{"id":"https://openalex.org/W4395040657","doi":"https://doi.org/10.1161/circ.126.suppl_21.a9264","title":"Abstract 9264: Do Interventional Cardiology Training Programs Have Worse Outcomes Early in the Academic Year? An Assessment of the \u201cJuly Effect\u201d from the NCDR \u00ae","display_name":"Abstract 9264: Do Interventional Cardiology Training Programs Have Worse Outcomes Early in the Academic Year? An Assessment of the \u201cJuly Effect\u201d from the NCDR \u00ae","publication_year":2012,"publication_date":"2012-11-20","ids":{"openalex":"https://openalex.org/W4395040657","doi":"https://doi.org/10.1161/circ.126.suppl_21.a9264"},"language":"en","primary_location":{"id":"doi:10.1161/circ.126.suppl_21.a9264","doi":"https://doi.org/10.1161/circ.126.suppl_21.a9264","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.126.suppl_21.a9264","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112515238","display_name":"Beau Michael Hawkins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Beau Hawkins","raw_affiliation_strings":["Cardiology, Massachusetts General Hosp, Boston, MA,","Beau Hawkins"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Massachusetts General Hosp, Boston, MA,","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Beau Hawkins","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018929273","display_name":"Lisa A. Kaltenbach","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lisa Kaltenbach","raw_affiliation_strings":["Cardiology, Duke Clinical Rsch Institute, Durham, NC","Lisa Kaltenbach"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Duke Clinical Rsch Institute, Durham, NC","institution_ids":[]},{"raw_affiliation_string":"Lisa Kaltenbach","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004356149","display_name":"Daniel M. Shivapour","orcid":"https://orcid.org/0000-0002-2244-0117","observed_orcids":["https://orcid.org/0000-0002-2244-0117"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Shivapour","raw_affiliation_strings":["Cardiology, Massachusetts General Hosp, Boston, MA,","Daniel Shivapour"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Massachusetts General Hosp, Boston, MA,","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Daniel Shivapour","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033011383","display_name":"Megan Lee Neely","orcid":"https://orcid.org/0000-0002-0101-1081","observed_orcids":["https://orcid.org/0000-0002-0101-1081"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Megan Neely","raw_affiliation_strings":["Cardiology, Duke Clinical Rsch Institute, Durham, NC","Megan Neely"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Duke Clinical Rsch Institute, Durham, NC","institution_ids":[]},{"raw_affiliation_string":"Megan Neely","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018963320","display_name":"Sunil V. Rao","orcid":"https://orcid.org/0000-0003-2914-0894","observed_orcids":["https://orcid.org/0000-0003-2914-0894"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sunil Rao","raw_affiliation_strings":["Cardiology, Duke Clinical Rsch Institute, Durham, NC","Sunil Rao"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Duke Clinical Rsch Institute, Durham, NC","institution_ids":[]},{"raw_affiliation_string":"Sunil Rao","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089120659","display_name":"Robert W. Yeh","orcid":"https://orcid.org/0000-0002-0564-4468","observed_orcids":["https://orcid.org/0000-0002-0564-4468"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert Yeh","raw_affiliation_strings":["Cardiology, Massachusetts General Hosp, Boston, MA,","Robert Yeh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Massachusetts General Hosp, Boston, MA,","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Robert Yeh","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"126","issue":"suppl_21","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.7372999787330627,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.7372999787330627,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.20430000126361847,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.03310000151395798,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/july-effect","display_name":"July effect","score":0.9980000257492065},{"id":"https://openalex.org/keywords/percutaneous-coronary-intervention","display_name":"percutaneous coronary intervention","score":0.9789999723434448},{"id":"https://openalex.org/keywords/in-hospital-bleeding","display_name":"in-hospital bleeding","score":0.9110000133514404},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.9779999852180481},{"id":"https://openalex.org/keywords/cathpci-registry","display_name":"CathPCI Registry","score":0.8130000233650208},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.5649999976158142}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9439672827720642},{"id":"https://openalex.org/C2781274984","wikidata":"https://www.wikidata.org/wiki/Q3559674","display_name":"Interventional cardiology","level":2,"score":0.594818115234375},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3906070590019226},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.35170868039131165}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.126.suppl_21.a9264","doi":"https://doi.org/10.1161/circ.126.suppl_21.a9264","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.126.suppl_21.a9264","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4214511270","https://openalex.org/W1994652295","https://openalex.org/W2913767558","https://openalex.org/W4396850921","https://openalex.org/W2219403395","https://openalex.org/W4380785763","https://openalex.org/W4313750705","https://openalex.org/W2318480092","https://openalex.org/W1979476222","https://openalex.org/W1984402906"],"abstract_inverted_index":{"Introduction:":[0],"Prior":[1],"studies":[2],"have":[3],"demonstrated":[4],"worse":[5,52,229],"patient":[6,230],"outcomes":[7,47,170],"at":[8,48,222],"training":[9,49,79,100,160,205,223,237],"institutions":[10,50,224],"during":[11,162],"the":[12,16,25,29,55,69,103,130,163,219,254],"early":[13,53,116,142,175,217,252],"months":[14],"of":[15,85,154],"academic":[17,56,131,220,255],"year,":[18],"a":[19,83],"concept":[20],"commonly":[21],"referred":[22],"to":[23,93,102],"as":[24,115],"\u201cJuly":[26],"effect.\u201d":[27],"Whether":[28],"July":[30],"effect":[31],"exists":[32],"in":[33,54,159,218,253],"modern":[34],"interventional":[35,87],"cardiology":[36,88],"practice":[37],"is":[38,245],"unknown.":[39],"We":[40],"hypothesized":[41],"that":[42,243],"percutaneous":[43],"coronary":[44],"intervention":[45],"(PCI)":[46],"are":[51,225],"year.":[57,132,256],"Methods:":[58],"All":[59],"patients":[60],"undergoing":[61],"PCI":[62,111,169,191],"for":[63,75,141,208,233],"non-salvage":[64],"indications":[65],"from":[66],"2009-2011":[67],"within":[68,129,235],"CathPCI":[70,104],"Registry":[71,105],"\u00ae":[72],"were":[73,113,139,157,171,198],"eligible":[74],"inclusion.":[76],"To":[77],"identify":[78],"hospitals,":[80,96,238],"we":[81],"obtained":[82],"list":[84],"accredited":[86],"fellowship":[89],"programs,":[90],"matched":[91],"them":[92],"their":[94],"affiliated":[95],"and":[97,136,143,167,193,196,203,211],"linked":[98],"these":[99,236],"hospitals":[101,161,201],"database":[106],"through":[107],"hospital":[108],"identification":[109],"numbers.":[110],"procedures":[112,156],"categorized":[114],"(July":[117],"1-August":[118],"31)":[119],"or":[120],"non-early":[121,144,168,177],"(September":[122],"1-":[123],"June":[124],"30)":[125],"based":[126],"on":[127],"timing":[128,192],"Risk-adjusted":[133],"in-hospital":[134,194],"bleeding":[135,178,195],"mortality":[137,183,197],"rates":[138],"compared":[140],"time":[145],"periods":[146],"using":[147],"validated":[148],"risk":[149],"models.":[150],"Results:":[151],"A":[152],"total":[153],"216,927":[155],"performed":[158,216],"study":[164],"period.":[165],"Early":[166],"similar":[172,199],"(Table":[173],"1,":[174],"vs.":[176],"OR":[179,184],"0.97,":[180],"CI":[181,186],"0.92-1.02,":[182],"0.94,":[185],"0.85-1.03).":[187],"The":[188],"associations":[189],"between":[190,200],"with":[202,228],"without":[204],"programs":[206],"(P":[207],"interaction":[209],"0.59,":[210],"0.95,":[212],"respectively).":[213],"Discussion:":[214],"PCIs":[215],"year":[221],"not":[226,246],"associated":[227],"outcomes.":[231],"Importantly":[232],"patients,":[234],"this":[239],"finding":[240],"provides":[241],"reassurance":[242],"care":[244],"compromised":[247],"when":[248],"it":[249],"involves":[250],"trainees":[251]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2024-04-24T00:00:00"}
