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Crit Care Med. 2018 Feb;46(2):307-315. doi: 10.1097/CCM.0000000000002876.

The Present State of Neurointensivist Training in the United States: A Comparison to Other Critical Care Training Programs.

Author information

1
Division of Neurocritical Care and Emergency Neurology, Departments of Emergency Medicine and Neurology, Yale University School of Medicine, New Haven, CT.
2
Department of Critical Care Services, Maine Medical Center, Portland, ME.
3
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH.
4
Departments of Neurological Sciences, Neurosurgery, Medicine and Anesthesiology, Rush University Medical Center, Chicago, IL.
5
Department of Neurology, University of California, San Francisco, San Francisco, CA.
6
Division of Neurocritical Care, Departments of Critical Care Medicine, Neurology and Neurosurgery, UPMC/University of Pittsburgh School of Medicine, Pittsburgh, PA.
7
Division of Critical Care and Neurotrauma, Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA.
8
Department of Neurosurgery, Penn State University Milton S. Hershey Medical Center, Hershey, PA.

Abstract

OBJECTIVE:

This manuscript describes the state of neurocritical care fellowship training, compares its written standards to those of other critical care fellowship programs, and discusses how programmatic oversight by the United Council for Neurological Subspecialties should evolve to meet American College of Graduate Medical Education standards. This review is a work product of the Society of Critical Care Medicine Neuroscience section and was reviewed and approved by the Council of the Society of Critical Care Medicine.

DATA SOURCES:

We evaluated the published training criteria and requirements of American College of Graduate Medical Education Critical Care subspecialty fellowships programs of Internal Medicine, Surgery, and Anesthesia and compared them with the training criteria and required competencies for neurocritical care.

STUDY SELECTION:

We have reviewed the published training standards from American College of Graduate Medical Education as well as the United Council for Neurologic Subspecialties subspecialty training documents and clarified the definition and responsibilities of an intensivist with reference to the Leapfrog Group, the National Quality Forum, and the Joint Commission.

DATA EXTRACTION:

No data at present exist to test the concept of similarity across specialty fellowship critical care training programs.

DATA SYNTHESIS:

Neurocritical care training differs in its exposure to clinical entities that are directly associated to other critical care subspecialties. However, the core critical care knowledge, procedural skills, and competencies standards for neurocritical care appears to be similar with some important differences compared with American College of Graduate Medical Education critical care training programs.

CONCLUSIONS:

The United Council for Neurologic Subspecialties has developed a directed program development strategy to emulate American College of Graduate Medical Education standards with the goal to have standards that are similar or identical to American College of Graduate Medical Education standards.

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