The field of interventional cardiology (IC) has evolved dramatically over the past 40 years. Training and certification in IC have kept pace, with the development of accredited IC fellowship training programs, training statements, and subspecialty board certification.

The application process, however, remained fragmented with lack of a universal process or time frame. In recent years, growing competition among training programs for the strongest candidates resulted in time limited offers and high-pressure situations that disadvantaged candidates.

A grassroots effort was recently undertaken by a Society for Cardiovascular Angiography & Interventions task force, to create equity in the system by establishing a national Match for IC fellowship.

This manuscript explores the rationale, process, and implications of this endeavor.

All authors: Douglas E. Drachman, MD, FSCAI (Chair); Tayo Addo, MD; Robert J. Applegate, MD, MSCAI; Robert C. Bartel, MSc,CAE,FACEHP; Anna E. Bortnick, MD, PHD, MSc, FSCAI; Francesca M. Dea; Tarek Helmy, MD, MSCAI; Timothy D. Henry, MD, MSCAI; Adnan Khalif, MD, FSCAI; Ajay J. Kirtane, MD, SM, FSCAI; Michael Levy, MD, MPH, FSCAI; Michael J. Lim, MD, MSCAI; Ehtisham Mahmud, MD, MSCAI; Nino Mihatov, MD, FSCAI; Sahil A. Parikh, MD, FSCAI; Laura Porter, CMP; Abhiram Prasad, MD; Sunil V. Rao, MD, FSCAI; Louai Razzouk, MD, MPH, FSCAI; Samit Shah, MD, PhD, FSCAI; Adhir Shroff, MD, MPH, FSCAI; Jacqueline E. Tamis-Holland, MD, FSCAI; Poonam Velagapudi, MD, FSCAI; Fredrick G. Welt, MD, FSCAI; and J. Dawn Abbott, MD, FSCAI (Co-Chair).