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Pediatric Neurocritical Care: Evolution of a New Clinical Service in PICUs Across the United States
Objectives: Pediatric neurocritical care as a conceptual service is relatively new, and implementation of such specialized services may improve outcomes for children with disorders of the brain or spinal cord. How many pediatric neurocritical care services currently exist in the United States, and attitudes about such a service are unknown. Design: Web-based survey, distributed by e-mail. Setting: Survey was sent to PICU Medical Directors and Program Directors of Pediatric Neurosurgery fellowship and Child Neurology residency programs. Patients: None. Interventions: None. Measurements and Main Results: A t...
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Intensive Care Unit Rotations and Predictors of Career Choice in Pulmonary/Critical Care Medicine: A Survey of Internal Medicine Residency Directors.
Conclusions: While numerous differences exist between the ICU rotations at community- and university-sponsored IM residencies, the percentage of graduates specializing in PCCM was similar. Exposure to larger ICUs, serving as code leaders, and higher rates of specialization were predictive of a career choice in PCCM. PMID: 29692932 [PubMed]
Source: Critical Care Research and Practice - April 26, 2018 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

SCCM Pod-329 A Bedside Model for Mortality Risk in Pediatric Patients with ARDS
Margaret Parker, MD, MCCM, speaks with Aaron C. Spicer, MD, MAS. Dr. Spicer completed a pediatric residency and critical care fellowship and now is a resident in the Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital in Boston, Massachusetts.
Source: SCCM PodCast - iCritical Care - October 3, 2016 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

The Status of Pediatric Critical Care (PCC) Experience in Emergency Medicine (EM) Residency Training Programs
Source: Western Journal of Emergency Medicine - May 16, 2023 Category: Emergency Medicine Authors: Josephson, Elaine Source Type: research

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the May Issue The May issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: Role Modeling and Regional Health Care Intensity: U.S. Medical Student Attitudes Toward and Experiences With Cost-Conscious Care Leep Hunderfund and colleagues found that medical students endorsed barriers to cost-conscious care and reported encountering conflicting physician role-modeling behaviors. Students in higher-health-care-intensity regions reported observing significantly few...
Source: Academic Medicine Blog - May 2, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview assessment cost-conscious care global health medical education medical students residents Source Type: blogs

Analysis of the variations between Accreditation Council for Graduate Medical Education requirements for critical care training programs and their effects on the current critical care workforce
Abstract: Adult critical care medicine (CCM) is ill prepared for the demands of an aging US population. Sources have acknowledged a severe shortage of intensivists, yet there has been minimal discussion on the lack of critical care training opportunities. Inconsistencies in training options have led to fragmentation of how critical care services are provided to the US adult population. Significant differences exist between CCM without pulmonary and pulmonary critical care (PCCM) training as it relates to critical care coverage, patient population, and procedural skill of a trainee. The Internal Medicine Residency Review Co...
Source: Journal of Critical Care - July 29, 2013 Category: Intensive Care Authors: Rakesh Gupta, Omid Zad, Edgar Jimenez Tags: Clinical Potpourri Source Type: research

Development of an Undergraduate Medical Education Critical Care Content Outline Utilizing the Delphi Method
Conclusions: This study provides a national consensus undergraduate medical education critical care content outline. By including experts from multiple specialties, this content outline is meaningful for medical student education, independent of medical specialty. The content outline represents a first step in the development of a national undergraduate medical education critical care curriculum.
Source: Critical Care Medicine - December 14, 2019 Category: Emergency Medicine Tags: Clinical Investigations 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

Radiation exposure among medical professionals working in the Intensive Care Unit
Conclusions: If standard radiation safety precautions are followed, the cumulative radiation exposure to ICU resident doctors is well within permissible limits and is not a cause of concern. However, with the increasing use of radiological procedures in the management of critically ill patients, there is a need to repeat such audits periodically to monitor radiation exposure.
Source: Indian Journal of Critical Care Medicine - September 4, 2014 Category: Intensive Care Authors: Suhail S SiddiquiAshish JhaNambiraj KonarPriya RanganathanDeepak D DeshpandeJigeeshu V Divatia Source Type: research

SCCM Pod-488: Getting to the Heart of the National Board of Echocardiography Examination
The National Board of Echocardiography has developed an examination to assess echocardiography and ultrasound skills, which are required by many medical programs. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, was joined by Sara Nikravan, MD, FASE, FCCM, at the 2023 Critical Care Congress to discuss advanced echocardiography and the National Board of Echocardiography examination. Sara Nikravan, MD, FASE, FCCM, is director of point-of-care ultrasound and associate program director of residency at the University of Washington in Seattle, Washington, USA. This podcast is sponsored by Echonous.
Source: SCCM PodCast - iCritical Care - August 23, 2023 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Board #205 - Program Innovation The Pediatric Critical Care Boot Camp: Evaluating a Curriculum (Submission #9113)
Conclusion: Implicit and explicit objectives were achieved as participants found the curriculum to be valuable, felt that it improved or will improve their clinical knowledge, skills and behaviors and reported an increased comfort level in the core skill topics. These findings were similar to a previously published report. 12 However, it is well known that there is a lack of correlation between learners' perception and actual skill acquisition so we aspired to go beyond perception. Additionally, one can question how much knowledge or skill learners can actually acquire with the bulk learning that occurs in boot camps. Part...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2014 Category: Medical Equipment Tags: Abstracts Source Type: research

Steve Schexnayder Named to Pediatric Task Force Committee (Movers & Shakers)
Dr. Steve Schexnayder has been appointed to the International Liaison Committee on Resuscitation Pediatric Task Force, which reviews the latest science to develop pediatric resuscitation guidelines used throughout the world. He is a professor of pediatrics and internal medicine at the University of Arkansas for Medical Sciences in Little Rock and also practices at Arkansas Children’s Hospital. He is section chief of critical care medicine and the Morris and Hattie Oakley Endowed Chair in pediatric critical care medicine. He earned his medical degree from UAMS. He completed a residency in pediatrics and internal medic...
Source: Arkansas Business - Health Care - April 3, 2017 Category: American Health Source Type: news

Board #205 - Program Innovation The Pediatric Critical Care Boot Camp: Evaluating a Curriculum (Submission #9113)
ConclusionImplicit and explicit objectives were achieved as participants found the curriculum to be valuable, felt that it improved or will improve their clinical knowledge, skills and behaviors and reported an increased comfort level in the core skill topics. These findings were similar to a previously published report. 12 However, it is well known that there is a lack of correlation between learners’ perception and actual skill acquisition so we aspired to go beyond perception. Additionally, one can question how much knowledge or skill learners can actually acquire with the bulk learning that occurs in boot camps. Part...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2014 Category: Medical Equipment Tags: Abstracts Source Type: research