Dear Sir,
We share our perspectives on the article “Current Career Perspective of Pediatric Cardiologists in India” by Sachdeva et al.[1] Although the article has a pessimistic tone, facts back it. However, we offer a different perspective on the problems presented.
In the 1930s, pioneer pediatric cardiologist Helen Taussig took on the challenge of treating “blue babies” with tetralogy of Fallot, a previously fatal condition. Despite resistance, she collaborated with Dr. Alfred Blalock and Vivian Thomas to successfully perform the first BT shunt in 1944.[2,3]
India has made significant progress in overcoming infectious diseases and malnutrition, shifting medical resources to tackle complex conditions like congenital heart disease. Young pediatric cardiologists must understand that we are at a crucial juncture similar to where developed nations stood decades ago. We need a fresh perspective on the challenges highlighted in the article.
Expanding reach: Most centers are concentrated in major cities and are overloaded with long waiting times. Newly trained pediatric cardiologists should consider moving to tier 2 and 3 cities, where many patients lack access to specialized care
Need for dedicated pediatric cardiologists: Adult cardiologists are currently managing pediatric cases due to a shortage of trained specialists, but children require specialized care. Pediatric cardiologists must step in to provide comprehensive evaluation and treatment
Building infrastructure: Many leading centers lack dedicated pediatric cardiology departments, forcing recent graduates to work in general pediatrics. Instead of being discouraged, they should take the initiative to create structured pediatric cardiology units by collaborating with pediatricians, surgeons, anesthetists, and funding agencies
Beyond interventions: Pediatric cardiology is not just about interventions; it requires a balance of noninvasive and invasive approaches. Close collaboration with adult cardiologists skilled in interventions can enhance overall pediatric cardiac care
Training and awareness: Pediatric cardiology exposure during pediatric training is limited. Pediatric cardiologists should actively engage in postgraduate teaching to increase awareness and interest in the field
Developing additional skills: In addition to clinical expertise, pediatric cardiologists must acquire managerial, communication, marketing, and advocacy skills to bridge the gap between numerous patients needing care and specialists seeking opportunities. As described in The Emperor of All Maladies, oncologists secured resources for cancer treatment through persistence and marketing.[4] Pediatric cardiologists can similarly work toward expanding resources and awareness
Understanding financial support: Awareness of government healthcare schemes is crucial. For instance, the “Sishu Sathi” scheme in West Bengal has successfully treated 27,844 children through a public–private partnership.[5] Pediatric cardiologists must leverage such programs to ensure broader access to treatment.
Patience, perseverance, and creativity are essential for overcoming these challenges. Instead of seeing obstacles, we should view this as an opportunity to shape the future of pediatric cardiology in India.
Conflicts of interest
There are no conflicts of interest.
Funding Statement
Nil.
REFERENCES
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