ABSTRACT
The Society of Critical Care Medicine (SCCM) Reviewer Academy seeks to train and establish a community of trusted, reliable, and skilled peer reviewers with diverse backgrounds and interests to promote high-quality reviews for each of the SCCM journals. Goals of the Academy include building accessible resources to highlight qualities of excellent manuscript reviews; educating and mentoring a diverse group of healthcare professionals; and establishing and upholding standards for insightful and informative reviews. This manuscript will map the mission of the Reviewer Academy with a succinct summary of the importance of peer review, process of reviewing a manuscript, and the expected ethical standards of reviewers. We will equip readers to target concise, thoughtful feedback as peer reviewers, advance their understanding of the editorial process and inspire readers to integrate medical journalism into diverse professional careers.
Subject(s)
Mentoring , Peer Review , Humans , Health Personnel , Mentors , Peer Group , Peer Review, Research , Societies, MedicalABSTRACT
OBJECTIVES: To determine the impact of coronavirus disease 2019 on burnout syndrome in the multiprofessional ICU team and to identify factors associated with burnout syndrome. DESIGN: Longitudinal, cross-sectional survey. SETTING: All adult ICUs within an academic health system. SUBJECTS: Critical care nurses, advanced practice providers, physicians, respiratory therapists, pharmacists, social workers, and spiritual health workers were surveyed on burnout in 2017 and during the coronavirus disease 2019 pandemic in 2020. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Burnout syndrome and contributing factors were measured using the Maslach Burnout Inventory of Health and Human Service and Areas of Worklife Survey. Response rates were 46.5% (572 respondents) in 2017 and 49.9% (710 respondents) in 2020. The prevalence of burnout increased from 59% to 69% (p < 0.001). Nurses were disproportionately impacted, with the highest increase during the pandemic (58-72%; p < 0.0001) with increases in emotional exhaustion and depersonalization, and personal achievement decreases. In contrast, although burnout was high before and during coronavirus disease 2019 in all specialties, most professions had similar or lower burnout in 2020 as they had in 2017. Physicians had the lowest rates of burnout, measured at 51% and 58%, respectively. There was no difference in burnout between clinicians working in ICUs who treated coronavirus disease 2019 than those who did not (71% vs 67%; p = 0.26). Burnout significantly increased in females (71% vs 60%; p = 0.001) and was higher than in males during the pandemic (71% vs 60%; p = 0.01). CONCLUSIONS: Burnout syndrome was common in all multiprofessional ICU team members prior to and increased substantially during the pandemic, independent of whether one treated coronavirus disease 2019 patients. Nurses had the highest prevalence of burnout during coronavirus disease 2019 and had the highest increase in burnout from the prepandemic baseline. Female clinicians were significantly more impacted by burnout than males. Different susceptibility to burnout syndrome may require profession-specific interventions as well as work system improvements.
Subject(s)
Burnout, Professional/epidemiology , COVID-19/epidemiology , Critical Care/statistics & numerical data , Intensive Care Units/statistics & numerical data , Personnel, Hospital/psychology , Adult , Critical Care Nursing/statistics & numerical data , Cross-Sectional Studies , Female , Humans , Longitudinal Studies , Male , Middle Aged , Pandemics , Patient Care Team/statistics & numerical data , Prevalence , SARS-CoV-2Subject(s)
Critical Care/organization & administration , Intensive Care Units/organization & administration , Nurse Practitioners/organization & administration , Physician Assistants/organization & administration , Accreditation/organization & administration , Health Workforce/statistics & numerical data , Humans , Internship, Nonmedical/organization & administration , Nurse Practitioners/education , Physician Assistants/education , United StatesSubject(s)
Critical Care/organization & administration , Health Services Needs and Demand , Surgeons/supply & distribution , Workforce , Academic Medical Centers/organization & administration , Female , Hospitalists/supply & distribution , Humans , Intensive Care Units/organization & administration , Male , United StatesABSTRACT
While technological innovations are the invariable crux of speculation about the future of critical care, they cannot replace the clinician at the bedside. This article summarizes the work of the Society of Critical Care Medicine-appointed multiprofessional task for the Future of Critical Care. The Task Force notes that critical care practice will be transformed by novel technologies, integration of artificial intelligence decision support algorithms, and advances in seamless data operationalization across diverse healthcare systems and geographic regions and within federated datasets. Yet, new technologies will be relevant and meaningful only if they improve the very human endeavor of caring for someone who is critically ill.
ABSTRACT
Postgraduate training, otherwise termed residency or fellowship training, for nurse practitioners is a growing trend. Many new graduates are seeking intensive and immersive clinical experiences supported by evidence-based didactic learning directly related to their clinical experience. This article describes current trends and evidence supporting fellowship training.
Subject(s)
Education, Nursing, Graduate/trends , Fellowships and Scholarships/standards , Internship and Residency/standards , Nurse Practitioners/education , Education, Nursing, Graduate/methods , Fellowships and Scholarships/methods , Humans , Internship and Residency/methodsABSTRACT
Understanding how to assess, secure, and manage an airway can save a patient's life in an emergent situation. This article briefly describes the basics of airway management in the acute care setting.