Who is a cardiologist: Usurpers spawn?

Cerebrovascular disease is the number one killer worldwide. It is increasing in epidemic proportion in developing countries as well, including India. Trained cardiologists are few and scattered in urban areas and there exists a huge shortage of personnel in clinical arena of cardiology specialty. The problem is manifest not only in diagnostics but also in treatment. This space is appropriated by a large number of clinical professionals posing as true cardiologists. Thus, currently there is a critical need to define who can be called a cardiologist and who can be accorded the privilege to treat and even perform interventional procedures. Further, the only credible way to fill this gap is to increase the infrastructure, the staff and the number of teaching, academic hospitals so that there could be an increase in the number of trained cardiologists. Alternate approach to dilute the educational, skill, and experience requirements of the physicians so that more can qualify to be called as cardiologists is likely to be counter-productive since this approach will lead to dilution in the quality of cardiologists which will consequently lead to dilution in the quality of health-care delivery. Further, the irony of matter is that while the pool of cardiologist is increased with the plea of serving rural areas, the hard reality is that very few if any of these so-called trained physicians ever serve the rural area. Thus, it is in this context the tendency to follow the second course should be firmly resisted as also the need to define "who is a cardiologist."