Special Article

Standardized Training for Physicians Practicing Pediatric Cardiac Critical Care

Tabbutt, Sarah MD, PhD¹; Krawczeski, Catherine MD²; McBride, Mary MD, MEd³; Amirnovin, Rambod MD⁴; Owens, Gabe MD⁵; Smith, Andrew MD⁶; Wolf, Michael MD⁷; Rhodes, Leslie MD⁸; Hehir, David MD⁹; Asija, Ritu MD¹⁰; Teele, Sarah A. MD¹¹; Ghanayem, Nancy MD¹²; Zyblewski, Sinai MD¹³; Thiagarajan, Ravi MD¹¹; Yeh, Justin MD¹⁴; Shin, Andrew Y. MD¹⁰; Schwartz, Steve M. MD¹⁵; Schuette, Jennifer MD¹⁶; Scahill, Carly DO, MSCR¹⁷; Roth, Stephen J. MD, MPH¹⁰; Hoffman, Timothy M. MD¹⁸; Cooper, David S. MD, MPH¹⁹; Byrnes, Jonathan MD⁸; Bergstrom, Charges MD²⁰; Vesel, Travis MD²¹; Scott, Jake P. MD²²; Rossi, Anthony MD²³; Kwiatkowski, David MD¹⁰; DiPietro, Lisa M. MD⁶; Connor, Chad MD¹⁹; Chen, Jodi MD⁹; Charpie, John MD⁵; Bochkoris, Matt MD¹⁴; Affolter, Jeremy MD²⁴; Bronicki, Ronald A. MD²⁵

Author Information

¹ Univeristy of California San Francisco Benioff Children’s Hospital, San Francisco, CA.

² Nationwide Children’s Hospital, Columbus, OH.

³ Lurie Children’s Hospital, Chicago, IL.

⁴ Loma Linda University Children’s Hospital, Loma Linda, CA.

⁵ CS Mott Children’s Hospital, Ann Arbor, MI.

⁶ Monroe Carell Children’s Hospital Vanderbilt, Nashville, TN.

⁷ Children’s Healthcare of Atlanta, Atlanta, GA.

⁸ University of Alabama, Birmingham, AL.

⁹ Children’s Hospital of Philadelphia, Philadelphia, PA.

¹⁰ Lucile Packard Children’s Hospital Stanford, Palo Alto, CA.

¹¹ Boston Children’s Hospital, Boston, MA.

¹² University of Chicago Comer Children’s Hospital and Advocate Children’s Hospital, Chicago, IL.

¹³ Medical University of South Carolina Children’s Hospital, Charleston, SC.

¹⁴ Children’s Hospital of Pittsburgh, Pittsburgh, PA.

¹⁵ Hospital for Sick Children, Toronto, ON, Canada.

¹⁶ Johns Hopkins Children’s Center, Baltimore, MD.

¹⁷ Children’s Hospital Colorado, Aurora, CO.

¹⁸ University of North Carolina Children’s Hospital, Chapel Hill, NC.

¹⁹ Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.

²⁰ American Family Children’s Hospital Madison, Madison, WI.

²¹ Duke Children’s Hospital, Durham, NC.

²² Children’s Hospital Wisconsin, Milwaukee, WI.

²³ Miami Children’s Hospital, Miami, FL.

²⁴ Dell Children’s Medical Center, University of Texas at Austin, Austin, TX.

²⁵ Texas Children’s Hospital, Houston, TX.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (http://journals.lww.com/pccmjournal).

Dr. Tabbutt conceptualized and designed the study, organized the task force, collected the data, drafted the initial article, and reviewed and revised the article. Drs. Bronicki and Krawczeski conceptualized and designed the study, organized the task force, collected the data, and reviewed and revised the article. Dr. McBride extensively revised the Learning Objectives in addition to roles below. Drs. Amirnovin, Owens, Smith, Wolf, Rhodes, Hehir, Asija, Ghanayem, Zyblewski, and Thiagarajan conceptualized and designed the study, led task forces, collected data, and reviewed and revised the article. Drs. Teele, Schwartz, Scahill, Roth, McBride, and Kwiatkowski conceptualized and designed the study, participated in the task forces, collected the data, and extensively reviewed and revised the article. Drs. Yeh, Shin, Schuette, Hoffman, Cooper, Byrnes, Bergstrom, Vesel, Scott, Rossi, DiPietro, Connor, Chen, Charpie, Bochkoris, and Affolter conceptualized the study, participated in the task forces, collected data, and reviewed and revised the article.

Dr. McBride received funding from the American Heart Association. Dr. Smith received funding from Huff Powell Bailey, LLC. Dr. Thiagarajan’s institution received funding from Pfizer and Bristol Myers Squibb; he received funding from Advocate. The remaining authors have disclosed that they do not have any potential conflicts of interest.

For information regarding this article, E-mail: [email protected]

Pediatric Critical Care Medicine 23(1):p 60-64, January 2022. | DOI: 10.1097/PCC.0000000000002815

Abstract

OBJECTIVES:

In the vast majority of Children’s Hospitals, the critically ill patient can be found in one of three locations: the PICU, the neonatal ICU, and the cardiac ICU. Training, certification, and maintenance of certification for neonatology and critical care medicine are over seen by the Accreditation Council for Graduate Medical Education and American Board of Pediatrics. There is no standardization of training or oversight of certification and maintenance of certification for pediatric cardiac critical care.

DATA SOURCES:

The curricula from the twenty 4th year pediatric cardiac critical care training programs were collated, along with the learning objectives from the Pediatric Cardiac Intensive Care Society published “Curriculum for Pediatric Cardiac Critical Care Medicine.”

STUDY SELECTION:

This initiative is endorsed by the Pediatric Cardiac Intensive Care Society as a first step toward Accreditation Council for Graduate Medical Education oversight of training and American Board of Pediatrics oversight of maintenance of certification.

DATA EXTRACTION:

A taskforce was established of cardiac intensivists, including the directors of all 4th year pediatric cardiac critical care training programs.

DATA SYNTHESIS:

Using modified Delphi methodology, learning objectives, rotational requirements, and institutional requirements for providing training were developed.

CONCLUSIONS:

In the current era of increasing specialized care in pediatric cardiac critical care, standardized training for pediatric cardiac critical care is paramount to optimizing outcomes.

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Standardized Training for Physicians Practicing Pediatric Cardiac Critical Care