Department of Emergency Medicine, Virginia Commonwealth University Reanimation, Engineering and Shock Center, Virginia Commonwealth University, Richmond, VA, USA.
Acad Emerg Med. 2010 Mar;17(3):325-9. doi: 10.1111/j.1553-2712.2010.00683.x.
Critical care medicine (CCM) is of growing interest among emergency physicians (EPs), but the number of CCM-trained EPs and their postfellowship practice is unknown. This study's purpose was to conduct a descriptive census survey of EPs who have completed or are currently in a CCM fellowship.
The authors created a Web-based survey, and requests to participate were sent to EPs who have completed or are currently in a CCM fellowship. Responses were collected over a 12-month period. Physicians were located via multiple whom electronic mailing lists, including the Emergency Medicine Section of the Society of Critical Care Medicine, Critical Care Section of the American College of Emergency Physicians, and the Emergency Medicine Residents' Association. The authors also contacted CCM fellowship coordinators and used informal networking. Data were collected on emergency medicine (EM) and other residency training; discipline, duration, and year of CCM fellowship; current practice setting; and board certification status, including the European Diploma in Intensive Care (EDIC).
A total of 104 physicians completed the survey (97% response rate), of whom 73 had completed fellowship at the time of participation, and 31 of whom were in fellowship training. Of those who completed fellowship, 36/73 (49%) practice both EM and CCM, and 45/73 (62%) practice in academic institutions. Multiple disciplines of fellowship were represented: multidisciplinary (39), surgical (28), internal medicine (16), anesthesia (14), and other (4). Together, the CCM fellowships at the University of Maryland R Adams Cowley Shock Trauma Center and the University of Pittsburgh have trained 42% of all EM-CCM physicians, with 38 other institutions training from one to four fellows each. The number of EPs completing CCM fellowships has risen: from 1974 to 1989, 12 EPs; from 1990 to 1999, 15 EPs; and from 2000 to 2007, 43 EPs.
Emergency physicians are entering CCM fellowships in increasing numbers. Almost half of these EPs practice both EM and CCM.
危重病医学（CCM）越来越受到急诊医师（EP）的关注，但接受过 CCM 培训的 EP 数量及其毕业后的实践情况尚不清楚。本研究的目的是对已完成或正在进行 CCM fellowship 的 EP 进行描述性普查。
作者创建了一个基于网络的调查，并向已完成或正在进行 CCM fellowship的 EP 发出参与请求。在 12 个月的时间内收集了回复。通过多种电子邮件列表定位医生，包括重症监护医学会的急诊医学科、急诊医师学院的重症监护科以及急诊住院医师协会。作者还联系了 CCM fellowship 协调员并利用了非正式的人际网络。收集了有关急诊医学（EM）和其他住院医师培训、学科、CCM fellowship 的持续时间和年份、当前实践环境以及董事会认证状态（包括欧洲重症监护文凭（EDIC））的数据。
共有 104 名医生完成了调查（97%的回复率），其中 73 名在参与时已完成 fellowship，31 名正在接受 fellowship培训。在完成 fellowship的 73 人中，有 36/73（49%）同时从事 EM 和 CCM 工作，有 45/73（62%）在学术机构工作。代表了多个 fellowship 学科：多学科（39）、外科（28）、内科（16）、麻醉（14）和其他（4）。马里兰大学亚当斯考利休克创伤中心和匹兹堡大学的 CCM fellowship 共培训了所有 EM-CCM 医生的 42%，其他 38 个机构每个机构培训了 1 至 4 名医生。完成 CCM fellowship 的 EP 数量有所增加：从 1974 年到 1989 年，有 12 名 EP；从 1990 年到 1999 年，有 15 名 EP；从 2000 年到 2007 年，有 43 名 EP。
越来越多的急诊医师进入 CCM fellowship。其中近一半的 EP 同时从事 EM 和 CCM 工作。
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