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Burnout in Pediatric Critical Care Medicine Fellows*
Conclusions: Pediatric critical care medicine fellows in the United States are experiencing high levels of burnout, which appears to be influenced by demographics, fellow perceptions of their work environment, and satisfaction with career choice. The exclusion of fellows at 30% of the programs may have over or underestimated the actual level of burnout in these trainees.
Source: Critical Care Medicine - May 22, 2020 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

A Needs Assessment of Brain Death Education in Pediatric Critical Care Medicine Fellowships*
Objectives: To assess the current training in brain death examination provided during pediatric critical care medicine fellowship. Design: Internet-based survey. Setting: United States pediatric critical care medicine fellowship programs. Subjects: Sixty-four pediatric critical care medicine fellowship program directors and 230 current pediatric critical care medicine fellows/recent graduates were invited to participate. Interventions: Participants were asked demographic questions related to their fellowship programs, training currently provided at their fellowship programs, previous experience with brain dea...
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Establishing the Knowledge and Skills Necessary in Pediatric Critical Care Medicine: A Systematic Approach to Practice Analysis*
Conclusions: A systematic approach to practice analysis, with stakeholder engagement, is essential for an accurate definition of Pediatric Critical Care Medicine practice in its totality. This collaborative process resulted in a dynamic document useful in guiding curriculum development for training programs, maintenance of certification, and lifetime professional development to enable safe and efficient patient care.
Source: Pediatric Critical Care Medicine - July 1, 2020 Category: Pediatrics Tags: Special Articles Source Type: research

Pediatric Critical Care Medicine Fellowship Simulation Use Survey*
Conclusions: Nearly, all responding U.S. Accreditation Council for Graduate Medical Education–accredited Pediatric Critical Care Medicine fellowship programs use simulation-based education to train Pediatric Critical Care Medicine fellows with the majority perceiving simulation as absolutely necessary to Pediatric Critical Care Medicine fellow training. The reported types of simulation used in fellow training varied, as did training theories and concepts in the simulation programs. More research is needed to understand how to optimize and perhaps standardize parts of Pediatric Critical Care Medicine fellowship simulati...
Source: Pediatric Critical Care Medicine - October 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Career Development Support in Pediatric Critical Care Medicine: A National Survey of Fellows and Junior Faculty*
Conclusions: Most pediatric critical care medicine fellows and junior faculty reported good to excellent career development support during fellowship. However, important gaps remain, particularly for those pursuing community-based (nonacademic) and administrative tracks. Fellows were uncertain regarding future pediatric critical care medicine employment and their ability to pursue ideal career tracks. There may be a role for professional organizations to provide additional resources for career development in pediatric critical care medicine.
Source: Pediatric Critical Care Medicine - April 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Outcome of Pediatric Critical Care Medicine Abstracts Presented at North American Academic National Meetings*
Conclusions: Less than half of pediatric critical care medicine research abstracts presented at North American national academic meetings culminate in articles. Pediatric Academic Societies had the highest publication success rate, and Society of Critical Care Medicine abstracts were published in journals with the highest impact factors. All trainees who were first authors retained that status in the journal publications.
Source: Pediatric Critical Care Medicine - August 1, 2017 Category: Pediatrics Tags: Special Article Source Type: research

An Intensive, Simulation-Based Communication Course for Pediatric Critical Care Medicine Fellows
Objective: Effective communication among providers, families, and patients is essential in critical care but is often inadequate in the PICU. To address the lack of communication education pediatric critical care medicine fellows receive, the Children’s Hospital of Pittsburgh PICU developed a simulation-based communication course, Pediatric Critical Care Communication course. Pediatric critical care medicine trainees have limited prior training in communication and will have increased confidence in their communication skills after participating in the Pediatric Critical Care Communication course. Design: Pediatric Criti...
Source: Pediatric Critical Care Medicine - August 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Pediatric Critical Care Medicine Training: 2004–2016*
Conclusions: For the period 2004 to 2016, there was a substantial increase in positions and applicants applying for training in pediatric critical care medicine. We document an increase in demand (i.e., applicants) that has been matched by an increase in supply (i.e., positions) for pediatric critical care medicine fellowship training. The nearly complete use of the National Resident Matching Program for placing applicants in training positions in pediatric critical care medicine suggests that these data can be used to inform workforce analysis in pediatric critical care medicine.
Source: Pediatric Critical Care Medicine - January 1, 2018 Category: Pediatrics Tags: Feature Articles Source Type: research

Current State of Nutrition Education in Pediatric Critical Care Medicine Fellowship Programs in the United States and Canada
Conclusions: Nutrition education was reported as highly underrepresented in pediatric critical care medicine fellowship curricula. The majority of programs rely on allied health care professionals to prescribe parenteral nutrition, which may influence trainee independence in the provision of nutritional therapies. Improving the format of current nutrition curriculums, by relying on more active teaching methods, may improve the delivery and efficacy of nutrition education. The impact of novel training interventions on improving the competency and safety of enteral and parenteral nutrition delivery in the PICU must be further examined.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Practice Patterns in Pediatric Critical Care Medicine: Results of a Workforce Survey
Conclusions: These data provide a description of the typical intensivist and a snapshot of the current pediatric critical care medicine workforce, which may be experiencing a mild-to-moderate undersupply. The results are useful for assessing the current workforce and valuable for future planning.
Source: Pediatric Critical Care Medicine - October 1, 2015 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship*
Conclusions: Pediatric procedural sedation lacks a clearly defined training pathway. Most fellows find pediatric procedural sedation a valuable skill set. We propose that all Pediatric Critical Care Medicine fellows receive training that includes pediatric procedural sedation critical incident simulation and cases performed outside the PICU to establish proficiency.
Source: Pediatric Critical Care Medicine - March 1, 2019 Category: Pediatrics Tags: Education Source Type: research

Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine: Results of a National Survey*
Conclusions: Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Hemodynamic Bedside Ultrasound Image Quality and Interpretation After Implementation of a Training Curriculum for Pediatric Critical Care Medicine Providers*
Conclusion: Hemodynamic bedside ultrasound performed or supervised by credentialed pediatric critical care providers had more accurate interpretation than studies performed by unsupervised non–credentialed providers. A rigorous pediatric critical care medicine bedside ultrasound credentialing program can train intensivists to attain adequate images and interpret those images appropriately.
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

The Development of Tracheal Intubation Proficiency Outside the Operating Suite During Pediatric Critical Care Medicine Fellowship Training: A Retrospective Cohort Study Using Cumulative Sum Analysis
Conclusions: Tracheal intubation overall success improved significantly during the course of fellowship; however, the tracheal intubation first attempt success rates did not. Large variance existed in individual tracheal intubation performance over time. Further investigations on a larger scale across different training programs are necessary to clarify intensity and duration of the training to achieve tracheal intubation procedural competency.
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research