become more celebrated, the importance of a “personal heart team” may be a bit underappreciated. Nearly every very successful individual that I know has a group of people surrounding them that work in concert to enable them to be productive. Typically, we acknowledge the contributions of our team when the topic arises, but are not proactive in extolling the contributions of these collaborators. So, I am writing this Editorial as a way of thanking my own personal heart team, and in recognition of the critical role that such teams play in all of our daily lives." @default.
• W2790619674 created "2018-03-29" @default.
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• W2790619674 date "2018-02-22" @default.
• W2790619674 modified "2023-10-16" @default.
• W2790619674 title "The Importance of a “Personal Heart Team”" @default.
• W2790619674 doi "https://doi.org/10.1080/24748706.2017.1423534" @default.
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