A Case for Change in Adult Critical Care Training for Physicians in the United States: A White Paper Developed by the Critical Care as a Specialty Task Force of the Society of Critical Care Medicine

Critical Care Medicine
S TishermanBrian T Wessman

Abstract

In the United States, physician training in Critical Care Medicine has developed as a subspecialty of different primary boards, despite significant commonality in knowledge and skills. The Society of Critical Care Medicine appointed a multidisciplinary Task Force to examine alternative approaches for future training. The Task Force reviewed the literature and conducted informal discussions with key stakeholders. Specific topics reviewed included the history of critical care training, commonalities among subspecialties, developments since a similar review in 2004, international experience, quality patient care, and financial and workforce issues. The Task Force believes that options for future training include establishment of a 1) primary specialty of critical care; 2) unified fellowship and certification process; or 3) unified certification process with separate fellowship programs within the current specialties versus 4) maintaining multiple specialty-based fellowship programs and certification processes. 1) Changing the current Critical Care Medicine training paradigms may benefit trainees and patient care. 2) Multiple pathways into critical care training for all interested trainees are desirable for meeting future intensivi...Continue Reading

References

Feb 1, 1981·Critical Care Medicine·A GrenvikF A Disney
Sep 4, 2008·Critical Care Medicine·Ruth M KleinpellRobert Grabenkort
Apr 8, 2009·Chest·Ognjen Gajic, Bekele Afessa
May 18, 2011·JAMA : the Journal of the American Medical Association·Craig M LillyUNKNOWN University of Massachusetts Memorial Critical Care Operations Group
Dec 25, 2012·Critical Care Medicine·Nicholas S WardUNKNOWN Members of Society of Critical Care Medicine Taskforce on ICU Staffing
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Dec 5, 2014·American Journal of Respiratory and Critical Care Medicine·Jeremy M Kahn, Gordon D Rubenfeld
Apr 25, 2015·Revista Brasileira de terapia intensiva·Stephen M Pastores, Vladimir Kvetan
Feb 3, 2016·Chest·Janna S LandspergerArthur P Wheeler
Sep 2, 2017·Critical Care Medicine·Sharon LeungUNKNOWN Academic Leaders in Critical Care Medicine Task Force of the Society of the Critical Care Medicine

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Citations

Sep 15, 2018·Critical Care Medicine·R Phillip Dellinger
Sep 2, 2020·Current Opinion in Pediatrics·Alexander Feliz, Christopher Weldon
Apr 16, 2019·Critical Care Medicine·Samuel A TishermanBrian T Wessman
Aug 9, 2019·Critical Care Medicine·Cherylee W J Chang
Jul 16, 2021·Critical Care Medicine·Julian BionDavid Schulman

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