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March 6, 2014

Education

Practice and Prepare with the Adult and Pediatric Board Review Courses
New Edition of Critical Care Ethics: A Practice Guide

SCCM News

The New Yorker Puts Spotlight on Post-Intensive Care Syndrome
ACGME, AOA and AACOM Agree to Single Accreditation for Graduate Medical Education
CDC Urges Better Antibiotic Stewardship
Practice and Prepare with the Adult and Pediatric Board Review Courses

The Society of Critical Care Medicine’s (SCCM) 2014 Adult and Pediatric Multiprofessional Critical Care Board Review Courses (MCCBRC) set the standard in board preparation. Whether you need to certify, recertify or simply review, MCCBRC provides an excellent update and thorough overview of the field.

Comprehensive Learning Experience
Receive 4.5 days of extensive coverage of core concepts in critical care, including cardiology, endocrinology, gastrointestinal disorders, infectious diseases, monitoring, neurology, nutrition, respiratory care, sepsis, and more. Each comprehensive session is presented by world-class faculty.

Accurate Skills Assessment
Daily interactive board preparation sessions will consist of practice board questions, answers and rationales. Monitor your progress through audience response system technology and receive accurate feedback regarding areas that may need further refinement.

Valuable Study Resources
As a registered participant, you will receive the course syllabus, online access to practice questions, post-course online access to MCCBRC On Demand videos and downloadable MP3 files of all the lectures, and networking opportunities with colleagues and world-renowned experts in critical care.

The 2014 Adult and Pediatric MCCBRC will be held August 12 to 16, 2014, at the Fairmont Chicago, Millennium Park, in Chicago, Illinois, USA. Register online for the Adult or Pediatric MCCBRC using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

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New Edition of Critical Care Ethics: A Practice Guide

The intensive care unit can be the site of many ethical controversies. Critical Care Ethics: A Practice Guide, Third Edition, explores thought-provoking ethical questions that critical care professionals must face in real life situations.

Topics include:

  • euthanasia
  • artificial nutrition
  • management of drug shortages
  • palliative care
  • religious views of end-of-life care
  • unique considerations in pediatric and neonatal care

The references and suggested readings that accompany each chapter provide resources for further exploration of complicated issues.

Critical Care Ethics: A Practice Guide, Third Edition is available for purchase in the SCCM Store in print and electronic formats.

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The New Yorker Puts Spotlight on Post-Intensive Care Syndrome

The New Yorker profiled intensive care unit (ICU) patient Charlie Atkinson and his struggle with the long-term outcomes of his care. “After a month in the I.C.U., Atkinson was well enough to leave the hospital. He had ‘made it.’ But he remained dependent on a ventilator and confused—able to recognize his own name and little else. He didn’t know it, but he had crossed an invisible threshold into a territory of protracted sickness and uncertain hope for improvement,” according to the article “The Limbo Between A Life Worth Living and Death.” The article details the challenges patients face after critical illness and signifies a rising awareness about post-intensive care syndrome.

The Society of Critical Care Medicine offers numerous resources to help educate patients about post-intensive care syndrome at www.MyICUCare.org, including several interviews with former ICU patients.

In addition, the Society’s ICU Liberation initiative offers clinicians tools to improve long-term outcomes. A recently added presentation from Alison Clay, MD, recounts her own ICU survivor story.

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ACGME, AOA and AACOM Agree to Single Accreditation for Graduate Medical Education

The Accreditation Council for Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), and the American Association of Colleges of Osteopathic Medicine (AACOM) have agreed to a single accreditation system for graduate medical education (GME) programs in the United States. After months of discussion, the allopathic and osteopathic medical communities have committed to work together to prepare future physicians with the highest quality GME, ultimately helping to ensure the quality and safety of health care delivery.

The single accreditation system will allow graduates of allopathic and osteopathic medical schools to complete residency and/or fellowship education in ACGME-accredited programs and demonstrate achievement of common Milestones and competencies. Currently, the ACGME and AOA maintain separate accreditation systems for allopathic and osteopathic educational programs.

“A single system standardizes the approach to GME accreditation, and ensures that all physicians have access to the primary and sub-specialty training necessary to serve patients,” said AOA President Norman E. Vinn, DO. Under the single accreditation system:

  • AOA and AACOM will become ACGME member organizations and will nominate members to the ACGME Board of Directors.
  • Two new osteopathic Review Committees will be created to evaluate and set standards for the osteopathic aspects of GME programs seeking osteopathic recognition.
  • An extended transition period — July 1, 2015 to June 30, 2020 is set for AOA-accredited programs to apply for and receive ACGME recognition and accreditation.
  • Opportunity is created for MD and DO graduates who have met the prerequisite competencies to access any GME program or transfer from one accredited program to another without being required to repeat education.
  • Efficiencies are realized because institutions need not sponsor “dually accredited” or “parallel accredited” allopathic and osteopathic medical residency programs.
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CDC Urges Better Antibiotic Stewardship

A new Vital Signs report from the Centers for Disease Control and Prevention (CDC) shows that clinicians in some hospitals prescribe three times as many antibiotics than clinicians in other hospitals, even though patients were receiving care in similar areas of each hospital. In addition, about one-third of the time, prescribing practices to treat urinary tract infections and prescriptions for the critical and common drug vancomycin included a potential error – given without proper testing or evaluation, or given for too long. The report also found that, in hospitals, a 30% reduction in use of the antibiotics that most often cause deadly diarrheal infections with Clostridium difficile can reduce these infections by more than 25%. The same antibiotics also prime patients for future super-resistant infections.

To help hospitals develop antibiotic stewardship programs, CDC released practical tools that include seven key elements, a self-assessment checklist, and an in-depth implementation document.

The Vital Signs report follows several calls to action from CDC on antibiotic resistance including the Antibiotic Resistance Threats to the United States, 2013 report, the Get Smart about Antibiotics Week, and the upcoming coming Transatlantic Taskforce on Antimicrobial Resistance 2013 report.

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