What question did this study set out to answer?

To evaluate the perceived value, clinical application, and necessity of specialized critical care medicine training among dual-certified critical care cardiologists in modern cardiac intensive care units.

March 16, 2019Journal of the American Heart AssociationOpen Access

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

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Why the study?

Cardiovascular intensive care units manage complex multi-organ disease, but the relevance of critical care medicine training to contemporary care had not been systematically surveyed among dual certified physicians.

Population

120 dual certified physicians responding out of 397 eligible

Design

Survey study

Authors

SBSamuel B. BruscaUniversity of California, San Francisco CBChristopher F. BarnettUniversity of California, San Francisco BBBrendan J. BarnhartAmerican Board of Internal Medicine

Discussion

Member takes

Implication

Survey suggests CCM training is valued in modern CICUs; leaves open whether expanded requirements improve outcomes.

Key Points

To evaluate the perceived value, clinical application, and necessity of specialized critical care medicine training among dual-certified critical care cardiologists in modern cardiac intensive care units.
Identified 397 eligible physicians certified in both cardiovascular disease and critical care medicine using American Board of Internal Medicine data through 2014.
Administered a targeted survey assessing the clinical use of critical care skills, fellowship training sufficiency, and unit organization models.
Among 120 respondents (30% response rate), 85% reported that critical care medicine training should be prioritized for future cardiac intensive care providers, frequently utilizing skills such as ventilator management, airway management, and multiorgan dysfunction care.
Only 17% of respondents agreed that standard general cardiology fellowship training alone is currently sufficient for managing patients in modern cardiovascular intensive care units.
A substantial majority endorsed an unmet need for critical care-trained cardiologists (70%) and supported adopting a tiered level-designation system for cardiac units analogous to trauma centers (61%).

Structured PICO

Population

120 physicians dual certified in cardiovascular disease and critical care medicine (from 397 eligible based on American Board of Internal Medicine data)

Outcome

Relevance of critical care medicine (CCM) training to contemporary CICU care, including use of CCM skills and opinions on training needs

Survey responses from dual-certified physicians highlight the necessity of critical care medicine training for effectively managing patients in modern cardiovascular intensive care units.

Cite This Study

Brusca et al. (2019) studied this question.

synapsesocial.com/papers/69ffcc64d1d8b50f8e9a11aa https://doi.org/10.1161/jaha.118.011721

Topics

Women and heart disease

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