دورية أكاديمية

Role of Critical Care Medicine Training in the Cardiovascular Intensive Care Unit: Survey Responses From Dual Certified Critical Care Cardiologists

التفاصيل البيبلوغرافية
العنوان: Role of Critical Care Medicine Training in the Cardiovascular Intensive Care Unit: Survey Responses From Dual Certified Critical Care Cardiologists
المؤلفون: Samuel B. Brusca, Christopher Barnett, Brendan J. Barnhart, Weifeng Weng, David A. Morrow, Jeffrey S. Soble, Jason N. Katz, Brandon M. Wiley, Sean van Diepen, Antonio D. Gomez, Michael A. Solomon
المصدر: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 8, Iss 6 (2019)
بيانات النشر: Wiley, 2019.
سنة النشر: 2019
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: American Board of Internal Medicine survey, cardiology training, cardiovascular intensive care units, critical care cardiology, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Background Cardiovascular intensive care units (CICUs) have evolved from coronary care wards into distinct units for critically ill patients with primary cardiac diseases, often suffering from illnesses that cross multiple disciplines. Mounting evidence has demonstrated improved survival with the incorporation of dedicated CICU providers with expertise in critical care medicine (CCM). This is the first study to systematically survey dual certified physicians in order to assess the relevance of CCM training to contemporary CICU care. Methods and Results Utilizing American Board of Internal Medicine data through 2014, 397 eligible physicians had obtained initial certification in both cardiovascular disease and CCM. A survey to delineate the role of critical care training in the CICU was provided to these physicians. Among those surveyed, 120 physicians (30%) responded. Dual certified physicians reported frequent use of their CCM skills in the CICU, highlighting ventilator management, multiorgan dysfunction management, end‐of‐life care, and airway management. The majority (85%) cited these skills as the reason CCM training should be prioritized by future CICU providers. Few (17%) agreed that general cardiology fellowship alone is currently sufficient to care for patients in the modern CICU. Furthermore, there was a consensus that there is an unmet need for cardiologists trained in CCM (70%) and that CICUs should adopt a level system similar to trauma centers (61%). Conclusions Citing specific skills acquired during CCM training, dual certified critical care cardiologists reported that their additional critical care experience was necessary in their practice to effectively deliver care in the modern CICU.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2047-9980
Relation: https://doaj.org/toc/2047-9980
DOI: 10.1161/JAHA.118.011721
URL الوصول: https://doaj.org/article/c2a8c6d4dfdf4238b6f5b724b353a14c
رقم الأكسشن: edsdoj.2a8c6d4dfdf4238b6f5b724b353a14c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20479980
DOI:10.1161/JAHA.118.011721