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Does Simulation Improve Recognition and Management of Pediatric Septic Shock, and If One Simulation Is Good, Is More Simulation Better?*
Objectives: Determine whether serial simulation training sessions improve resident recognition and initial septic shock management in a critically ill simulated septic shock patient, and to determine whether serial simulations further improve resident task performance when compared with a single simulation session. Design: Prospective observational cohort study with a live expert review of trainee simulation performance. Expert reviewers blinded to prior trainee performance. Setting: A PICU room in a quaternary-care children’s hospital, featuring a hi-fidelity pediatric patient simulator. Subjects: Postgraduate year-2...
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

Novel Internal Medicine Residency Ultrasound Curriculum Led by Critical Care and Emergency Medicine Staff
CONCLUSIONS: A curriculum comprised of a 9-hour workshop followed by a longitudinal hands-on experience can provide improvement in internal medicine resident POCUS knowledge and confidence. This model emphasizes the benefit of emergency and critical care cooperation for ultrasound training and provides an emphasis on medicine-relevant scans and longitudinal training.PMID:34591116 | DOI:10.1093/milmed/usab392
Source: Military Medicine - September 30, 2021 Category: International Medicine & Public Health Authors: Robert N Geis Michael J Kavanaugh James Palma Matthew Speicher Adrianna Kyle James Croft Source Type: research

Quantification of critical care medicine: an ICU survey
ConclusionsQuantitative description of ICU activities indicates that the majority of the ICU daily practice relies on medical and respiratory interventions, which may explain why PCCM remains popular.This article is protected by copyright. All rights reserved.
Source: The Clinical Respiratory Journal - February 5, 2019 Category: Respiratory Medicine Authors: Yashaswini Yeragunta, Stefan W. Leichtle, Renli Qiao Tags: Original Article Source Type: research

Assessing the impact of an educational intervention on ventilator-associated pneumonia in a pediatric critical care unit
Background: Ongoing educational programs targeting health care professionals have shown positive outcomes by reducing the morbidity and mortality associated with health care–associated infections (HAIs). We undertook this study to measure the impact of such a program in a pediatric critical care unit of a developing country.Methods: This prospective study was conducted in 2 time periods of 6 months each, with an educational intervention for resident doctors and nurses in between. The rates of ventilator-associated pneumonia (VAP) during the preintervention and postintervention periods were estimated by active surveillanc...
Source: American Journal of Infection Control - February 1, 2014 Category: Infectious Diseases Authors: Ayush Gupta, Arti Kapil, Sushil Kumar Kabra, Rakesh Lodha, Seema Sood, Benu Dhawan, Bimal K. Das, Vishnubhathla Sreenivas Tags: Major Articles Source Type: research

Rural Critical Care Fellowship
- RiverStone Health The Montana Family Medicine Residency program is pleased to partner with Billings Clinic for a NEW year-long Rural Critical Care Fellowship beginning in July 2021. This non-accredited program is targeted toward recent Family Medicine residency graduates and aims to develop fellows’ clinical... riverstonehealth.org hope more FM critical care programs open
Source: Student Doctor Network - June 29, 2022 Category: Universities & Medical Training Authors: kiboshed Tags: Critical Care Source Type: forums

Critical Care Medicine and Infectious Diseases: An Emerging Combined Subspecialty in the United States
The recent rise in unfilled training positions among infectious diseases (ID) fellowship programs nationwide indicates that ID is declining as a career choice among internal medicine residency graduates. Supplementing ID training with training in critical care medicine (CCM) might be a way to regenerate interest in the specialty. Hands-on patient care and higher salaries are obvious attractions. High infection prevalence and antibiotic resistance in intensive care units, expanding immunosuppressed host populations, and public health crises such as the recent Ebola outbreak underscore the potential synergy of CCM-ID trainin...
Source: Clinical Infectious Diseases - July 29, 2015 Category: Infectious Diseases Authors: Kadri, S. S., Rhee, C., Fortna, G. S., O'Grady, N. P. Tags: VIEWPOINTS Source Type: research

$400K a year hospitalist gig or pulmonary / critical care fellowship
Hi everyone! I realize this is a very individual decision but would still appreciate your input. From a mainly financial perspective, is it worth doing a Pulm/CCM fellowship if I'm currently making $400K a year as a hospitalist? I enjoy critical care and pulmonology more than hospital medicine. Let's say 25% more but I also don't mind being a hospitalist and I get some fulfillment out of it. I was the de facto intensivist at my first hospitalist job out of residency and kinda wished I could... $400K a year hospitalist gig or pulmonary / critical care fellowship
Source: Student Doctor Network - September 9, 2019 Category: Universities & Medical Training Authors: IM.MD Tags: Critical Care Source Type: forums

Longitudinal Milestone Assessment Extending Through Subspecialty Training: The Relationship Between ACGME Internal Medicine Residency Milestones and Subsequent Pulmonary and Critical Care Fellowship Milestones
Conclusions Findings demonstrated an association between IM milestone ratings and low milestone ratings during PCCM fellowship. IM trainees with low ratings in several professionalism and ICS subcompetencies were more likely to be rated ≤ 2.5 during the first PCCM fellowship year. This highlights a potential use of longitudinal milestones to target educational gaps at the beginning of PCCM fellowship.
Source: Academic Medicine - November 1, 2021 Category: Universities & Medical Training Tags: Research Reports Source Type: research

A disturbing trend: An analysis of the decline in surgical critical care fellowship training of Black and Hispanic surgeons
BACKGROUND Underrepresented minorities in medicine (URiMs) are disproportionally represented in surgery training programs. Rates of URiMs applying to and completing General Surgery residency remain low. We hypothesized that the patterns of URiMs disparities would persist into surgical critical care (SCC) fellowship applicants, matriculants, and graduates. METHODS We performed a retrospective analysis of SCC applicants, matriculants, and graduates from 2005 to 2020 using the graduate medical education resident survey and analyzed applicant characteristics using the Surgical Critical Care and Acute Care Surgery Fe...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: 2022 EAST PODIUM PAPER Source Type: research

Question about PCC fellowship after military service
Hey guys, rising OMS III here trying to figure out what I want to do in life. I am an Air Force HPSP student who has been interested in both general surgery and pulmonary critical care medicine for quite a while. Since I am HPSP I realize that these two paths would look different for me. If I went the PCCM route, I would do an internal medicine residency through the military, serve four years, and then apply for a fellowship. My question is how would fellowships look on my military... Read more
Source: Student Doctor Network - April 22, 2021 Category: Universities & Medical Training Authors: MadScientist95 Tags: Pulmonary / Critical Care Medicine Source Type: forums

An interventional quality improvement study to assess the compliance to cardiopulmonary resuscitation documentation in an indian teaching hospital
Conclusions: This study establishes that the compliance to CPR documentation is poor as assessed by CPR documentation content and quality, which improves after physician training, but not up to the mark level (100%) that may be due to busy Indian hospital settings and human behavioral factors. Due to ethical constraints of live CPR assessment, this document checklist approach may be considered as an internal quality assessment method for CPR compliance. Furthermore, correct instruction in CPR technique along with proper documentation of the procedure is required, followed up with periodic re-education during the...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Viraj Nevrekar Prasan Kumar Panda Naveet Wig RM Pandey Praveen Agarwal Ashutosh Biswas Source Type: research