000			03536nam a22004817a 4500
008			190521s20192019 xxu||||| |||| 00| 0 eng d
022			_a2047-9980
024			_a10.1161/JAHA.118.011721 [doi]
024			_aPMC6475069 [pmc]
040			_aOvid MEDLINE(R)
099			_a30879373
245			_aRole of Critical Care Medicine Training in the Cardiovascular Intensive Care Unit: Survey Responses From Dual Certified Critical Care Cardiologists.
251			_aJournal of the American Heart Association. 8(6):e011721, 2019 03 19.
252			_aJ Am Heart Assoc. 8(6):e011721, 2019 03 19.
252			_zJ Am Heart Assoc. 8(6):e011721, 2019 Mar 19.
253			_aJournal of the American Heart Association
260			_c2019
260			_fFY2019
265			_sppublish
266			_d2019-05-21
268			_aJournal of the American Heart Association. 8(6):e011721, 2019 Mar 19.
520			_aBackground 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 CICU s 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 .
546			_aEnglish
650			_a*Cardiologists/ed [Education]
650			_a*Cardiovascular Diseases/th [Therapy]
650			_a*Certification/mt [Methods]
650			_a*Clinical Competence
650			_a*Critical Care
650			_a*Education, Medical, Graduate/mt [Methods]
650			_a*Intensive Care Units/sn [Statistics & Numerical Data]
650			_aAged
650			_aFemale
650			_aHumans
650			_aMale
650			_aMiddle Aged
650			_aUnited States
651			_aMedStar Heart & Vascular Institute
657			_aJournal Article
700			_aBarnett, Christopher F
790			_aBarnett C, Barnhart BJ, Brusca SB, Gomez AD, Katz JN, Morrow DA, Soble JS, Solomon MA, van Diepen S, Weng W, Wiley BM
856			_uhttps://dx.doi.org/10.1161/JAHA.118.011721 _zhttps://dx.doi.org/10.1161/JAHA.118.011721
942			_cART _dArticle
999			_c4274 _d4274