To the Editor: Dr Curtis and colleagues1 studied the association of physician certification and outcomes among patients receiving an implantable cardioverter-defibrillator (ICD). The authors suggested reappraisal of the need for and methods of training nonelectrophysiologists to implant ICDs if their findings of increased risk of procedural complications and decreased implantation of indicated biventricular pacemakers are confirmed.
Ghali JK, Schreiber TL. Physician Certification and Implantable Cardioverter-Defibrillators. JAMA. 2009;302(9):941-943. doi:10.1001/jama.2009.1233