A Qualitative Survey Study of United States Burn Units: Pathways to a Career in Burn Surgery

2019 ◽  
Vol 40 (5) ◽  
pp. 595-600
Author(s):  
Francesco M Egro ◽  
Erica D Johnson ◽  
Elizabeth M Kenny ◽  
Aaron M Foglio ◽  
Brandon T Smith ◽  
...  
Keyword(s):  
United States ◽  
Critical Care ◽  
Wound Care ◽  
The United States ◽  
Fellowship Training ◽  
Training Requirements ◽  
Burn Care ◽  
Burn Unit ◽  
Burn Units ◽  
Burn Surgery

Abstract With current changes in training requirements, it is important to understand the venues in the United States for a general surgery (GS) and plastic surgery (PS) resident interested in pursuing a burn surgery career. The study aims to evaluate the pathways to a career in burn surgery and the current state of leadership. A cross-sectional study was conducted between August and September 2017. A 12-question survey was sent to all burn unit directors in the United States, asking about their background, who manages various aspects of burn care and the hiring requirements. Responses were received from 55 burn unit directors (47% response rate). Burn units are lead most commonly by physicians who received GS training (69%), but the majority either did not undergo fellowship training (31%) or completed a burn surgery fellowship (29%). While surgical care (GS = 51%, PS = 42%) and wound care (GS = 51%, PS = 42%) were predominantly managed by GS- or PS-trained burn teams, management of other aspects of burn care varied depending on the institution, demonstrating that a shift in burn care management. The desired hiring characteristics, including GS (67%) or PS residency (44%) and a burn surgery (55%), trauma surgery (15%), or critical care (44%) fellowship. Directors’ training significantly influenced their preferences for hiring requirements. While leadership in burn surgery is dominated by GS-trained physicians, the surgical and wound care responsibilities are shared among PS and GS. Although one third of current directors did not undergo fellowship training, aspiring surgeons are advised to obtain a burn surgery and/or critical care fellowship.

Gender Disparities Among Burn Surgery Leadership

2020 ◽  
Vol 41 (3) ◽  
pp. 674-680 ◽  
Author(s):  
Anisha Konanur ◽  
Francesco M Egro ◽  
Caroline E Kettering ◽  
Brandon T Smith ◽  
Alain C Corcos ◽  
...  
Keyword(s):  
Gender Diversity ◽  
Junior Faculty ◽  
Fellowship Training ◽  
Cross Sectional Study ◽  
Gender Disparities ◽  
Cross Sectional ◽  
Burn Care ◽  
Burn Unit ◽  
Burn Surgery

Abstract Gender disparities have been described in the plastic surgery and general surgery literature, but no data have been reported in burn surgery. The aim of this study is to determine gender disparities among burn surgery leadership. A cross-sectional study was performed. Burn surgeons included were directors of American Burn Association (ABA)-verified burn centers, past presidents of the ABA, and International Society for Burn Injuries (ISBI), and editors of the Journal of Burn Care & Research, Burns, Burns & Trauma, Annals of Burns & Fire Disasters, and the International Journal of Burns and Trauma. Training, age, H-index, and academic level and leadership position were compared among surgeons identified. Among the 69 ABA and ISBI past presidents, 203 burn journals’ editorial board members, and 71 burn unit directors, females represented only 2.9%, 10.5%, and 17%, respectively. Among burn unit directors, females completed fellowship training more recently than males (female = 2006, male = 1999, P < .02), have lower H-indexes (female = 8.6, male = 17.3, P = .03), and are less represented as full professors (female = 8.3%, male = 42.4%, P = .026). There were no differences in age, residency, research fellowship, or number of fellowships. Gender disparities exist in burn surgery and are highlighted at the leadership level, even though female surgeons have a similar age, residency training, and other background factors. However, gender diversity in burn surgery may improve as females in junior faculty positions advance in their careers.

FELLOWSHIP TRAINING IN ADULT CRITICAL CARE MEDICINE IN THE UNITED STATES AND CANADA

1979 ◽  
Vol 7 (3) ◽  
pp. 140
Author(s):  
Dennis M. Greenbaum ◽  
Robert S. Dobrin ◽  
Eric Rackow ◽  
Henning Pontoppidan ◽  
Robert F. Wilson
Keyword(s):  
United States ◽  
Critical Care ◽  
The United States ◽  
Fellowship Training ◽  
Critical Care Medicine

541 Gender Disparities Among Burn Surgery Leadership

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S108-S109
Author(s):  
Francesco M Egro ◽  
Anisha Konanur ◽  
Caroline E Kettering ◽  
Alain C Corcos ◽  
Guy M Stofman ◽  
...  
Keyword(s):  
Gender Diversity ◽  
National Level ◽  
Junior Faculty ◽  
Fellowship Training ◽  
Gender Disparities ◽  
Cross Sectional ◽  
Burn Care ◽  
Burn Unit ◽  
Burn Surgery

Abstract Introduction Gender disparities have been described in the plastic surgery and general surgery literature, but no data has been reported in burn surgery. The aim of this study is to determine gender disparities among burn surgery leadership. Methods A cross-sectional study was performed. Burn surgeons included were directors of American Burn Association (ABA)-verified burn centers, past presidents of the ABA and International Society for Burn Injuries (ISBI), and editors of the Journal of Burn Care & Research, Burns, Burns & Trauma, Annals of Burns & Fire Disasters, and the International Journal of Burns and Trauma. Training, age, H-index, and academic level and leadership position were compared among surgeons identified. Results Among the 69 ABA and ISBI past presidents, 203 burn journals’ editorial board members, and 71 burn unit directors, females represented only2.9 percent, 10.5 percent, and 17 percent, respectively. Among burn unit directors, females completed fellowship training more recently than males (female = 2006, male = 1999, p < 0.02), have lower H-indexes (female = 8.6, male = 17.3, p = 0.03), and are less represented asfull professors (female = 8.3 percent, male = 42.4 percent, p = 0.026). There were no differences in age, residency, research fellowship, or number of fellowships. Conclusions Gender disparities exist in burn surgery and are highlighted at the leadership level, even though female surgeons have a similar age, residency training and other background factors. However, gender diversity in burn surgery may improve as females in junior faculty positions advance in their careers. Applicability of Research to Practice Gender disparities are a significant issue in burn leadership, which needs further discussion at national level and should be addressed more proactively through programs that emphasize leadership opportunities and mentorship for women.

scholarly journals Current Use of Invasive and Noninvasive Monitors in Academic Pediatric Intensive Care Units

2018 ◽  
Vol 07 (03) ◽  
pp. 135-146
Author(s):  
Kyle Rehder ◽  
George Ofori-Amanfo ◽  
David Turner ◽  
Awni Al-Subu
Keyword(s):  
United States ◽  
Critical Care ◽  
Near Infrared ◽  
Pediatric Intensive Care ◽  
Noninvasive Monitoring ◽  
The United States ◽  
Fellowship Training ◽  
Invasive Monitoring ◽  
Pediatric Critical Care ◽  
Specific Patient

AbstractTo describe the current use of noninvasive monitoring compared with traditional invasive monitoring in Pediatric Critical Care Medicine (PCCM) accredited fellowship programs in the United States. A web-based survey with the primary aim of describing the utilization of noninvasive monitoring compared with invasive monitoring was distributed to PCCM program directors (PDs) at the 64 accredited fellowship training programs. Questions focused on demographics and the utilization of invasive and noninvasive monitoring for specific patient populations and disease states. Forty-two (66%) PDs responded to the survey. Capnography and near-infrared spectroscopy (NIRS) were the most commonly reported noninvasive monitoring technology. Arterial and central venous catheters were widely used. Other invasive monitoring devices were used sparingly. Despite widespread use of both invasive and noninvasive monitoring in academic pediatric critical care units across the United States, there is significant variability in the use of noninvasive monitoring compared with invasive monitoring. Further investigation is needed to define the standard of care for the use of noninvasive monitors as practitioners attempt to optimize care while minimizing risks and complications.

281 Who is in Charge of Burn Care and What are the Training Requirements for Aspiring Burn Surgeons in the United States?

2018 ◽  
Vol 39 (suppl_1) ◽  
pp. S109-S109
Author(s):  
F M Egro ◽  
E D Johnson ◽  
E M Kenny ◽  
A M Foglio ◽  
A A Corcos ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Training Requirements ◽  
Burn Care

Regionalization of Critical Care in the United States

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sharon Leung ◽  
Stephen M. Pastores ◽  
John M. Oropello ◽  
Craig M. Lilly ◽  
Samuel M. Galvagno ◽  
...  
Keyword(s):  
United States ◽  
Critical Care ◽  
The United States

scholarly journals Advances in the Management of Sepsis and the Understanding of Key Immunologic Defects

2011 ◽  
Vol 115 (6) ◽  
pp. 1349-1362 ◽  
Author(s):  
Lee P. Skrupky ◽  
Paul W. Kerby ◽  
Richard S. Hotchkiss
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Operating Room ◽  
The United States ◽  
Difficult Problem ◽  
Treatment Algorithms ◽  
New Treatment ◽  
Overall Mortality

Anesthesiologists are increasingly confronting the difficult problem of caring for patients with sepsis in the operating room and in the intensive care unit. Sepsis occurs in more than 750,000 patients in the United States annually and is responsible for more than 210,000 deaths. Approximately 40% of all intensive care unit patients have sepsis on admission to the intensive care unit or experience sepsis during their stay in the intensive care unit. There have been significant advances in the understanding of the pathophysiology of the disorder and its treatment. Although deaths attributable to sepsis remain stubbornly high, new treatment algorithms have led to a reduction in overall mortality. Thus, it is important for anesthesiologists and critical care practitioners to be aware of these new therapeutic regimens. The goal of this review is to include practical points on important advances in the treatment of sepsis and provide a vision of future immunotherapeutic approaches.

Neonatal Personpower

PEDIATRICS ◽  
1987 ◽  
Vol 79 (5) ◽  
pp. 836-837
Author(s):  
GERALD KATZMAN
Keyword(s):  
United States ◽  
Critical Care ◽  
The United States ◽  
Care Needs ◽  
Live Births ◽  
Adequate Number ◽  
Lengths Of Stay ◽  
The Difference ◽  
Power Needs

To the Editor.— There have been several attempts to define the person-power needs for neonatologists in the United States.1-3 The reports by Merenstein et al2 and the AAP Committee on Fetus and Newborn1 maintain that there is presently an adequate number of neonatologists, whereas in a 1981 editorial, Robertson3 predicted increasing shortages of neonatologists. Why the difference between the conclusions? My answer to this question is that the reports by Merenstein et al and the AAP used calculated ratios of neonatologists to live births or lengths of stay, whereas the Robertson editorial expressed concern about the critical care needs of the physiologically unstable neonate.

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