Guidelines for critical care medicine training and continuing medical education

2004 ◽  
Vol 32 (1) ◽  
pp. 263-272 ◽  
Author(s):  
Todd Dorman ◽  
Peter B. Angood ◽  
Derek C. Angus ◽  
Terry P. Clemmer ◽  
Neal H. Cohen ◽  
...  
Keyword(s):  
Medical Education ◽  
Critical Care ◽  
Continuing Medical Education ◽  
Critical Care Medicine

scholarly journals Mechanical Ventilation Training During Graduate Medical Education: Perspectives and Review of the Literature

2019 ◽  
Vol 11 (4) ◽  
pp. 389-401 ◽  
Author(s):  
Jonathan M. Keller ◽  
Dru Claar ◽  
Juliana Carvalho Ferreira ◽  
David C. Chu ◽  
Tanzib Hossain ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Medical Education ◽  
Critical Care ◽  
Best Practices ◽  
Graduate Medical Education ◽  
Assessment Tools ◽  
Critical Care Medicine ◽  
Subspecialty Training ◽  
Review Of The Literature ◽  
Graduate Medical

ABSTRACT Background Management of mechanical ventilation (MV) is an important and complex aspect of caring for critically ill patients. Management strategies and technical operation of the ventilator are key skills for physicians in training, as lack of expertise can lead to substantial patient harm. Objective We performed a narrative review of the literature describing MV education in graduate medical education (GME) and identified best practices for training and assessment methods. Methods We searched MEDLINE, PubMed, and Google Scholar for English-language, peer-reviewed articles describing MV education and assessment. We included articles from 2000 through July 2018 pertaining to MV education or training in GME. Results Fifteen articles met inclusion criteria. Studies related to MV training in anesthesiology, emergency medicine, general surgery, and internal medicine residency programs, as well as subspecialty training in critical care medicine, pediatric critical care medicine, and pulmonary and critical care medicine. Nearly half of trainees assessed were dissatisfied with their MV education. Six studies evaluated educational interventions, all employing simulation as an educational strategy, although there was considerable heterogeneity in content. Most outcomes were assessed with multiple-choice knowledge testing; only 2 studies evaluated the care of actual patients after an educational intervention. Conclusions There is a paucity of information describing MV education in GME. The available literature demonstrates that trainees are generally dissatisfied with MV training. Best practices include establishing MV-specific learning objectives and incorporating simulation. Next research steps include developing competency standards and validity evidence for assessment tools that can be utilized across MV educational curricula.

scholarly journals 2541. Impact of a Combined Infectious Disease-Critical Care Medicine (ID-CCM) Track on Fellowship Recruitment

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S883-S883
Author(s):  
Nitin Bhanot ◽  
Zaw Min ◽  
Matthew Moffa ◽  
Thomas L Walsh ◽  
James D Como
Keyword(s):  
Infectious Disease ◽  
Medical Education ◽  
Critical Care ◽  
Critical Care Medicine ◽  
Collaborative Effort ◽  
Fellowship Program ◽  
Fully Integrated ◽  
Increasing Trend ◽  
Fellowship Programs ◽  
Allegheny General Hospital

Abstract Background There has been a declining national trend in recent years of resident applications to Infectious Disease (ID) fellowship programs. This dearth of interested and available applicants has resulted in many programs failing to fill some or all of their fellowship slots. Our ID fellowship program, founded in 2013 at Allegheny General Hospital, had met with similar difficulty. Methods To increase the recruitment pool of candidates and combat the challenge to fill our positions, we incorporated a combined 3 year ID-Critical Care Medicine (CCM) track in 2016, initially with one of our two annual fellowship slots allotted to this track. This entailed a collaborative effort between the ID and CCM divisions, an internal application completion outlining the need and rationale for this combined program, and finally, approval from the institutional as well as the Accreditation Council for Graduate Medical Education (ACGME). Results The number of applicants interviewed from 2013 to 2016 for ID (pre-inception of the ID-CCM track), as well as those for ID, ID-CCM, or those interviewing for both tracks following 2016, were counted. We noted a consistent increasing trend in the numbers interviewed for both the ID (4, 8, and 12 total applicants) and ID-CCM (4, 10, and 12 total applicants) tracks over the three since the inception of our combined fellowship program; 3 additional applicants in years 2017 and 2018, and 5 in 2019, expressed interest in either ID or ID-CCM (Graph 1). This favorably amounted to filling our training positions. Conclusion Implementation of a combined ID-CCM fellowship program proved to be a viable strategy to increase the number of applicants at our institution. Given the success of having one dually-accredited slot, we have expanded the combined-track to both positions. As the first fully-integrated ID-CCM fellowship program in the country, we may be pioneering this novel training pathway for future physicians. Disclosures All authors: No reported disclosures.

scholarly journals Top-cited articles on simulation in the medical education field

2021 ◽  
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Critical Care ◽  
Health Care Providers ◽  
Critical Care Medicine ◽  
Original Research ◽  
Care Providers ◽  
Or Education ◽  
Clinical Teachers ◽  
Mesh Terms

Simulation-based medical education (SBME) has been widely used in various medical fields. Simulation enables learners to acquire not only clinical techniques but also professionalism, communication, and teamwork skills. Simulation is also a useful method for clinical teachers to assess learning outcomes. Our study examined the evolution and focus of SBME through a review and analysis of the top-cited articles in the field of medical education. The search strategy was based on the following algorithm in Scopus to obtain SBME-related articles published in English before October 31, 2020: (“simulation” [All Fields] OR “simulated” [All Fields] AND (“education, medical” [MeSH Terms] OR (“education” [All Fields] AND “medical” [All Fields]) OR “medical education” [All Fields]). Most of the top-cited articles were published between 2005 and 2010 (n = 58; 58%). Original research was the most common research type (n = 58; 58%), followed by reviews (n = 33; 33%). The most commonly studied subject was “critical care medicine” (n = 20; 16.1%), followed by “emergency medicine” (n = 18; 14.5%). The leading research target groups were health care providers (n = 54; 50%), postgraduates (n = 28; 25.9%), and undergraduates (n = 8; 7.4%). In conclusion, simulation was most widely used in critical care medicine and emergency medicine. Junior residents and medical students were the most common learners in these studies. Simulation was also useful for training for specific procedures and team resource management, especially in multidisciplinary groups.

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