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Emergency Medicine/Critical Care Medicine (EM/CCM) Trainees ’ Performance on Standardized Critical Care Medicine Examinations: A Ten-Year Review
Emergency Medicine/Critical Care Medicine (EM/CCM) trainees may obtain board certification through Internal Medicine (American Board of Internal Medicine [ABIM]), Surgery (American Board of Surgery [ABS]), and Anesthesiology (American Board of Anesthesiology [ABA]). However, EM/CCM trainees experience challenges, including: 1) additional training requirements and 2) an unwillingness to accept EM graduates by many programs.
Source: The Journal of Emergency Medicine - March 31, 2020 Category: Emergency Medicine Authors: Brian T. Wessman, David Page, Matthew Greer, Brian M. Fuller Tags: Education Source Type: research

Assessing Competence in Critical Care Echocardiography: Development and Initial Results of an Examination and Certification Processes*
CONCLUSIONS: The CCEeXAM is designed to assess a knowledge base that is shared with echocardiologists in addition to that which is unique to critical care. The National Board of Echocardiography certification establishes that the physician has achieved the ability to independently perform and interpret critical care echocardiography at a standard recognized by critical care professional societies encompassing a wide spectrum of backgrounds. The interest shown and the success achieved on the CCEeXAM by practitioners of critical care echocardiography support the standards set by the National Board of Echocardiography for...
Source: Critical Care Medicine - July 26, 2021 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Diversity in the Emerging Critical Care Workforce: Analysis of Demographic Trends in Critical Care Fellows From 2004 to 2014
Objectives: Diversity in the physician workforce is essential to providing culturally effective care. In critical care, despite the high stakes and frequency with which cultural concerns arise, it is unknown whether physician diversity reflects that of critically ill patients. We sought to characterize demographic trends in critical care fellows, who represent the emerging intensivist workforce. Design: We used published data to create logistic regression models comparing annual trends in the representation of women and racial/ethnic groups across critical care fellowship types. Setting: United States Accreditation Counc...
Source: Critical Care Medicine - April 15, 2017 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Critical Care Ultrasound: A Systematic Review of International Training Competencies and Program
Conclusions: Despite widespread and increasing use of ultrasound in ICUs, the majority of countries lacked a formal training program and clearly defined competencies. Even among the countries where these are available, there remains variability. There is a need to better define the competencies required in core critical care ultrasonography and standardize the assessment process.
Source: Critical Care Medicine - February 16, 2019 Category: Emergency Medicine Tags: Online Review Article Source Type: research

Intensive care medicine in Europe: perspectives from the European Society of Anaesthesiology and Intensive Care
CONCLUSION Amongst the 42 European national societies surveyed (41 members of ESAIC-NASC plus Luxembourg), nineteen (45%) also include terms related to critical care medicine or ICM in their names, seven (17%) include terms related to reanimation and three (7%) to resuscitation. In recent years, several national societies revised their names to better reflect their gradual embrace of peri-operative medicine, ICM, CREM and pain management. Approximately 70% of ICU beds in Europe, and 100% in Scandinavia, are being run by anaesthesiologists, the remaining 30% being managed by physicians from other surgical or medical spe...
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Intensive care medicine Source Type: research

Physiotherapy practice patterns in Intensive Care Units of Nepal: A multicenter survey
Conclusions: There is a lack of regular PT service during weekends in ICUs of Nepal. Most of the cases are treated by physiotherapists only after physician's referral. The preferred intervention seems to be limited only to chest PT and physiotherapists are not practicing therapeutic exercise and functional mobility training to a great extent.
Source: Indian Journal of Critical Care Medicine - February 8, 2016 Category: Intensive Care Authors: Sumana BaidyaRanjeeta S AcharyaMichel W Coppieters Source Type: research

Experiences in end-of-life care in the Intensive Care Unit: A survey of resident physicians
Conclusions: Internal medicine residents have more experience in caring for dying patients and conducting EoL discussions. Even though majority of participants reported that they are comfortable with the concept of EoL care, this does not always reflect the actual practice in the hospital. There is a need for further training in skills around EoL care. As this is a self-assessment survey, the specific measures of attitudes and skills in EoL are poorly reflected, indicating a need for further research.
Source: Indian Journal of Critical Care Medicine - August 10, 2016 Category: Intensive Care Authors: Zubair Umer Mohamed Fazil Muhammed Charu Singh Abish Sudhakar Source Type: research

The Utility of High-Fidelity Simulation for Training Critical Care Fellows in the Management of Extracorporeal Membrane Oxygenation Emergencies: A Randomized Controlled Trial
Conclusions: In novice critical care fellows, simulation-based extracorporeal membrane oxygenation training is superior to traditional training. Benefits transfer to novel scenarios and are maintained over the long term. Further studies evaluating the utility of simulation in other learner groups and for maintenance of proficiency are required.
Source: Critical Care Medicine - July 15, 2017 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

New directions in point-of-care ultrasound at the crossroads of paediatric emergency and critical care
Purpose of review The diagnostic capability, efficiency and versatility of point-of-care ultrasound (POCUS) have enabled its use in paediatric emergency medicine (PEM) and paediatric critical care (PICU). This review highlights the current applications of POCUS for the critically ill child across PEM and PICU to identify areas of progress and standardized practice and to elucidate areas for future research. Recent findings POCUS technology continues to evolve and advance bedside clinical care for critically ill children, with ongoing research extending its use for an array of clinical scenarios, including respiratory ...
Source: Current Opinion in Pediatrics - May 10, 2018 Category: Pediatrics Tags: EMERGENCY AND CRITICAL CARE MEDICINE: Edited by Jean Klig and Clifford W. Bogue Source Type: research

Competence of intensivists in focused transthoracic echocardiography in intensive care unit: A prospective observational study
Conclusion: Intensivists with requisite training in TTE were able to perform focused echocardiography with comparable accuracy to that of cardiologists. Further studies are required to elucidate the therapeutic implications of fTTE performed by the intensivists.
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Muthapillai Senthilnathan Pankaj Kundra Sandeep Kumar Mishra Savitri Velayudhan Ajith Ananthakrishna Pillai Source Type: research

An Exploratory Investigation into the Roles of Critical Care Response Teams in End-of-Life Care
CONCLUSIONS: This research aids in understanding for the first time CCRT roles in EOLC from the perspectives of individual CCRT members themselves. While CCRTs provide unique multidisciplinary expertise to evaluate the utility of intensive care treatments, opportunities exist to support CCRTs in EOLC, such as dedicated EOLC training, protocols for advance care planning, documentation, and transitions to palliative care.PMID:34336279 | PMC:PMC8324371 | DOI:10.1155/2021/4937241
Source: Critical Care Research and Practice - August 2, 2021 Category: Intensive Care Authors: Adrienne Kwong Stephanie Chenail Aimee Sarti Laura H Thompson Marlena Dang Nguyen Kwadwo Kyeremanteng Michael Hartwick Source Type: research

College of Intensive Care Medicine: changes to intensive care medicine training.
Authors: Bevan R, Freebairn R, Lee R Abstract The College of Intensive Care Medicine provides the standards for training and certification of intensive care medicine specialists in Australia and New Zealand. After reviewing and revising its training program, the College recently launched a new training curriculum for all trainees registering from 2014, aimed at maintaining quality. In this article, we aim to outline the context, changes and future directions for intensive care medicine training in Australia and New Zealand. PMID: 25437224 [PubMed - in process]
Source: Critical Care and Resuscitation - December 6, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research