Citations 2
Determination of Adult Critical Care Physician Core Knowledge and Skills: Results of a Multidisciplinary, Modified Delphi Process
Tisherman, Samuel A. , Spevetz, Antoinette, Farmer, Joseph C. , Michener, Ed, Sreedharan, Roshni , Strickler, Samantha , Cuschieri, Joseph , Ellender, Timothy J., Kaups, Krista L. , Keegan, Mark T. , Lee, May M. , Malaiyandi, Deepa , Michetti, Christopher P. , Mohr, Nicholas M. , Moitra, Vivek K. , O’Neil, Kevin , Palmieri, Tina L. , Park, Pauline K., Raksin, P B , Shapshak, Angela Hays , Siddiqui, Shahla , Stein, Deborah M. , Timmons, Shelly D. , Vespa, Paul , Wessman, Brian T. , Wittwer, Erica D. , Medicine, on behalf of the Adult Critical Care Physician Core Knowledge and Skills Task Force of the Society of Critical Care, Farmer, J Christopher, Mohr, Nicholas M , Kashyap, Rahul , Leichtle, Stefan W. , Chang, Cherylee W. J. , Yataco, Angel Coz , Dudzinski, David M. , Emlet, Lillian L. , Fahy, Brenda G. , Geller, Bram J. , Hennessey, Erin , Park, Pauline K. , Pathak, Abhijit S. , Medicine, on behalf of the Adult Critical Care Physician Core Knowledge and Skills Task Force of the Society of Critical Care, Siddiqui, Shahla
Critical Care Medicine | December 9, 2025 | Volume: 54 | Issue: 2 | Pages: 224-233
Objectives: In the United States, training for physicians who manage critically ill adult patients (intensivists) evolved through parallel subspecialty critical care medicine (CCM) pathways with significant commonality. The Society of Critical Care Medicine Adult Critical Care Physician Core Knowledge and Skills Task Force aimed to delineate the common core knowledge and skills required of all intensivists. Design: A master list of content areas and procedural skills was compiled from all CCM subspecialty program requirements and blueprints of the certification examinations. Using a modified Delphi approach, participants were asked to categorize the knowledge items as “advanced knowledge is essential,” “general, but not advanced, knowledge is essential,” or “knowledge is not essential.” Procedures were categorized as “intensivist performs routinely,” “intensivist only performs in an emergency,” or “intensivist knows” about the procedure. Setting: Representatives from CCM stakeholder organizations, including accreditation and certification organizations, critical care societies, and program directors’ societies, were invited to participate. SUBJECTS: Members of the Adult Critical Care Physician Core Knowledge and Skills Task Force of the Society of Critical Care Medicine. Interventions: For the first two rounds of the modified Delphi process, Research Electronic Data Capture was used. For the third and fourth rounds, the process was completed through online meetings with Zoom (Zoom Video Corporations, San Jose, CA) utilizing Zoom’s polling feature. Measurements and Main Results: A total of 541 items were determined to be essential, with 145 requiring advanced knowledge and 323 requiring general knowledge. For 73 items, consensus regarding advanced vs. general could not be achieved, but they remained essential. Only eight items were felt to be nonessential. Of the 16 procedures, most were categorized as “intensivist performs.” Conclusions: The large number of items included in the list of essential knowledge and skills demonstrates the complexity of modern CCM. Utilization of a common framework across the subspecialties of CCM could lead to greater harmonization among the fellowship program requirements and certification examinations.
Serious Illness Communication Skills Training for Emergency Physicians and Advanced Practice Providers: A Multi-Method Assessment of the Reach and Effectiveness of the Intervention
Kaur, Regina, Zhao, Nicole, Siman, Nina , DrPH, Keith Goldfeld, Emlet, Lillian L. , Yamarik, Rebecca , Investigators, The PRIM-ER, Ginsburg, Alexander D, Adeyemi, Oluwaseun , Ginsburg, Alexander , Cuthel, Allison M. , DrPH, Keith Goldfeld, DiMaggio, Charles J. , Bouillon‐Minois, Jean‐Baptiste , Chodosh, Joshua , Grudzen, Corita R.
No container title available | February 21, 2023 | Volume: No volume available | Issue: No issue available | Pages: No page available
AbstractBackground EM Talk is a communication skills training program designed to improve emergency providers’ serious illness conversational skills. Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this study aims to assess the reach of EM Talk and its effectiveness. Methods EM Talk is one of the components of Primary Palliative Care for Emergency Medicine (EM) intervention. It consisted of one 4-hour training session during which professional actors used role-plays and active learning to train providers to deliver serious/bad news, express empathy, explore patients’ goals, and formulate care plans. After the training, emergency providers filled out an optional post-intervention survey, which included course reflections. Using a multi-method analytical approach, we analyzed the reach of the intervention quantitatively and the effectiveness of the intervention qualitatively using conceptual content analysis of open-ended responses. Results A total of 879 out of 1,029 (85%) EM providers across 33 emergency departments completed the EM Talk training, with the training rate ranging from 63–100%. From the 326 reflections, we identified meaning units across the thematic domains of improved knowledge, attitude, and practice. The main subthemes across the three domains were the acquisition of discussion tips and tricks, improved attitude toward engaging qualifying patients in serious illness (SI) conversations, and commitment to using these learned skills in clinical practice. Conclusion Effectively engaging qualifying patients in serious illness conversations requires appropriate communication skills. EM Talk has the potential to improve emergency providers’ knowledge, attitude, and practice of SI communication skills.Trial registration:NCT03424109