Baggen, Vivan J.M.

Beusekamp, Joost C.

Bosch, Lena

Kalkman, Deborah N.

Kleinnibbelink, Geert

Meijers, Wouter C.

Minneboo, Madelon

Peeters, Frederique E.C.M.

van der Wall, Sake J.

Yilmaz, Dilek

English

EUR Research Repository

EUR Research Information PortalCareer perspectives of early-career cardiologists in the NetherlandsPublished in:Netherlands Heart JournalPublication status and date:Published: 10/12/2024DOI (link to publisher):10.1007/s12471-024-01915-2Document VersionPublisher's PDF, also known as Version of recordDocument License/Available under:CC BYCitation for the published version (APA):Kalkman, D. N., Baggen, V. J. M., Beusekamp, J. C., Kleinnibbelink, G., Meijers, W. C., Peeters, F. E. C. M., van der Wall, S.J., Yilmaz, D., Minneboo, M., & Bosch, L. (2024). Career perspectives of early-career cardiologists in the Netherlands.Netherlands Heart Journal, 33(1), 2-4. https://doi.org/10.1007/s12471-024-01915-2Link to publication on the EUR Research Information PortalTerms and Conditions of UseExcept as permitted by the applicable copyright law, you may not reproduce or make this material available to any third partywithout the prior written permission from the copyright holder(s). Copyright law allows the following uses of this materialwithout prior permission:            • you may download, save and print a copy of this material for your personal use only;            • you may share the EUR portal link to this material.In case the material is published with an open access license (e.g. a Creative Commons (CC) license), other uses may beallowed. Please check the terms and conditions of the specific license.Take-down policyIf you believe that this material infringes your copyright and/or any other intellectual property rights, you may request itsremoval by contacting us at the following email address: openaccess.library@eur.nl. Please provide us with all the relevantinformation, including the reasons why you believe any of your rights have been infringed. In case of a legitimate complaint,we will make the material inaccessible and/or remove it from the website.CommentaryNeth Heart J (2025) 33:2–4https://doi.org/10.1007/s12471-024-01915-2Career perspectives of early-career cardiologists in theNetherlandsDeborah N. Kalkman · Vivan J. M. Baggen · Joost C. Beusekamp · Geert Kleinnibbelink · Wouter C. Meijers ·Frederique E. C. M. Peeters · Sake J. van der Wall · Dilek Yilmaz · Madelon Minneboo · Lena BoschAccepted: 13 November 2024 / Published online: 10 December 2024© The Author(s) 2024The Junior Board (De Juniorkamer) of the NetherlandsSociety of Cardiology (Nederlandse Vereniging voorCardiologie) has been actively monitoring the short-term career perspectives of early-career cardiologists(‘Jonge klaren’) in the Netherlands for many years[1–4]. The objectives of these assessments are toevaluate the unemployment rate, percentage of tem-porary positions, job preferences and satisfaction, anddemographic shifts among early-career cardiologists.An electronic survey was distributed to all recentlyregistered cardiologists. Hosted on the CASTOR plat-form, the survey comprised 42 questions covering top-ics such as prior training (e.g. Doctor of Philosophy(PhD) completion), type of training centre and areaof expertise during training (‘Aandachtsgebied’). Ad-ditionally, career information including current posi-tion, role, fellowships and date of obtaining a perma-nent position was collected. Participation in the sur-D. N. Kalkman ()Department of Cardiology, AmsterdamUniversity MedicalCentre, University of Amsterdam, Amsterdam, TheNetherlandsd.n.kalkman@amsterdamumc.nlV. J. M. Baggen · W. C. MeijersThorax Centre, Department of Cardiology, Erasmus MC,Cardiovascular Institute, Rotterdam, The NetherlandsJ. C. BeusekampDepartment of Cardiology, University Medical Center,Groningen, Groningen, The NetherlandsG. KleinnibbelinkDepartment of Cardiology, Radboud University MedicalCentre, Nijmegen, The NetherlandsF. E. C. M. PeetersDepartment of Cardiology, Maastricht University MedicalCentre+, Maastricht, The Netherlandsvey was voluntary and electronic informed consentwas obtained.This ‘Jonge klaren’ cohort includes early-careercardiologists who completed their training betweenearly 2018 and early 2024. Surveys were distributedbetween March 2024 and June 2024, with a totalof 237 responses, corresponding to a 76% responserate. Baseline characteristics showed a median ageof 36 years, with 59% identified as males. Amongthe respondents, 69% trained at an academic medicalcentre, 66% had completed a PhD and 56% had con-ducted a fellowship. The current unemployment ratewas low at 0.4% (n=1), although 15% (n=13) reportedexperiencing unemployment at some point duringfollow-up, with a duration ranging from 1 month to15 months. The proportion of temporary positionsat 1 year was 78%, at 2 years 53%, at 3 years 34%, at4 years 20% and at 5 years 9%. Subgroup analysesS. J. van der WallDepartment of Cardiology, OLVG Hospital, Amsterdam, TheNetherlandsD. YilmazDepartment of Cardiology, Leiden University MedicalCentre, Leiden, The NetherlandsM.MinnebooDepartment of Cardiology, HMC, The Hague, TheNetherlandsL. BoschDepartment of Cardiology, University Medical CentreUtrecht, Utrecht, The Netherlands2 Career perspectives of early-career cardiologists in the NetherlandsCommentarymale femaleTime in yearsTime in years Time in yearsTime in yearsTime in yearsTime in yearsTime in yearsTime in yearsfellowship no fellowship no PhD.PhD.academic non academicmalefemalefellowshipno fellowshipPhDno PhDacademicnon academicca bdFig. 1 Results from the ‘Jonge klaren’ survey, percentage oftemporary contracts up to 5 years after registration as a cardi-ologist. Subgroup analysis according to gender, academic ornon-academic training centre, fellowship and PhD. a Percent-age of temporary positions according to gender. b Percentageof temporary positions according to type of training centre.c Percentage of temporary positions according to fellowship.d Percentage of temporary positions according to PhDshowed no difference in the percentage of temporarypositions based on gender or the type of trainingcentre (academic vs. non-academic), but there wasa significant difference in those who completed a PhDor conducted a fellowship (Fig. 1).Overall job satisfaction was high. Using a 5-pointLikert scale, with 5 being the highest level of satisfac-tion, over 50% of respondents rated their satisfactionas 5 and 29% rated it as 4. However, 62% of respon-dents reported challenges in the current job market.When asked about relocation for job opportunities,11% were willing to move for a temporary position,while 87% would consider moving for a permanentposition.Compared with prior cohorts, there has been a de-crease in the proportion of male early-career cardiolo-gists (2011–2014 cohort: 68% male; cohort 2015–2020:64%; cohort 2016–2021: 63%, current cohort 59%).Additionally, more respondents in the current co-hort have obtained a PhD, increasing from 41% inthe 2011–2014 cohort to 66% in the current cohort.A shift in training specialisation was also observed,with a decrease in interventional cardiology (16%)and increases in imaging (40%) and heart failure(22%). The proportions of respondents specialisingin general cardiology (15%), electrophysiology (10%)and devices (19%) remained relatively stable. Notably,in the current cohort, no significant differences wereobserved between male and female respondents interms of securing permanent positions. We considerthis an important improvement compared with thefirst published cohort (2011–2014), in which 29% ofmale cardiologists obtained a permanent position at1-year follow-up, compared with only 12% of femalecardiologists (p= 0.01) [1].A significant difference in temporary position ratesduring follow-up remains between early-career cardi-ologists with and without a PhD, favouring those witha PhD. A recent survey of interns and doctors not yetin cardiology training found that 27% believed a PhDwas essential for securing a cardiology training posi-tion and 52% considered it beneficial. [5] Our sur-vey results align with this perception, showing bothan earlier and higher percentage of permanent po-sitions among PhD holders. At 3-year follow-up, thepercentage of respondents without a permanent posi-tion remained unchanged, although satisfaction withcurrent positions showed a slight increase. Subgroupanalysis by year of registration indicated a trend to-ward a higher percentage of permanent positions inthe 2022–2024 group compared with earlier cohorts.Limitations of this study include potential selectionbias and the inherent limitations of self-reported data.In conclusion, unemployment remains low, overone-third of respondents still hold a temporary posi-tion at 3-year follow-up, and job satisfaction remainshigh. The Junior Board will continue monitoring theshort-term career perspectives of ‘Jonge klaren’ in theNetherlands.Career perspectives of early-career cardiologists in the Netherlands 3CommentaryConflict of interest D.N. Kalkman, V.J.M. Baggen, J.C. Beuse-kamp, G.Kleinnibbelink,W.C.Meijers, F.E.C.M.Peeters, S. vander Wall, D. Yilmaz, M. Minneboo and L. Bosch declare thatthey have no competing interests.Open Access This article is licensed under a Creative Com-mons Attribution 4.0 International License, which permitsuse, sharing, adaptation, distribution and reproduction inanymedium or format, as long as you give appropriate creditto the original author(s) and the source, provide a link tothe Creative Commons licence, and indicate if changes weremade. The images or other third party material in this articleare included in the article’sCreativeCommons licence, unlessindicated otherwise in a credit line to thematerial. If materialis not included in the article’s Creative Commons licence andyour intended use is not permitted by statutory regulation orexceeds the permitted use, you will need to obtain permis-sion directly from the copyright holder. To view a copy of thislicence, visit http://creativecommons.org/licenses/by/4.0/.References1. Vis JC, Borleffs CJ, Zwart B, Nuis RJ, Scherptong RWC.Short-termcareerperspectivesofyoungcardiologistsintheNetherlands.NethHeartJ.2017;25:455–60.2. Vorselaars VMM, vanderHeijdenAC, Joustra R, et al. Earlycareer perspectives of young Dutch cardiologists. NethHeartJ.2021;29:433–40.3. Vorselaars VMM, Minneboo M, Meijers WC, et al. Careerperspectives for young cardiologists in the Netherlands:a steady increase in temporary positions. Neth Heart J.2023;31:177–80.4. Bosch L,MinnebooM, Baggen VJM, et al. Career perspec-tives for youngcardiologists in theNetherlands: anupdate.NethHeartJ.2023;31:454–5.5. Cardiologen inhetgeweer tegentekortenaan jongedoktershttps://www.medischcontact.nl/actueel/laatste-nieuws/artikel/cardiologen-in-het-geweer-tegen-tekorten-aan-jonge-dokters. Accessed19Oct2024.4 Career perspectives of early-career cardiologists in the Netherlands

Career perspectives of early-career cardiologists in the Netherlands

University of Groningen

University of GroningenCareer perspectives of early-career cardiologists in the NetherlandsKalkman, Deborah N.; Baggen, Vivan J.M.; Beusekamp, Joost C.; Kleinnibbelink, Geert;Meijers, Wouter C.; Peeters, Frederique E.C.M.; van der Wall, Sake J.; Yilmaz, Dilek;Minneboo, Madelon; Bosch, LenaPublished in:Netherlands Heart JournalDOI:10.1007/s12471-024-01915-2IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2025Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Kalkman, D. N., Baggen, V. J. M., Beusekamp, J. C., Kleinnibbelink, G., Meijers, W. C., Peeters, F. E. C.M., van der Wall, S. J., Yilmaz, D., Minneboo, M., & Bosch, L. (2025). Career perspectives of early-careercardiologists in the Netherlands. Netherlands Heart Journal, 33(1), 2-4. https://doi.org/10.1007/s12471-024-01915-2CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Download date: 30-12-2025CommentaryNeth Heart J (2025) 33:2–4https://doi.org/10.1007/s12471-024-01915-2Career perspectives of early-career cardiologists in theNetherlandsDeborah N. Kalkman · Vivan J. M. Baggen · Joost C. Beusekamp · Geert Kleinnibbelink · Wouter C. Meijers ·Frederique E. C. M. Peeters · Sake J. van der Wall · Dilek Yilmaz · Madelon Minneboo · Lena BoschAccepted: 13 November 2024 / Published online: 10 December 2024© The Author(s) 2024The Junior Board (De Juniorkamer) of the NetherlandsSociety of Cardiology (Nederlandse Vereniging voorCardiologie) has been actively monitoring the short-term career perspectives of early-career cardiologists(‘Jonge klaren’) in the Netherlands for many years[1–4]. The objectives of these assessments are toevaluate the unemployment rate, percentage of tem-porary positions, job preferences and satisfaction, anddemographic shifts among early-career cardiologists.An electronic survey was distributed to all recentlyregistered cardiologists. Hosted on the CASTOR plat-form, the survey comprised 42 questions covering top-ics such as prior training (e.g. Doctor of Philosophy(PhD) completion), type of training centre and areaof expertise during training (‘Aandachtsgebied’). Ad-ditionally, career information including current posi-tion, role, fellowships and date of obtaining a perma-nent position was collected. Participation in the sur-D. N. Kalkman ()Department of Cardiology, AmsterdamUniversity MedicalCentre, University of Amsterdam, Amsterdam, TheNetherlandsd.n.kalkman@amsterdamumc.nlV. J. M. Baggen · W. C. MeijersThorax Centre, Department of Cardiology, Erasmus MC,Cardiovascular Institute, Rotterdam, The NetherlandsJ. C. BeusekampDepartment of Cardiology, University Medical Center,Groningen, Groningen, The NetherlandsG. KleinnibbelinkDepartment of Cardiology, Radboud University MedicalCentre, Nijmegen, The NetherlandsF. E. C. M. PeetersDepartment of Cardiology, Maastricht University MedicalCentre+, Maastricht, The Netherlandsvey was voluntary and electronic informed consentwas obtained.This ‘Jonge klaren’ cohort includes early-careercardiologists who completed their training betweenearly 2018 and early 2024. Surveys were distributedbetween March 2024 and June 2024, with a totalof 237 responses, corresponding to a 76% responserate. Baseline characteristics showed a median ageof 36 years, with 59% identified as males. Amongthe respondents, 69% trained at an academic medicalcentre, 66% had completed a PhD and 56% had con-ducted a fellowship. The current unemployment ratewas low at 0.4% (n=1), although 15% (n=13) reportedexperiencing unemployment at some point duringfollow-up, with a duration ranging from 1 month to15 months. The proportion of temporary positionsat 1 year was 78%, at 2 years 53%, at 3 years 34%, at4 years 20% and at 5 years 9%. Subgroup analysesS. J. van der WallDepartment of Cardiology, OLVG Hospital, Amsterdam, TheNetherlandsD. YilmazDepartment of Cardiology, Leiden University MedicalCentre, Leiden, The NetherlandsM.MinnebooDepartment of Cardiology, HMC, The Hague, TheNetherlandsL. BoschDepartment of Cardiology, University Medical CentreUtrecht, Utrecht, The Netherlands2 Career perspectives of early-career cardiologists in the NetherlandsCommentarymale femaleTime in yearsTime in years Time in yearsTime in yearsTime in yearsTime in yearsTime in yearsTime in yearsfellowship no fellowship no PhD.PhD.academic non academicmalefemalefellowshipno fellowshipPhDno PhDacademicnon academicca bdFig. 1 Results from the ‘Jonge klaren’ survey, percentage oftemporary contracts up to 5 years after registration as a cardi-ologist. Subgroup analysis according to gender, academic ornon-academic training centre, fellowship and PhD. a Percent-age of temporary positions according to gender. b Percentageof temporary positions according to type of training centre.c Percentage of temporary positions according to fellowship.d Percentage of temporary positions according to PhDshowed no difference in the percentage of temporarypositions based on gender or the type of trainingcentre (academic vs. non-academic), but there wasa significant difference in those who completed a PhDor conducted a fellowship (Fig. 1).Overall job satisfaction was high. Using a 5-pointLikert scale, with 5 being the highest level of satisfac-tion, over 50% of respondents rated their satisfactionas 5 and 29% rated it as 4. However, 62% of respon-dents reported challenges in the current job market.When asked about relocation for job opportunities,11% were willing to move for a temporary position,while 87% would consider moving for a permanentposition.Compared with prior cohorts, there has been a de-crease in the proportion of male early-career cardiolo-gists (2011–2014 cohort: 68% male; cohort 2015–2020:64%; cohort 2016–2021: 63%, current cohort 59%).Additionally, more respondents in the current co-hort have obtained a PhD, increasing from 41% inthe 2011–2014 cohort to 66% in the current cohort.A shift in training specialisation was also observed,with a decrease in interventional cardiology (16%)and increases in imaging (40%) and heart failure(22%). The proportions of respondents specialisingin general cardiology (15%), electrophysiology (10%)and devices (19%) remained relatively stable. Notably,in the current cohort, no significant differences wereobserved between male and female respondents interms of securing permanent positions. We considerthis an important improvement compared with thefirst published cohort (2011–2014), in which 29% ofmale cardiologists obtained a permanent position at1-year follow-up, compared with only 12% of femalecardiologists (p= 0.01) [1].A significant difference in temporary position ratesduring follow-up remains between early-career cardi-ologists with and without a PhD, favouring those witha PhD. A recent survey of interns and doctors not yetin cardiology training found that 27% believed a PhDwas essential for securing a cardiology training posi-tion and 52% considered it beneficial. [5] Our sur-vey results align with this perception, showing bothan earlier and higher percentage of permanent po-sitions among PhD holders. At 3-year follow-up, thepercentage of respondents without a permanent posi-tion remained unchanged, although satisfaction withcurrent positions showed a slight increase. Subgroupanalysis by year of registration indicated a trend to-ward a higher percentage of permanent positions inthe 2022–2024 group compared with earlier cohorts.Limitations of this study include potential selectionbias and the inherent limitations of self-reported data.In conclusion, unemployment remains low, overone-third of respondents still hold a temporary posi-tion at 3-year follow-up, and job satisfaction remainshigh. The Junior Board will continue monitoring theshort-term career perspectives of ‘Jonge klaren’ in theNetherlands.Career perspectives of early-career cardiologists in the Netherlands 3CommentaryConflict of interest D.N. Kalkman, V.J.M. Baggen, J.C. Beuse-kamp, G.Kleinnibbelink,W.C.Meijers, F.E.C.M.Peeters, S. vander Wall, D. Yilmaz, M. Minneboo and L. Bosch declare thatthey have no competing interests.Open Access This article is licensed under a Creative Com-mons Attribution 4.0 International License, which permitsuse, sharing, adaptation, distribution and reproduction inanymedium or format, as long as you give appropriate creditto the original author(s) and the source, provide a link tothe Creative Commons licence, and indicate if changes weremade. The images or other third party material in this articleare included in the article’sCreativeCommons licence, unlessindicated otherwise in a credit line to thematerial. If materialis not included in the article’s Creative Commons licence andyour intended use is not permitted by statutory regulation orexceeds the permitted use, you will need to obtain permis-sion directly from the copyright holder. To view a copy of thislicence, visit http://creativecommons.org/licenses/by/4.0/.References1. Vis JC, Borleffs CJ, Zwart B, Nuis RJ, Scherptong RWC.Short-termcareerperspectivesofyoungcardiologistsintheNetherlands.NethHeartJ.2017;25:455–60.2. Vorselaars VMM, vanderHeijdenAC, Joustra R, et al. Earlycareer perspectives of young Dutch cardiologists. NethHeartJ.2021;29:433–40.3. Vorselaars VMM, Minneboo M, Meijers WC, et al. Careerperspectives for young cardiologists in the Netherlands:a steady increase in temporary positions. Neth Heart J.2023;31:177–80.4. Bosch L,MinnebooM, Baggen VJM, et al. Career perspec-tives for youngcardiologists in theNetherlands: anupdate.NethHeartJ.2023;31:454–5.5. Cardiologen inhetgeweer tegentekortenaan jongedoktershttps://www.medischcontact.nl/actueel/laatste-nieuws/artikel/cardiologen-in-het-geweer-tegen-tekorten-aan-jonge-dokters. Accessed19Oct2024.4 Career perspectives of early-career cardiologists in the Netherlands

Kalkman, Deborah N

Baggen, Vivan J M

Beusekamp, Joost C

Meijers, Wouter C

Peeters, Frederique E C M

van der Wall, Sake J

Maastricht University Research Portal

ARTS repository - University of Groningen

   University of GroningenCareer perspectives of early-career cardiologists in the NetherlandsKalkman, Deborah N.; Baggen, Vivan J.M.; Beusekamp, Joost C.; Kleinnibbelink, Geert;Meijers, Wouter C.; Peeters, Frederique E.C.M.; van der Wall, Sake J.; Yilmaz, Dilek;Minneboo, Madelon; Bosch, LenaPublished in:Netherlands Heart JournalDOI:10.1007/s12471-024-01915-2IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2025Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Kalkman, D. N., Baggen, V. J. M., Beusekamp, J. C., Kleinnibbelink, G., Meijers, W. C., Peeters, F. E. C.M., van der Wall, S. J., Yilmaz, D., Minneboo, M., & Bosch, L. (2025). Career perspectives of early-careercardiologists in the Netherlands. Netherlands Heart Journal, 33(1), 2-4. https://doi.org/10.1007/s12471-024-01915-2CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Download date: 29-04-2025CommentaryNeth Heart J (2025) 33:2–4https://doi.org/10.1007/s12471-024-01915-2Career perspectives of early-career cardiologists in theNetherlandsDeborah N. Kalkman · Vivan J. M. Baggen · Joost C. Beusekamp · Geert Kleinnibbelink · Wouter C. Meijers ·Frederique E. C. M. Peeters · Sake J. van der Wall · Dilek Yilmaz · Madelon Minneboo · Lena BoschAccepted: 13 November 2024 / Published online: 10 December 2024© The Author(s) 2024The Junior Board (De Juniorkamer) of the NetherlandsSociety of Cardiology (Nederlandse Vereniging voorCardiologie) has been actively monitoring the short-term career perspectives of early-career cardiologists(‘Jonge klaren’) in the Netherlands for many years[1–4]. The objectives of these assessments are toevaluate the unemployment rate, percentage of tem-porary positions, job preferences and satisfaction, anddemographic shifts among early-career cardiologists.An electronic survey was distributed to all recentlyregistered cardiologists. Hosted on the CASTOR plat-form, the survey comprised 42 questions covering top-ics such as prior training (e.g. Doctor of Philosophy(PhD) completion), type of training centre and areaof expertise during training (‘Aandachtsgebied’). Ad-ditionally, career information including current posi-tion, role, fellowships and date of obtaining a perma-nent position was collected. Participation in the sur-D. N. Kalkman ()Department of Cardiology, AmsterdamUniversity MedicalCentre, University of Amsterdam, Amsterdam, TheNetherlandsd.n.kalkman@amsterdamumc.nlV. J. M. Baggen · W. C. MeijersThorax Centre, Department of Cardiology, Erasmus MC,Cardiovascular Institute, Rotterdam, The NetherlandsJ. C. BeusekampDepartment of Cardiology, University Medical Center,Groningen, Groningen, The NetherlandsG. KleinnibbelinkDepartment of Cardiology, Radboud University MedicalCentre, Nijmegen, The NetherlandsF. E. C. M. PeetersDepartment of Cardiology, Maastricht University MedicalCentre+, Maastricht, The Netherlandsvey was voluntary and electronic informed consentwas obtained.This ‘Jonge klaren’ cohort includes early-careercardiologists who completed their training betweenearly 2018 and early 2024. Surveys were distributedbetween March 2024 and June 2024, with a totalof 237 responses, corresponding to a 76% responserate. Baseline characteristics showed a median ageof 36 years, with 59% identified as males. Amongthe respondents, 69% trained at an academic medicalcentre, 66% had completed a PhD and 56% had con-ducted a fellowship. The current unemployment ratewas low at 0.4% (n=1), although 15% (n=13) reportedexperiencing unemployment at some point duringfollow-up, with a duration ranging from 1 month to15 months. The proportion of temporary positionsat 1 year was 78%, at 2 years 53%, at 3 years 34%, at4 years 20% and at 5 years 9%. Subgroup analysesS. J. van der WallDepartment of Cardiology, OLVG Hospital, Amsterdam, TheNetherlandsD. YilmazDepartment of Cardiology, Leiden University MedicalCentre, Leiden, The NetherlandsM.MinnebooDepartment of Cardiology, HMC, The Hague, TheNetherlandsL. BoschDepartment of Cardiology, University Medical CentreUtrecht, Utrecht, The Netherlands2 Career perspectives of early-career cardiologists in the NetherlandsCommentarymale femaleTime in yearsTime in years Time in yearsTime in yearsTime in yearsTime in yearsTime in yearsTime in yearsfellowship no fellowship no PhD.PhD.academic non academicmalefemalefellowshipno fellowshipPhDno PhDacademicnon academicca bdFig. 1 Results from the ‘Jonge klaren’ survey, percentage oftemporary contracts up to 5 years after registration as a cardi-ologist. Subgroup analysis according to gender, academic ornon-academic training centre, fellowship and PhD. a Percent-age of temporary positions according to gender. b Percentageof temporary positions according to type of training centre.c Percentage of temporary positions according to fellowship.d Percentage of temporary positions according to PhDshowed no difference in the percentage of temporarypositions based on gender or the type of trainingcentre (academic vs. non-academic), but there wasa significant difference in those who completed a PhDor conducted a fellowship (Fig. 1).Overall job satisfaction was high. Using a 5-pointLikert scale, with 5 being the highest level of satisfac-tion, over 50% of respondents rated their satisfactionas 5 and 29% rated it as 4. However, 62% of respon-dents reported challenges in the current job market.When asked about relocation for job opportunities,11% were willing to move for a temporary position,while 87% would consider moving for a permanentposition.Compared with prior cohorts, there has been a de-crease in the proportion of male early-career cardiolo-gists (2011–2014 cohort: 68% male; cohort 2015–2020:64%; cohort 2016–2021: 63%, current cohort 59%).Additionally, more respondents in the current co-hort have obtained a PhD, increasing from 41% inthe 2011–2014 cohort to 66% in the current cohort.A shift in training specialisation was also observed,with a decrease in interventional cardiology (16%)and increases in imaging (40%) and heart failure(22%). The proportions of respondents specialisingin general cardiology (15%), electrophysiology (10%)and devices (19%) remained relatively stable. Notably,in the current cohort, no significant differences wereobserved between male and female respondents interms of securing permanent positions. We considerthis an important improvement compared with thefirst published cohort (2011–2014), in which 29% ofmale cardiologists obtained a permanent position at1-year follow-up, compared with only 12% of femalecardiologists (p= 0.01) [1].A significant difference in temporary position ratesduring follow-up remains between early-career cardi-ologists with and without a PhD, favouring those witha PhD. A recent survey of interns and doctors not yetin cardiology training found that 27% believed a PhDwas essential for securing a cardiology training posi-tion and 52% considered it beneficial. [5] Our sur-vey results align with this perception, showing bothan earlier and higher percentage of permanent po-sitions among PhD holders. At 3-year follow-up, thepercentage of respondents without a permanent posi-tion remained unchanged, although satisfaction withcurrent positions showed a slight increase. Subgroupanalysis by year of registration indicated a trend to-ward a higher percentage of permanent positions inthe 2022–2024 group compared with earlier cohorts.Limitations of this study include potential selectionbias and the inherent limitations of self-reported data.In conclusion, unemployment remains low, overone-third of respondents still hold a temporary posi-tion at 3-year follow-up, and job satisfaction remainshigh. The Junior Board will continue monitoring theshort-term career perspectives of ‘Jonge klaren’ in theNetherlands.Career perspectives of early-career cardiologists in the Netherlands 3CommentaryConflict of interest D.N. Kalkman, V.J.M. Baggen, J.C. Beuse-kamp, G.Kleinnibbelink,W.C.Meijers, F.E.C.M.Peeters, S. vander Wall, D. Yilmaz, M. Minneboo and L. Bosch declare thatthey have no competing interests.Open Access This article is licensed under a Creative Com-mons Attribution 4.0 International License, which permitsuse, sharing, adaptation, distribution and reproduction inanymedium or format, as long as you give appropriate creditto the original author(s) and the source, provide a link tothe Creative Commons licence, and indicate if changes weremade. The images or other third party material in this articleare included in the article’sCreativeCommons licence, unlessindicated otherwise in a credit line to thematerial. If materialis not included in the article’s Creative Commons licence andyour intended use is not permitted by statutory regulation orexceeds the permitted use, you will need to obtain permis-sion directly from the copyright holder. To view a copy of thislicence, visit http://creativecommons.org/licenses/by/4.0/.References1. Vis JC, Borleffs CJ, Zwart B, Nuis RJ, Scherptong RWC.Short-termcareerperspectivesofyoungcardiologistsintheNetherlands.NethHeartJ.2017;25:455–60.2. Vorselaars VMM, vanderHeijdenAC, Joustra R, et al. Earlycareer perspectives of young Dutch cardiologists. NethHeartJ.2021;29:433–40.3. Vorselaars VMM, Minneboo M, Meijers WC, et al. Careerperspectives for young cardiologists in the Netherlands:a steady increase in temporary positions. Neth Heart J.2023;31:177–80.4. Bosch L,MinnebooM, Baggen VJM, et al. Career perspec-tives for youngcardiologists in theNetherlands: anupdate.NethHeartJ.2023;31:454–5.5. Cardiologen inhetgeweer tegentekortenaan jongedoktershttps://www.medischcontact.nl/actueel/laatste-nieuws/artikel/cardiologen-in-het-geweer-tegen-tekorten-aan-jonge-dokters. Accessed19Oct2024.4 Career perspectives of early-career cardiologists in the Netherlands

University of GroningenCareer perspectives of early-career cardiologists in the NetherlandsKalkman, Deborah N.; Baggen, Vivan J.M.; Beusekamp, Joost C.; Kleinnibbelink, Geert;Meijers, Wouter C.; Peeters, Frederique E.C.M.; van der Wall, Sake J.; Yilmaz, Dilek;Minneboo, Madelon; Bosch, LenaPublished in:Netherlands Heart JournalDOI:10.1007/s12471-024-01915-2IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2025Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Kalkman, D. N., Baggen, V. J. M., Beusekamp, J. C., Kleinnibbelink, G., Meijers, W. C., Peeters, F. E. C.M., van der Wall, S. J., Yilmaz, D., Minneboo, M., & Bosch, L. (2025). Career perspectives of early-careercardiologists in the Netherlands. Netherlands Heart Journal, 33(1), 2-4. https://doi.org/10.1007/s12471-024-01915-2CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Download date: 29-12-2025CommentaryNeth Heart J (2025) 33:2–4https://doi.org/10.1007/s12471-024-01915-2Career perspectives of early-career cardiologists in theNetherlandsDeborah N. Kalkman · Vivan J. M. Baggen · Joost C. Beusekamp · Geert Kleinnibbelink · Wouter C. Meijers ·Frederique E. C. M. Peeters · Sake J. van der Wall · Dilek Yilmaz · Madelon Minneboo · Lena BoschAccepted: 13 November 2024 / Published online: 10 December 2024© The Author(s) 2024The Junior Board (De Juniorkamer) of the NetherlandsSociety of Cardiology (Nederlandse Vereniging voorCardiologie) has been actively monitoring the short-term career perspectives of early-career cardiologists(‘Jonge klaren’) in the Netherlands for many years[1–4]. The objectives of these assessments are toevaluate the unemployment rate, percentage of tem-porary positions, job preferences and satisfaction, anddemographic shifts among early-career cardiologists.An electronic survey was distributed to all recentlyregistered cardiologists. Hosted on the CASTOR plat-form, the survey comprised 42 questions covering top-ics such as prior training (e.g. Doctor of Philosophy(PhD) completion), type of training centre and areaof expertise during training (‘Aandachtsgebied’). Ad-ditionally, career information including current posi-tion, role, fellowships and date of obtaining a perma-nent position was collected. Participation in the sur-D. N. Kalkman ()Department of Cardiology, AmsterdamUniversity MedicalCentre, University of Amsterdam, Amsterdam, TheNetherlandsd.n.kalkman@amsterdamumc.nlV. J. M. Baggen · W. C. MeijersThorax Centre, Department of Cardiology, Erasmus MC,Cardiovascular Institute, Rotterdam, The NetherlandsJ. C. BeusekampDepartment of Cardiology, University Medical Center,Groningen, Groningen, The NetherlandsG. KleinnibbelinkDepartment of Cardiology, Radboud University MedicalCentre, Nijmegen, The NetherlandsF. E. C. M. PeetersDepartment of Cardiology, Maastricht University MedicalCentre+, Maastricht, The Netherlandsvey was voluntary and electronic informed consentwas obtained.This ‘Jonge klaren’ cohort includes early-careercardiologists who completed their training betweenearly 2018 and early 2024. Surveys were distributedbetween March 2024 and June 2024, with a totalof 237 responses, corresponding to a 76% responserate. Baseline characteristics showed a median ageof 36 years, with 59% identified as males. Amongthe respondents, 69% trained at an academic medicalcentre, 66% had completed a PhD and 56% had con-ducted a fellowship. The current unemployment ratewas low at 0.4% (n=1), although 15% (n=13) reportedexperiencing unemployment at some point duringfollow-up, with a duration ranging from 1 month to15 months. The proportion of temporary positionsat 1 year was 78%, at 2 years 53%, at 3 years 34%, at4 years 20% and at 5 years 9%. Subgroup analysesS. J. van der WallDepartment of Cardiology, OLVG Hospital, Amsterdam, TheNetherlandsD. YilmazDepartment of Cardiology, Leiden University MedicalCentre, Leiden, The NetherlandsM.MinnebooDepartment of Cardiology, HMC, The Hague, TheNetherlandsL. BoschDepartment of Cardiology, University Medical CentreUtrecht, Utrecht, The Netherlands2 Career perspectives of early-career cardiologists in the NetherlandsCommentarymale femaleTime in yearsTime in years Time in yearsTime in yearsTime in yearsTime in yearsTime in yearsTime in yearsfellowship no fellowship no PhD.PhD.academic non academicmalefemalefellowshipno fellowshipPhDno PhDacademicnon academicca bdFig. 1 Results from the ‘Jonge klaren’ survey, percentage oftemporary contracts up to 5 years after registration as a cardi-ologist. Subgroup analysis according to gender, academic ornon-academic training centre, fellowship and PhD. a Percent-age of temporary positions according to gender. b Percentageof temporary positions according to type of training centre.c Percentage of temporary positions according to fellowship.d Percentage of temporary positions according to PhDshowed no difference in the percentage of temporarypositions based on gender or the type of trainingcentre (academic vs. non-academic), but there wasa significant difference in those who completed a PhDor conducted a fellowship (Fig. 1).Overall job satisfaction was high. Using a 5-pointLikert scale, with 5 being the highest level of satisfac-tion, over 50% of respondents rated their satisfactionas 5 and 29% rated it as 4. However, 62% of respon-dents reported challenges in the current job market.When asked about relocation for job opportunities,11% were willing to move for a temporary position,while 87% would consider moving for a permanentposition.Compared with prior cohorts, there has been a de-crease in the proportion of male early-career cardiolo-gists (2011–2014 cohort: 68% male; cohort 2015–2020:64%; cohort 2016–2021: 63%, current cohort 59%).Additionally, more respondents in the current co-hort have obtained a PhD, increasing from 41% inthe 2011–2014 cohort to 66% in the current cohort.A shift in training specialisation was also observed,with a decrease in interventional cardiology (16%)and increases in imaging (40%) and heart failure(22%). The proportions of respondents specialisingin general cardiology (15%), electrophysiology (10%)and devices (19%) remained relatively stable. Notably,in the current cohort, no significant differences wereobserved between male and female respondents interms of securing permanent positions. We considerthis an important improvement compared with thefirst published cohort (2011–2014), in which 29% ofmale cardiologists obtained a permanent position at1-year follow-up, compared with only 12% of femalecardiologists (p= 0.01) [1].A significant difference in temporary position ratesduring follow-up remains between early-career cardi-ologists with and without a PhD, favouring those witha PhD. A recent survey of interns and doctors not yetin cardiology training found that 27% believed a PhDwas essential for securing a cardiology training posi-tion and 52% considered it beneficial. [5] Our sur-vey results align with this perception, showing bothan earlier and higher percentage of permanent po-sitions among PhD holders. At 3-year follow-up, thepercentage of respondents without a permanent posi-tion remained unchanged, although satisfaction withcurrent positions showed a slight increase. Subgroupanalysis by year of registration indicated a trend to-ward a higher percentage of permanent positions inthe 2022–2024 group compared with earlier cohorts.Limitations of this study include potential selectionbias and the inherent limitations of self-reported data.In conclusion, unemployment remains low, overone-third of respondents still hold a temporary posi-tion at 3-year follow-up, and job satisfaction remainshigh. The Junior Board will continue monitoring theshort-term career perspectives of ‘Jonge klaren’ in theNetherlands.Career perspectives of early-career cardiologists in the Netherlands 3CommentaryConflict of interest D.N. Kalkman, V.J.M. Baggen, J.C. Beuse-kamp, G.Kleinnibbelink,W.C.Meijers, F.E.C.M.Peeters, S. vander Wall, D. Yilmaz, M. Minneboo and L. Bosch declare thatthey have no competing interests.Open Access This article is licensed under a Creative Com-mons Attribution 4.0 International License, which permitsuse, sharing, adaptation, distribution and reproduction inanymedium or format, as long as you give appropriate creditto the original author(s) and the source, provide a link tothe Creative Commons licence, and indicate if changes weremade. The images or other third party material in this articleare included in the article’sCreativeCommons licence, unlessindicated otherwise in a credit line to thematerial. If materialis not included in the article’s Creative Commons licence andyour intended use is not permitted by statutory regulation orexceeds the permitted use, you will need to obtain permis-sion directly from the copyright holder. To view a copy of thislicence, visit http://creativecommons.org/licenses/by/4.0/.References1. Vis JC, Borleffs CJ, Zwart B, Nuis RJ, Scherptong RWC.Short-termcareerperspectivesofyoungcardiologistsintheNetherlands.NethHeartJ.2017;25:455–60.2. Vorselaars VMM, vanderHeijdenAC, Joustra R, et al. Earlycareer perspectives of young Dutch cardiologists. NethHeartJ.2021;29:433–40.3. Vorselaars VMM, Minneboo M, Meijers WC, et al. Careerperspectives for young cardiologists in the Netherlands:a steady increase in temporary positions. Neth Heart J.2023;31:177–80.4. Bosch L,MinnebooM, Baggen VJM, et al. Career perspec-tives for youngcardiologists in theNetherlands: anupdate.NethHeartJ.2023;31:454–5.5. Cardiologen inhetgeweer tegentekortenaan jongedoktershttps://www.medischcontact.nl/actueel/laatste-nieuws/artikel/cardiologen-in-het-geweer-tegen-tekorten-aan-jonge-dokters. Accessed19Oct2024.4 Career perspectives of early-career cardiologists in the Netherlands

University of GroningenCareer perspectives of early-career cardiologists in the NetherlandsKalkman, Deborah N.; Baggen, Vivan J.M.; Beusekamp, Joost C.; Kleinnibbelink, Geert;Meijers, Wouter C.; Peeters, Frederique E.C.M.; van der Wall, Sake J.; Yilmaz, Dilek;Minneboo, Madelon; Bosch, LenaPublished in:Netherlands Heart JournalDOI:10.1007/s12471-024-01915-2IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2025Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Kalkman, D. N., Baggen, V. J. M., Beusekamp, J. C., Kleinnibbelink, G., Meijers, W. C., Peeters, F. E. C.M., van der Wall, S. J., Yilmaz, D., Minneboo, M., & Bosch, L. (2025). Career perspectives of early-careercardiologists in the Netherlands. Netherlands Heart Journal, 33(1), 2-4. https://doi.org/10.1007/s12471-024-01915-2CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Download date: 01-01-2026CommentaryNeth Heart J (2025) 33:2–4https://doi.org/10.1007/s12471-024-01915-2Career perspectives of early-career cardiologists in theNetherlandsDeborah N. Kalkman · Vivan J. M. Baggen · Joost C. Beusekamp · Geert Kleinnibbelink · Wouter C. Meijers ·Frederique E. C. M. Peeters · Sake J. van der Wall · Dilek Yilmaz · Madelon Minneboo · Lena BoschAccepted: 13 November 2024 / Published online: 10 December 2024© The Author(s) 2024The Junior Board (De Juniorkamer) of the NetherlandsSociety of Cardiology (Nederlandse Vereniging voorCardiologie) has been actively monitoring the short-term career perspectives of early-career cardiologists(‘Jonge klaren’) in the Netherlands for many years[1–4]. The objectives of these assessments are toevaluate the unemployment rate, percentage of tem-porary positions, job preferences and satisfaction, anddemographic shifts among early-career cardiologists.An electronic survey was distributed to all recentlyregistered cardiologists. Hosted on the CASTOR plat-form, the survey comprised 42 questions covering top-ics such as prior training (e.g. Doctor of Philosophy(PhD) completion), type of training centre and areaof expertise during training (‘Aandachtsgebied’). Ad-ditionally, career information including current posi-tion, role, fellowships and date of obtaining a perma-nent position was collected. Participation in the sur-D. N. Kalkman ()Department of Cardiology, AmsterdamUniversity MedicalCentre, University of Amsterdam, Amsterdam, TheNetherlandsd.n.kalkman@amsterdamumc.nlV. J. M. Baggen · W. C. MeijersThorax Centre, Department of Cardiology, Erasmus MC,Cardiovascular Institute, Rotterdam, The NetherlandsJ. C. BeusekampDepartment of Cardiology, University Medical Center,Groningen, Groningen, The NetherlandsG. KleinnibbelinkDepartment of Cardiology, Radboud University MedicalCentre, Nijmegen, The NetherlandsF. E. C. M. PeetersDepartment of Cardiology, Maastricht University MedicalCentre+, Maastricht, The Netherlandsvey was voluntary and electronic informed consentwas obtained.This ‘Jonge klaren’ cohort includes early-careercardiologists who completed their training betweenearly 2018 and early 2024. Surveys were distributedbetween March 2024 and June 2024, with a totalof 237 responses, corresponding to a 76% responserate. Baseline characteristics showed a median ageof 36 years, with 59% identified as males. Amongthe respondents, 69% trained at an academic medicalcentre, 66% had completed a PhD and 56% had con-ducted a fellowship. The current unemployment ratewas low at 0.4% (n=1), although 15% (n=13) reportedexperiencing unemployment at some point duringfollow-up, with a duration ranging from 1 month to15 months. The proportion of temporary positionsat 1 year was 78%, at 2 years 53%, at 3 years 34%, at4 years 20% and at 5 years 9%. Subgroup analysesS. J. van der WallDepartment of Cardiology, OLVG Hospital, Amsterdam, TheNetherlandsD. YilmazDepartment of Cardiology, Leiden University MedicalCentre, Leiden, The NetherlandsM.MinnebooDepartment of Cardiology, HMC, The Hague, TheNetherlandsL. BoschDepartment of Cardiology, University Medical CentreUtrecht, Utrecht, The Netherlands2 Career perspectives of early-career cardiologists in the NetherlandsCommentarymale femaleTime in yearsTime in years Time in yearsTime in yearsTime in yearsTime in yearsTime in yearsTime in yearsfellowship no fellowship no PhD.PhD.academic non academicmalefemalefellowshipno fellowshipPhDno PhDacademicnon academicca bdFig. 1 Results from the ‘Jonge klaren’ survey, percentage oftemporary contracts up to 5 years after registration as a cardi-ologist. Subgroup analysis according to gender, academic ornon-academic training centre, fellowship and PhD. a Percent-age of temporary positions according to gender. b Percentageof temporary positions according to type of training centre.c Percentage of temporary positions according to fellowship.d Percentage of temporary positions according to PhDshowed no difference in the percentage of temporarypositions based on gender or the type of trainingcentre (academic vs. non-academic), but there wasa significant difference in those who completed a PhDor conducted a fellowship (Fig. 1).Overall job satisfaction was high. Using a 5-pointLikert scale, with 5 being the highest level of satisfac-tion, over 50% of respondents rated their satisfactionas 5 and 29% rated it as 4. However, 62% of respon-dents reported challenges in the current job market.When asked about relocation for job opportunities,11% were willing to move for a temporary position,while 87% would consider moving for a permanentposition.Compared with prior cohorts, there has been a de-crease in the proportion of male early-career cardiolo-gists (2011–2014 cohort: 68% male; cohort 2015–2020:64%; cohort 2016–2021: 63%, current cohort 59%).Additionally, more respondents in the current co-hort have obtained a PhD, increasing from 41% inthe 2011–2014 cohort to 66% in the current cohort.A shift in training specialisation was also observed,with a decrease in interventional cardiology (16%)and increases in imaging (40%) and heart failure(22%). The proportions of respondents specialisingin general cardiology (15%), electrophysiology (10%)and devices (19%) remained relatively stable. Notably,in the current cohort, no significant differences wereobserved between male and female respondents interms of securing permanent positions. We considerthis an important improvement compared with thefirst published cohort (2011–2014), in which 29% ofmale cardiologists obtained a permanent position at1-year follow-up, compared with only 12% of femalecardiologists (p= 0.01) [1].A significant difference in temporary position ratesduring follow-up remains between early-career cardi-ologists with and without a PhD, favouring those witha PhD. A recent survey of interns and doctors not yetin cardiology training found that 27% believed a PhDwas essential for securing a cardiology training posi-tion and 52% considered it beneficial. [5] Our sur-vey results align with this perception, showing bothan earlier and higher percentage of permanent po-sitions among PhD holders. At 3-year follow-up, thepercentage of respondents without a permanent posi-tion remained unchanged, although satisfaction withcurrent positions showed a slight increase. Subgroupanalysis by year of registration indicated a trend to-ward a higher percentage of permanent positions inthe 2022–2024 group compared with earlier cohorts.Limitations of this study include potential selectionbias and the inherent limitations of self-reported data.In conclusion, unemployment remains low, overone-third of respondents still hold a temporary posi-tion at 3-year follow-up, and job satisfaction remainshigh. The Junior Board will continue monitoring theshort-term career perspectives of ‘Jonge klaren’ in theNetherlands.Career perspectives of early-career cardiologists in the Netherlands 3CommentaryConflict of interest D.N. Kalkman, V.J.M. Baggen, J.C. Beuse-kamp, G.Kleinnibbelink,W.C.Meijers, F.E.C.M.Peeters, S. vander Wall, D. Yilmaz, M. Minneboo and L. Bosch declare thatthey have no competing interests.Open Access This article is licensed under a Creative Com-mons Attribution 4.0 International License, which permitsuse, sharing, adaptation, distribution and reproduction inanymedium or format, as long as you give appropriate creditto the original author(s) and the source, provide a link tothe Creative Commons licence, and indicate if changes weremade. The images or other third party material in this articleare included in the article’sCreativeCommons licence, unlessindicated otherwise in a credit line to thematerial. If materialis not included in the article’s Creative Commons licence andyour intended use is not permitted by statutory regulation orexceeds the permitted use, you will need to obtain permis-sion directly from the copyright holder. To view a copy of thislicence, visit http://creativecommons.org/licenses/by/4.0/.References1. Vis JC, Borleffs CJ, Zwart B, Nuis RJ, Scherptong RWC.Short-termcareerperspectivesofyoungcardiologistsintheNetherlands.NethHeartJ.2017;25:455–60.2. Vorselaars VMM, vanderHeijdenAC, Joustra R, et al. Earlycareer perspectives of young Dutch cardiologists. NethHeartJ.2021;29:433–40.3. Vorselaars VMM, Minneboo M, Meijers WC, et al. Careerperspectives for young cardiologists in the Netherlands:a steady increase in temporary positions. Neth Heart J.2023;31:177–80.4. Bosch L,MinnebooM, Baggen VJM, et al. Career perspec-tives for youngcardiologists in theNetherlands: anupdate.NethHeartJ.2023;31:454–5.5. Cardiologen inhetgeweer tegentekortenaan jongedoktershttps://www.medischcontact.nl/actueel/laatste-nieuws/artikel/cardiologen-in-het-geweer-tegen-tekorten-aan-jonge-dokters. Accessed19Oct2024.4 Career perspectives of early-career cardiologists in the Netherlands

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Career perspectives of early-career cardiologists in the Netherlands

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