Guidelines for critical care medicine training and continuing medical education

Dorman, Todd; Angood, Peter B.; Angus, Derek C.; Clemmer, Terry P.; Cohen, Neal H.; Durbin, Charles G.; Falk, Jay L.; Helfaer, Mark A.; Haupt, Marilyn T.; Horst, H. Mathilda; Ivy, Michael E.; Ognibene, Frederick P.; Sladen, Robert N.; Grenvik, Åke; Napolitano, Lena M.

doi:10.1097/01.ccm.0000104916.33769.9a

Cited by 113 publications

(52 citation statements)

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“…22 This curriculum is highly consistent with the American College of Critical Care Medicine's guidelines for critical care medicine training. 23 Emergency medicine residents have extensive experience in the early recognition and management of critically ill patients, from the out-of-hospital setting through to ICU admission. Emergency medicine residencies provide ample training in many critical care procedures, including airway management, central venous access, tube thoracostomy, and resuscitation of hemodynamically unstable patients.…”

Section: Emergency Medicine and Critical Care Medicine Similarities Bmentioning

confidence: 99%

Critical Care Medicine Training and Certification for Emergency Physicians

Huang

Osborn

Gunnerson

et al. 2005

Annals of Emergency Medicine

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Section: Emergency Medicine and Critical Care Medicine Similarities Bmentioning

confidence: 99%

Critical Care Medicine Training and Certification for Emergency Physicians

Huang

Osborn

Gunnerson

et al. 2005

Annals of Emergency Medicine

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“…Sin embargo, llevar enfermos requiere actualmente otras dimensiones o competencias nucleares [1][2][3]7] que no hemos identificado entre las categorías que los residentes mencionan en sus respuestas libres. En primer lugar, el trabajo en equipo [10], que representa no sólo la relación diaria con otros profesionales, sino también liderazgo, coordinación y trabajo colaborativo.…”

Section: Preparar Trabajos 201unclassified

“…La investigación [15] se valora relegada a un segundo plano; dado que detrás de la investigación existe un pensamiento analítico y crítico, su baja valoración puede suponer no sólo una carencia en su formación en metodología científica, sino también una carencia para analizar la realidad de su entorno, transferir el conocimiento útil a la cabecera de sus pacientes [1,2,4] y tomar decisiones en condiciones de incertidumbre.…”

Section: Preparar Trabajos 201unclassified

“…

Guillermo Vázquez-Mata, Manuel Rodríguez-Elvira, Luis Rucabado-Aguilar, Ángel García-Alcántara, Francisco Murillo-Cabezas, Pedro Navarrete-Navarro, Ana Guillamet-Lloveras, Juan Roca-Guiseris Objetivo.

…”

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Los residentes en las unidades de cuidados intensivos: ¿cuál es su percepción de la formación que reciben?

Vázquez-Mata¹,

Rodrı́guez-Elvira

Rucabado-Aguilar

et al. 2011

Educ. méd.

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IntroducciónLa formación de los médicos residentes en las Unidades de Cuidados Intensivos (UCI) persigue prepararlos para una buena práctica clínica basada en el trabajo en equipo multidisciplinar; así mismo promueve la investigación, enseña a trabajar dentro de las dimensiones del profesionalismo, entrena en una buena comunicación en cualquier circunstancia y enseña a gestionar con calidad los recursos que dependan de ellos [1,2]. Paralelamente, la necesidad del reciclaje permanente para adaptarse a escenarios cambiantes hace que el autoaprendizaje y el pensamiento crítico sean imprescindibles en su Los residentes en las unidades de cuidados intensivos, ¿cuál es su percepción de la formación que reciben?Guillermo Vázquez-Mata, Manuel Rodríguez-Elvira, Luis Rucabado-Aguilar, Ángel García-Alcántara, Francisco Murillo-Cabezas, Pedro Navarrete-Navarro, Ana Guillamet-Lloveras, Juan Roca-Guiseris Objetivo. Este trabajo intenta responder a la pregunta de cuál es la visión que tienen los residentes de su formación en las unidades de cuidados intensivos (UCI). Sujetos y métodos.Hemos realizado un estudio cualitativo tipo grounded theory. Los participantes son residentes de cualquier especialidad que estuviesen trabajando en las UCI durante el estudio. El diseño tiene tres partes: percepción subjetiva de los residentes de aquellos aspectos que ellos consideran más útiles para su formación, priorización de las actividades regulares más características de las UCI y entrevistas semiestructuradas con informadores claves.Resultados. Nuestro trabajo identifica que los residentes consideran como eje de su formación la práctica clínica a 'pie de cama' desarrollada con autonomía y apoyada en una buena tutorización. Paralelamente, otras competencias nucleares como la investigación, la comunicación en situaciones complejas, el trabajo en equipo o la gestión de recursos están infravaloradas, mientras que otras como la seguridad del paciente o la bioética no se han detectado en las respuestas de los residentes.Conclusión. La percepción de los residentes sobre formación durante su estancia en las UCI adolece de algunas carencias, dado que ciertos aspectos claves de la medicina actual no se percibien como prioridades en dicha formación. Subjects and methods. We have conducted a qualitative study based on grounded theory. Participants are residents from different specialties working in the ICU of four hospitals of our National Health Service. The study consist of three parts: resident's subjective perception of those aspects most appreciate in their clinical practice; resident's prioritizations of routine ICU's activities, and semi-structured interviews with key informants.Results. According to the resident's opinions, the clinical practice at the beside of patients, and carried out with autonomy and with a good tutoring support are central to their training; nevertheless some central competencies such as research, difficult communication, team work or resource management are undervalued, while others such as patient safety or bioethic...

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“…However, among pediatric for ICU medical professionals independently of the unit complexity, such as the European CoBaTrICE. (19,20) The AMIB in Brazil has proposed the adoption of the "Programa de Formação Orientado por Competências em Medicina Intensiva" (ProCoMi), which is based on the CoBaTrICE. (20) The pediatric version is expected in 2012.…”

Section: Professional Qualificationmentioning

confidence: 99%

Perfil profissional do intensivista pediátrico no estado do Rio de Janeiro, sudeste do Brasil

Lacerda¹,

Prata‐Barbosa²,

Cunha³

2011

Rev. bras. ter. intensiva

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Objective: This study described the sociodemographic profile and professional qualifications of pediatric intensive care physicians in the State of Rio de Janeiro (RJ), southeastern Brazil.Methods: This investigation was an observational, cross-sectional and descriptive study that was conducted in neonatal, pediatric and mixed intensive care units in the State of Rio de Janeiro. Physicians working in the participating intensive care units voluntarily completed a semistructured and anonymous questionnaire. Questionnaires that were not returned within 30 days were considered lost, and questionnaires with less than 75% questions completed were excluded. The differences in neonatal and pediatric intensive care physicians' medical training were compared using the Chisquared test with a 5% significance level.Results: A total of 410 physicians were included in this study: 84% female, 48% between 30 and 39 years old and 45% with monthly incomes between US $1,700 to 2,700. Forty percent of these physicians worked exclusively in this specialty, and 72% worked in more than one intensive care unit. Only 50% of the participants had received specific training (either medical residency or specialization) in neonatology, and only 33% were board-certified specialists in this area. Only 27% of the physicians had received specific training in pediatric intensive care medicine, and only 17% were board-certified specialists (p < 0.0005 for both comparisons). Most (87%) physicians had participated in scientific events within the past 5 years, and 55% used the internet for continued medical education. However, only 25% had participated in any research. Most (63%) physicians were dissatisfied with their professional activity; 49% were dissatisfied due to working conditions, 23% due to low incomes and 18% due to training-related issues.Conclusion: These results suggested that the medical qualifications of neonatal and pediatric intensive care physicians in the State of Rio de Janeiro, Brazil are inadequate, especially in pediatric intensive care medicine. A high level of dissatisfaction was reported, which may jeopardize the quality of medical assistance that is provided by these professionals.

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Guidelines for critical care medicine training and continuing medical education

Abstract: Guidelines for the continuum of education in critical care medicine from residency through specialty training and ongoing throughout practice will facilitate standardization of physician education in critical care medicine.

Cited by 113 publications

References 0 publications

Critical Care Medicine Training and Certification for Emergency Physicians

Critical Care Medicine Training and Certification for Emergency Physicians

Los residentes en las unidades de cuidados intensivos: ¿cuál es su percepción de la formación que reciben?

Perfil profissional do intensivista pediátrico no estado do Rio de Janeiro, sudeste do Brasil

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