Critical care workforce

Crit Care Med. 2008 Apr;36(4):1350-3. doi: 10.1097/CCM.0b013e318169ecee.


Objective: The recent Health Resources and Services Administration report on critical care manpower details the impending crisis in the critical care workforce in the United States.

Design: A review of the Health Resources and Services Administration statistics indicate the present structure for training critical care physicians through combined pulmonary/critical care fellowships is, and will remain, woefully inadequate to meet demand.

Intervention: Training for intensive care unit physicians will require new paradigms for training, including consideration of free-standing critical care residencies and multidisciplinary critical care fellowships.

Conclusion: Unless the training structure changes, the worsening shortage of intensivists will precipitate a crisis, resulting in the disintegration of critical care delivery in the United States.

MeSH terms

  • Certification
  • Critical Care* / trends
  • Humans
  • Internal Medicine* / education
  • Physicians / supply & distribution*
  • Pulmonary Medicine* / education
  • United States
  • United States Health Resources and Services Administration / statistics & numerical data
  • Workforce