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Pulmonary fellowship and education

J Nguyen, R Amirnovin, R Ramanathan, S Noori
OBJECTIVE: The current state of point-of-care ultrasonography (POCUS) use and education in neonatal-perinatal medicine (NPM) and pediatric critical care medicine (PCCM) is unknown. Our aim was to quantify POCUS use, training and perceptions regarding education and barriers among the United States NPM and PCCM fellowship programs. STUDY DESIGN: A 14-question survey was emailed to the fellowship directors of all the United States NPM and PCCM fellowship programs. RESULTS: The response rate was 55% (52/95) and 59% (39/66) for NPM and PCCM programs, respectively...
November 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Brenda G Fahy, Terrie Vasilopoulos, Peggy White, Deborah J Culley
OBJECTIVES: Academic productivity is an expectation for program directors of Accreditation Council for Graduate Medical Education-accredited subspecialty programs in critical care medicine. Within the adult critical care Accreditation Council for Graduate Medical Education-accredited programs, we hypothesized that program director length of time from subspecialty critical care certification would correlate positively with academic productivity, and primary field would impact academic productivity...
August 5, 2016: Critical Care Medicine
Ankita Tandon, Ming Wang, Kevin C Roe, Surju Patel, Nasrollah Ghahramani
BACKGROUND: There is wide variation in referral for kidney transplant and preemptive kidney transplant (PKT). Patient characteristics such as age, race, sex and geographic location have been cited as contributing factors to this disparity. We hypothesize that the characteristics of nephrologists interplay with the patients' characteristics to influence the referral decision. In this study, we used hypothetical case scenarios to assess nephrologists' decisions regarding transplant referral...
August 2016: Clinical Kidney Journal
Joshua Smith, Lorenzo Zaffiri, Julie Clary, Tyler Davis, Gabriel T Bosslet
BACKGROUND: Educational conferences have long served as a foundation of medical education. Sending reminder text pages prior to the start of conferences is a method that may be employed to enhance conference attendance. OBJECTIVE: The goal of our study was to determine if routine text paging before regularly scheduled conferences improves attendance among fellows in 3 internal medicine programs. METHODS: A prospective, randomized, crossover study included 3 fellowship programs: pulmonary and critical care, cardiovascular disease, and hematology-oncology...
July 2016: Journal of Graduate Medical Education
Renli Qiao, Darcy Marciniuk, Nicki Augustyn, Mark J Rosen, Huaping Dai, Rongchang Chen, Sinan Wu, Chen Wang
This article provides an update on progress toward establishing pulmonary and critical care medicine (PCCM) fellowship training as one of the first four subspecialties to be recognized and supported by the Chinese government. Designed and implemented throughout 2013 and 2014 by a collaborative effort of the Chinese Thoracic Society (CTS) and the American College of Chest Physicians (CHEST), 12 leading Chinese hospitals enrolled a total of 64 fellows into standardized PCCM training programs with common curricula, educational activities, and assessment measures...
August 2016: Chest
James A Town, Mark R Tonelli
No abstract text is available yet for this article.
April 2016: Annals of the American Thoracic Society
Trishul Siddharthan, Crystal M North, Engi F Attia, David C Christiani, William Checkley, T Eoin West
A growing number of pulmonary and critical care medicine fellowship programs in the United States offer global health training opportunities. Formal, integrated global health programs within pulmonary and critical care fellowships are relatively new but are built on principles and ideals of global health that focus on the mutually beneficial exchange of knowledge and social justice. Although core competencies consistent with these overarching themes in global health education have not been formalized for pulmonary and critical care trainees, relevant competency areas include clinical knowledge, international research training, cultural competency, and clinical and research capacity building...
June 2016: Annals of the American Thoracic Society
Stacey M Kassutto, C Jessica Dine, Maryl Kreider, Rupal J Shah
RATIONALE: The Accreditation Council for Graduate Medical Education has mandated that pulmonary fellows practice evidence-based medicine "across multiple care settings." Currently, most clinical fellowship training is inpatient based, suggesting that more robust fellowship training in outpatient pulmonology is needed. No standardized ambulatory pulmonary curriculum is currently available. OBJECTIVES: To design, implement and test the feasibility of a standardized, case-based outpatient curriculum implemented for pulmonary fellows at the Perelman School of Medicine at the University of Pennsylvania...
April 2016: Annals of the American Thoracic Society
Jeremy B Richards, Jennifer W McCallister, Peter H Lenz
RATIONALE: Many pulmonary and critical care medicine (PCCM) fellows are interested in improving their teaching skills as well as learning about careers as clinician educators. Educational opportunities in PCCM fellowship programs designed to address these interests have not been well characterized in U.S. training programs. OBJECTIVES: We aimed to characterize educational content and structure for training fellows to teach in PCCM fellowship programs. We evaluated three major domains: (1) existing educational opportunities, (2) PCCM program directors' attitudes toward the importance of teaching fellows how to teach, and (3) potential components of an optimal teaching skills curriculum for PCCM fellows...
April 2016: Annals of the American Thoracic Society
Paul S Richman, Howard L Saft, Catherine R Messina, Andrew R Berman, Paul A Selecky, Richard A Mularski, Daniel E Ray, Dee W Ford
PURPOSE: To describe educational features in palliative and end-of-life care (PEOLC) in pulmonary/critical care fellowships and identify the features associated with perceptions of trainee competence in PEOLC. METHODS: A survey of educational features in 102 training programs and the perceived skill and comfort level of trainees in 6 PEOLC domains: communication, symptom control, ethical/legal, community/institutional resources, specific syndromes, and ventilator withdrawal...
February 2016: Journal of Critical Care
Terence Hill, Gregory Means, Sean van Diepen, Timir Paul, Jason N Katz
OBJECTIVE: Acute and chronic cardiovascular comorbidities are common among critically ill individuals. It is unclear if current critical care fellowship trainees feel adequately prepared to manage these conditions. DESIGN: Prospective, cross-sectional survey. PATIENTS OR SUBJECTS: Trainees enrolled in U.S. critical care training programs. SETTING: Accredited pulmonary/critical care, surgery/critical care, anesthesiology/critical care, and stand-alone critical care training programs...
September 2015: Critical Care Medicine
Raj Padman, Angie Cable, Katherine A King
BACKGROUND: The American Academy of Pediatrics has identified the need for more subspecialists. Beginning a pediatric pulmonary fellowship program in a tertiary care hospital can be a challenging process. Persistence, perseverance, and working through barriers to education are important strides to take toward achieving this goal. We share our experience with this endeavor. The objective of this study was to describe our experience developing a pediatric pulmonary fellowship program, the challenges we faced, and the methods we used to meet and overcome those challenges...
January 2015: Delaware Medical Journal
Peter F Clardy, Richard M Schwartzstein
Fellowship training in pulmonary and critical care has evolved substantially over the past decade. Training programs are increasingly focused on a rigorous, multifaceted assessment of an individual trainee's progress toward achieving specific curricular milestones, and their ability to independently manage a series of entrustable professional activities. This new system has provided programs with an enormous amount of detailed information related to the specific goals and outcomes of training. However, it has not addressed the unmet need for fellowship programs to systematically assess and teach advanced clinical reasoning and judgment...
April 2015: Annals of the American Thoracic Society
Rosemary Adamson, Richard B Goodman, Patricia Kritek, Andrew M Luks, Mark R Tonelli, Joshua Benditt
The University of Washington was the first pulmonary and critical care medicine fellowship training program accredited by the Accreditation Council for Graduate Medical Education to create a dedicated clinician-educator fellowship track that has its own National Residency Matching Program number. This track was created in response to increasing demand for focused training in medical education in pulmonary and critical care. Through the Veterans Health Administration we obtained a stipend for a clinician-educator fellow to dedicate 12 months to training in medical education...
April 2015: Annals of the American Thoracic Society
Gabriel T Bosslet, Kristin M Burkart, Matthew C Miles, Peter H Lenz, Candace A Huebert, Jennifer W McCallister
This paper outlines specific tips for those applying to pulmonary and/or critical care medicine fellowship training in the United States using the PAIR-Match steps: preparation, application, interview, ranking, and match. Preparation for fellowship begins long before the application process with an assessment of one's long-term goals (to the extent that these are known). The cornerstone of the application is the curriculum vitae, which should highlight applicants' pulmonary and critical care-related experiences and scholarly work...
April 2015: Annals of the American Thoracic Society
Jennifer W McCallister, Jillian L Gustin, Sharla Wells-Di Gregorio, David P Way, John G Mastronarde
RATIONALE: The Accreditation Council for Graduate Medical Education requires physicians training in pulmonary and critical care medicine to demonstrate competency in interpersonal communication. Studies have shown that residency training is often insufficient to prepare physicians to provide end-of-life care and facilitate patient and family decision-making. Poor communication in the intensive care unit (ICU) can adversely affect outcomes for critically ill patients and their family members...
April 2015: Annals of the American Thoracic Society
Jeremy M Kahn, Laura C Feemster, Carolyn M Fruci, Robert C Hyzy, Adrienne P Savant, Jonathan M Siner, Curtis H Weiss, Bela Patel
RATIONALE: Quality improvement (QI) is a required component of fellowship training in pulmonary, critical care, and sleep medicine. However, little is known about how training programs approach QI education. OBJECTIVES: We sought to understand the perceptions of pulmonary, critical care, and sleep medicine training program directors toward QI education. METHODS: We developed and fielded an internet survey of pulmonary, critical care, and sleep medicine training program directors during 2013...
April 2015: Annals of the American Thoracic Society
Nandita R Nadig, Allison A Vanderbilt, Dee W Ford, Lynn M Schnapp, Nicholas J Pastis
INTRODUCTION: Individual fellowship programs are challenged to find a format of training that not only meets the Accreditation Council for Graduate Medical Education requirements, but also grooms fellows to be trusted clinicians, and encourages them to enter academic careers. This study was undertaken as part of an internal effort to evaluate and revise the program structure of the pulmonary/critical care medicine fellowship at the Medical University of South Carolina. Our objectives were to characterize variation in the training structure and specifically research opportunities of university pulmonary/critical care medicine fellowship programs, and to identify factors associated with fellow retention in academic medicine and research...
April 2015: Annals of the American Thoracic Society
Katherine R Courtright, Steven E Weinberger, Jason Wagner
Physician decision making is partially responsible for the roughly 30% of U.S. healthcare expenditures that are wasted annually on low-value care. In response to both the widespread public demand for higher-quality care and the cost crisis, payers are transitioning toward value-based payment models whereby physicians are rewarded for high-value, cost-conscious care. Furthermore, to target physicians in training to practice with cost awareness, the Accreditation Council for Graduate Medical Education has created both individual objective milestones and institutional requirements to incorporate quality improvement and cost awareness into fellowship training...
April 2015: Annals of the American Thoracic Society
Henry E Fessler, Doreen Addrizzo-Harris, James M Beck, John D Buckley, Stephen M Pastores, Craig A Piquette, James A Rowley, Antoinette Spevetz
Assessment of graduate medical trainee progress via the accomplishment of competency milestones is an important element of the Next Accreditation System of the Accreditation Council for Graduate Medical Education. This article summarizes the findings of a multisociety working group that was tasked with creating the entrustable professional activities and curricular milestones for fellowship training in pulmonary medicine, critical care medicine, and combined programs. Using the Delphi process, experienced medical educators from the American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine, and Association of Pulmonary and Critical Care Medicine Program Directors reached consensus on the detailed curricular content and expected skill set of graduates of these programs...
October 2014: Critical Care Medicine
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