Barriers to Training Pulmonary and Critical Care Fellows in Emergency Endotracheal Intubation Across the United States

A call for collaboration and consensus on training for endotracheal intubation in the medical intensive care unit

“…In one survey of PCCM program directors (PDs), 14% of programs reported providing no bedside ICU intubation experiences and 5% reported no formal EI training methodology at all [ 8 ]. A separate national survey of PCCM PDs and fellows documented that as many as 67% of programs had no protocol for teaching EI and also noted significant discrepancy between PD and fellow perceptions of training for EI [ 9 ]. Forty percent of PCCM trainees felt they would not be proficient in EI upon completion of training [ 9 ].…”

“…A separate national survey of PCCM PDs and fellows documented that as many as 67% of programs had no protocol for teaching EI and also noted significant discrepancy between PD and fellow perceptions of training for EI [ 9 ]. Forty percent of PCCM trainees felt they would not be proficient in EI upon completion of training [ 9 ].…”

“…On average, PCCM PDs felt that trainees required 33 EI experiences to become proficient in this procedure [ 9 ]. A similar study found that 2/3rds of PCCM PDs felt that < 39 direct laryngoscopy experiences were sufficient to obtain competence [ 8 ].…”

The Anesthesiologist’s Role in Teaching Airway Management to Nonanesthesiologists

“…Many residencies have established formal training programs utilizing simulation-based, cadaveric-based, and/or didactic-based formats combined with on-the-job clinical experience [ [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] ]. Unfortunately, there still are barriers to training and it often is difficult to achieve a sufficient volume of clinical cases to establish competency during rotations in a primary specialty [ 19 ]. Many of these programs have reached out beyond their specialty to associated anesthesiology departments for additional training and clinical experience.…”

Performance Assessment in Airway Management Training for Nonanesthesiology Trainees

“…[1][2][3][4] Unfortunately, there are still barriers to training and it is often difficult to achieve a sufficient volume of clinical cases to establish competency during rotations in the primary specialty. 5 Many of these programs have reached out beyond their specialty to associated anesthesiology departments for additional training and clinical experience. The operating room (OR) has always been considered an ideal location for clinical training in airway management.…”