Pediatric Critical Care Medicine Training: 2004–2016*

Velden, Meredith G. van der; Barrett, Megan; Sampadian, Gretchen A.; Brilli, Richard J.; Burns, Jeffrey P.

doi:10.1097/pcc.0000000000001375

Cited by 12 publications

(9 citation statements)

References 15 publications

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“…For example, older programs may have started small and grown overtime as PICUs have grown. 1 7 9 Because of the longitudinal nature of this analysis, we were not able to evaluate program performances regarding achievement of their training objectives over time. Third, we only assessed the relationship between the training program and a physician's current employment status in 2018 and thus did not account for career trajectory details and different career stages.…”

Section: Discussionmentioning

confidence: 99%

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The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

Basu

Horak

Pollack

2020

J Pediatr Intensive Care

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Our objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes of PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 PCCM physicians from the National Provider Index registry. We analyzed data on a systematic sample of 690 PCCM physicians representing 62 fellowship programs. There was substantial diversity in the characteristics of fellowship training programs in terms of fellowship size, intensive care unit (ICU) bed numbers, age of program, location, research rank of affiliated medical school, and academic metrics based on publication productivity of their graduates standardized over time. The clinical and academic attributes of fellowship training programs were associated with publication success and characteristics of their graduates' employment hospital. Programs with greater publication rate per graduate had more ICU beds and were associated with higher ranked medical schools. At the physician level, training program attributes including larger size, older program, and higher academic metrics were associated with graduates with greater publication productivity. There were varied characteristics of current employment hospitals, with graduates from larger, more academic fellowship training programs more likely to work in larger pediatric intensive care units (24 [interquartile range, IQR: 16–35] vs. 19 [IQR: 12–24] beds; p < 0.001), freestanding children's hospitals (52.6 vs. 26.3%; p < 0.001), hospitals with fellowship programs (57.3 vs. 40.3%; p = 0.01), and higher affiliated medical school research ranks (35.5 [IQR: 14–72] vs. 62 [IQR: 32, unranked]; p < 0.001). Large programs with higher academic metrics train physicians with greater publication success (H index 3 [IQR: 1–7] vs. 2 [IQR: 0–6]; p < 0.001) and greater likelihood of working in large academic centers. These associations may guide prospective trainees as they choose training programs that may foster their career values.

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Section: Discussionmentioning

confidence: 99%

“…In the past 15 years, the number of accredited PCCM training programs has increased by 20.4%, and the number of critical care fellows has increased by 101.5%. 1 2 In 2018, there were 65 accredited training programs and 193 certified first-year training positions, with a total of 2,975 physicians ever certified in PCCM. 2 3 4…”

Section: Introductionmentioning

confidence: 99%

The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

Basu

Horak

Pollack

2020

J Pediatr Intensive Care

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“…While the number of PCCM programs expanded 38%, PCCM fellowship training positions grew by 82% from 2004 to 2016. 1 Randolph et al showed a growth of only 13% in the number of PICUs in the United States from 1995 through 2001. Noticeably, approximately half of the PICUs in this analysis had <8 beds (Randolph).…”

Section: Discussionmentioning

confidence: 99%

Employment Opportunities for Pediatric Critical Care Fellowship Trained Physicians in the United States

Dalabih

Prodhan

Harris

et al. 2020

J Pediatr Intensive Care

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Pediatric Critical Care Medicine (PCCM) training programs and trained fellows in the United State increased steadily without a corresponding increase in population growth. PCCM trainees worry about limited employment prospects. This study aimed to quantify the demand for PCCM trained physicians in the United States by prospectively tracking full-time employment opportunities over 12 months. The number of advertised opportunities identified was low compared with number of fellows likely to be seeking jobs during same time period. If market demand remains stable, there is risk of excess supply if number of newly fellowship-trained PCCM physicians continues to rise.

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“…It is imperative for educators to be constantly reassessing the clinical landscape in an effort to make sure that trainees are receiving adequate educational experiences. PCCM is a growing field with a recent substantial increase in positions and applicants ( 24 ). As multiple studies have shown that there is a minimum number performed procedures required prior to obtaining competency, we need to decide if Fellowship trainees are receiving enough experience.…”

Section: Discussionmentioning

confidence: 99%

Declining Procedures by Pediatric Critical Care Medicine Fellowship Trainees

et al. 2018

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Background: Pediatric Critical Care Medicine Fellowship trainees need to acquire skills to perform procedures. Over the last several years there have been advances that allowed for less invasive forms of interventions.Objective: Our hypothesis was that over the past decade the rate of procedures performed by Pediatric Critical Care Medicine Fellowship trainees decreased.Methods: Retrospective review at a single institution, tertiary, academic, children's hospital of patients admitted from July 1, 2007–June 30, 2017 to the Pediatric Intensive Care Unit and Cardiothoracic Intensive Care Unit. A Poisson regression model with a scale adjustment for over-dispersion estimated by the square root of Pearson's Chi-Square/DOF was applied.Results: There has been a statistically significant decrease in the average rate of central venous lines (p = 0.004; −5.72; 95% CI: −9.45, −1.82) and arterial lines (p = 0.02; −7.8; 95% CI: −13.90, −1.25) per Fellow per years in Fellowship over the last 10 years. There was no difference in the rate of intubations per Fellow per years in Fellowship (p = 0.27; 1.86; 95% CI:−1.38, 5.24).Conclusions: There has been a statistically significant decrease in the rate of central venous lines and arterial lines performed by Pediatric Critical Care Medicine Fellowship trainees per number of years in Fellowship over the last 10 years. Educators need to be constantly reassessing the clinical landscape in an effort to make sure that trainees are receiving adequate educational experiences as this has the potential for an impact on the education of trainees and the safety of the patients that they care for.

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Pediatric Critical Care Medicine Training: 2004–2016*

Cited by 12 publications

References 15 publications

The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

Employment Opportunities for Pediatric Critical Care Fellowship Trained Physicians in the United States

Declining Procedures by Pediatric Critical Care Medicine Fellowship Trainees

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