Document Detail

Critical care workforce.
MedLine Citation:
PMID:  18379263     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The recent Health Resources and Services Administration report on critical care manpower details the impending crisis in the critical care workforce in the United States. DESIGN: A review of the Health Resources and Services Administration statistics indicate the present structure for training critical care physicians through combined pulmonary/critical care fellowships is, and will remain, woefully inadequate to meet demand. INTERVENTION: Training for intensive care unit physicians will require new paradigms for training, including consideration of free-standing critical care residencies and multidisciplinary critical care fellowships. CONCLUSION: Unless the training structure changes, the worsening shortage of intensivists will precipitate a crisis, resulting in the disintegration of critical care delivery in the United States.
Kenneth Krell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  36     ISSN:  1530-0293     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-01     Completed Date:  2008-04-28     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1350-3     Citation Subset:  AIM; IM    
Division of Critical Care, Department of Medicine, Eastern Idaho Regional Medical Center, Idaho Falls, ID, USA.
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MeSH Terms
Critical Care / manpower*,  trends
Internal Medicine / education,  manpower*
Physicians / supply & distribution*
Pulmonary Medicine / education,  manpower*
United States
United States Health Resources and Services Administration / statistics & numerical data
Comment In:
Crit Care Med. 2008 Apr;36(4):1385-6   [PMID:  18379284 ]
Crit Care Med. 2008 Oct;36(10):2961-2; author reply 2962   [PMID:  18812817 ]
Crit Care Med. 2008 Oct;36(10):2963-4; author reply 2965   [PMID:  18812822 ]

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