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We surveyed physicians with different base specialties in university affiliated and community hospitals.
Their base specialties of training were Internal Medicine (n = 12), Pulmonary (n = 8), and AGSEM (n = 6) (Table 2).
Outcomes for patients admitted by Intensivists with base training in General Internal Medicine, Pulmonary Medicine, or other eligible base specialties (Anesthesia, General Surgery, and Emergency Medicine combined) were compared.
Second, given predictions of a significant shortage of Intensivists in years to come [ 23, 24], there may be pressure to preferentially recruit trainees from base specialties with a shorter duration of training, for example Internal Medicine.
There were notable cross-border differences in the base specialties of respondents; the majority in the United States were neurologists (55%) and neurosurgeons (23%) compared with internists (37%) and anesthesiologists (27%) in Canada (Table 1).
Additionally, the generalizability of our results may be limited because it was performed in three Canadian teaching hospitals and because the mix of base specialties was heavily weighted towards Internal Medicine and Pulmonary Medicine.
Similar(54)
It is recommended that national authorities allow 12 months of training in the complementary specialty to be recognised as part of the training in the base specialty for accreditation purposes.
Training in radiology or nuclear medicine complementary to the base specialty should only take place in recognised training centres fully accredited by the appropriate national or European authority for the relevant specialty.
AGSEM = Intensivists with base specialty training in Anesthesia, General Surgery or Emergency Medicine DNRR = Do Not Resuscitate; ICU = Intensive Care Unit IMM = Intensivists with base specialty training in Internal Medicine IQRR = Interquartile Range; LOS = Length of Stay; NS = non-significant; Pulm = Intensivists with base specialty training in Pulmonary Medicine.
Intensivists' base specialty of training is associated with practice pattern variations.
Our results suggest that an Intensivist's base specialty of training may impact patient outcomes and practice patterns.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com