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Is the new professionalism and ACP's new ethics really just about following guidelines?

The Charter ( Medical Professionalism in the New Millennium.A Physician's Charter) did not deal with just the important relationship of ...

Tuesday, January 10, 2023

Is there a big voltage drop( pun intended) between skillful Pacemaker implantation and the follow up?

 Current training for an Ep cardiologist following four years of medical school consists of three years of internal medicine residency,three years of a general cardiology fellowship and a two year fellowship in EP cardiology, a total of 12 years after obtaining a college degree..

A board certified EP cardiologist is without doubt a very well trained physician. Someone who is  evaluated  by a board certified EP and receives the implantation of a pacemaker has very likely received some high voltage, high quality medical care.  At least some of time after that it maybe all downhill. Why would that be?

Often the post care and the periodic evaluation of pacemaker function is done by medical personnel much less  trained and knowledgably than the EP. Sometimes the voltage or medical quality drop is striking.For example, My EP can , in theory any way, accessed by a patient portal. The Patient portal is presumably monitored by , in this case. an "assistant to the physician" according to her name badge. So my  questions about my PM are reviewed by an AP ( note this is not a PA, which is a trained,licensed mid level health care provider. ) I do not know what training if any an AP has.



Voltage drop refers to a decrease in voltage as current flows through an electrical circuit. Points in a circuit with increased resistance are points of voltage drop.


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