Training and Certification in Surgical Critical Care: A Position Paper by the Surgical Critical Care Program Directors Society

2010 ◽  
Vol 69 (2) ◽  
pp. 471-474 ◽  
Author(s):  
Hasan B. Alam ◽  
Jeffrey G. Chipman ◽  
Fred A. Luchette ◽  
Marc J. Shapiro ◽  
David A. Spain ◽  
...  
2014 ◽  
Vol 6 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Howard L. Saft ◽  
Paul S. Richman ◽  
Andrew R. Berman ◽  
Richard A. Mularski ◽  
Paul A. Kvale ◽  
...  

Abstract Background Intensive care unit (ICU) use at the end of life is rising. Little research has focused on associations among critical care fellows' training, institutional support, and bedside tools with ICU use at the end of life. Objective We evaluated whether hospital and critical care medicine program interventions were associated with ICU use in the last 6 months of life for patients with chronic illness. Methods Our observational, retrospective study explored associations between results from a survey of critical care program directors and hospital-level Medicare data on ICU use in the last 6 months of life. Program directors evaluated quality of palliative care education in their critical care fellowships and reported on the number of bedside tools and the presence or absence of an inpatient palliative care consultation service. Results For the 89 hospitals and 71 affiliated training programs analyzed, there were statistically significant relationships between 2 of the explanatory variables—the quality of palliative care education and the number of bedside tools—in ICU use. Each level of increased educational quality (1–5 Likert scale) was associated with a 0.57-day decrease in ICU days, whereas, for each additional, evidence-based bedside tool, there was a 0.31-day decrease. The presence of an inpatient palliative care program was not a significant predictor of ICU use. Conclusions We found that the quality of palliative care training in critical care medicine programs and the use of bedside tools were independently associated with reduced ICU use at the end of life.


CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A916 ◽  
Author(s):  
Sunil Chulani ◽  
Yonatan Greenstein ◽  
Amee Patrawalla ◽  
Andrew Berman ◽  
Keith Guevarra

Author(s):  
Brenda G. Fahy ◽  
Deborah J. Culley ◽  
Mohammed Almualim ◽  
Barbara Flores González ◽  
Rogerio Almeida Moreno Santos ◽  
...  

2021 ◽  
pp. 000313482110111
Author(s):  
Haley Ehrlich ◽  
Jackie Nguyen ◽  
Mason Sutherland ◽  
Mark McKenney ◽  
Adel Elkbuli

As women surgeons continue to represent a minority within the surgical field while also holding lower ranked positions, gaining a sub-specialized set of clinical skills through surgical fellowships, like surgical critical care (SCC), is one approach to advance within the surgical field. A cross-sectional analysis was performed investigating the websites of all 106 US-based SCC fellowships. A total of 116 SCC fellows were included in this analysis, comprising 67 (59.3%) men and 46 (40.7%) women. There were 977 SCC fellowship faculty were evaluated, comprising 619 (67.9%) men and 292 (32.1%) women. Additionally, 103 SCC fellowship program directors were analyzed, consisting of 77 (74.8%) men and 26 (25.2%) women. There is a significantly lower proportion of women fellows and faculty members (P < .001) compared to men. SCC programs with female program directors on average have higher proportions of female fellows and faculty compared to programs with male program directors (52% and 36% vs 31% and 29%, respectively). There is a stable yet unbalanced gender distribution throughout all positions in SCC fellowship programs. Actively supporting women surgeons pursuing SCC fellowship and removing barriers to their advancement through effective interventions can disrupt the persistently low prevalence of women SCC fellows, faculty, and program directors.


2017 ◽  
Vol 52 (5) ◽  
pp. 334-340 ◽  
Author(s):  
David R. Hager ◽  
Rosemary A. Persaud ◽  
Ryan W. Naseman ◽  
Kavish Choudhary ◽  
Kristen E. Carter ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Sangeeta Jain ◽  
Kusum Menon ◽  
Dominique Piquette ◽  
Ronald Gottesman ◽  
James Hutchison ◽  
...  

Background. Conducting research is expected from many clinicians’ professional profile, yet many do not have advanced research degrees. Research training during residency is variable amongst institutions and research education needs of trainees are not well understood.Objective. To understand needs of critical care trainees regarding research education.Methods. Canadian critical care trainees, new critical care faculty, program directors, and research coordinators were surveyed regarding research training, research expectations, and support within their programs.Results. Critical care trainees and junior faculty members highlighted many gaps in research knowledge and skills. In contrast, critical care program directors felt that trainees were prepared to undertake research careers. Major differences in opinion amongst program directors and other respondent groups exist regarding preparation for designing a study, navigating research ethics board applications, and managing a research budget.Conclusion. We demonstrated that Canadian critical care trainees and junior faculty reported gaps in knowledge in all areas of research. There was disagreement amongst trainees, junior faculty, research coordinators, and program directors regarding learning needs. Results from this needs assessment will be used to help redesign the education program of the Canadian Critical Care Trials Group to complement local research training offered for critical care trainees.


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