Critical care medicine is the only specialty fellowship which requires formal training in administrative and management skills by its certifying organisation. The rationale for this is the fact that critical care is responsible for some 1% of gross national product, 10% of hospital beds and 30% of acute hospital costs in the USA. The curriculum required during the fellowship training has been defined. In order for critical care medicine to continue to grow as an academic as well as a successful institutional clinical service, it is important that quality training be provided in this non-clinical part of the fellowship curriculum as well as the clinical aspects.
Critical care medicine as a specialty has grown rapidly, both clinically and academically, over the past 25 years. In the USA, certification of competence has been awarded to graduates of the critical care medicine fellowship programmes since 1987.
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