ATS scholar最新文献

{"title":"Pediatric Pulmonary Fellowship Interviews: The More Options, the Better.","authors":"Kristen Richard, Stephen Kirkby, Lara Bishay, Tanya M Martinez-Fernandez, Kensho Iwanaga, Beverley J Sheares, Aliva De, Benjamin A Nelson","doi":"10.34197/ats-scholar.2024-0052BR","DOIUrl":"10.34197/ats-scholar.2024-0052BR","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 4","pages":"531-537"},"PeriodicalIF":1.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Echocardiographic Cardiac Output Assessment by Critical Care Fellows.","authors":"Jordan Talan, Keshav Mangalick, Deepak Pradhan, Harald Sauthoff","doi":"10.34197/ats-scholar.2024-0030OC","DOIUrl":"10.34197/ats-scholar.2024-0030OC","url":null,"abstract":"<p><strong>Background: </strong>Advanced critical care echocardiography comprises a specific set of qualitative and quantitative point-of-care echocardiography skills, including a reliable, noninvasive method to measure cardiac output. This technique requires echocardiographic measurement of left ventricular outflow tract (LVOT) diameter and LVOT velocity time integral (VTI). Although there is a demand among critical care fellows to learn these advanced techniques, there are no data describing the acquisition of mastery in these skills.</p><p><strong>Objective: </strong>This pilot study aims to describe the accuracy of echocardiographic measurement of LVOT diameter and LVOT VTI obtained by critical care fellows after an educational intervention, as well as to enhance validation evidence for an image scoring assessment that is applicable to these measurements.</p><p><strong>Methods: </strong>We implemented a brief mastery learning intervention to teach the measurement of LVOT diameter and VTI. Fellow measurements of these parameters, along with the corresponding echocardiographic images, were compared with a gold standard of measurements obtained by professional echocardiography technicians and interpreted by cardiologists.</p><p><strong>Results: </strong>Seven fellows performed 35 echocardiograms on 32 patients. The average fellow-reported LVOT VTI was 17.0 ± 4.37 cm, whereas the average cardiologist-reported VTI was 17.3 ± 5.19 cm. The correlation (<i>r</i>) between fellow and cardiologist-reported VTI was 0.73 (<i>P</i> < 0.001), with a mean percent difference of 19.5 ± 12.0%. The average fellow-reported LVOT diameter was 2.07 ± 0.23 cm, whereas the average cardiologist-reported LVOT diameter was 2.08 ± 0.22 cm. The correlation (<i>r</i>) between fellow and cardiologist-reported LVOT diameter was 0.51 (<i>P</i> = 0.004), with a mean percent difference of 8.05 ± 7.0%. The sensitivity for fellows to detect an abnormal LVOT VTI was 91%, with a specificity of 43%.</p><p><strong>Conclusion: </strong>Critical care fellow measurement of LVOT VTI and LVOT diameter demonstrated strong and moderate positive correlations with cardiologist-reported values, respectively, with acceptable clinical agreement. However, interrater reliability and percent differences showed room for improvement. Education in these advanced skills is resource intensive, and additional research is needed to determine the most effective approach to training fellows.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 4","pages":"547-558"},"PeriodicalIF":1.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections on a Respiratory Therapy Postgraduate Certificate Program in Chile.","authors":"Eduardo Kattan, Roque Basoalto, Jaime Retamal, Vanessa Oviedo, Alejandro Bruhn, Guillermo Bugedo","doi":"10.34197/ats-scholar.2024-0025PS","DOIUrl":"10.34197/ats-scholar.2024-0025PS","url":null,"abstract":"<p><p>Chile is a South American country that spans 4,300 km from north to south. Population density and access to critical care are highly concentrated in Santiago's metropolitan region. After the educational challenges posed by the 2009 H1N1 influenza pandemic, our critical care department at the Pontificia Universidad Católica de Chile in Santiago created the Respiratory Therapy Postgraduate Certificate as an educational intervention to address the shortage of healthcare professionals with knowledge and skills in performing respiratory support in critically ill patients. Throughout this Perspective, we aim to delineate the program design, major educational results, implementation of educational innovations that allowed us to adapt to the geographical challenges of the country and those imposed by the coronavirus disease (COVID-19) pandemic, and future challenges identified for the next decade.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 4","pages":"508-517"},"PeriodicalIF":1.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Competency in Communication Skills: Curriculum Is Just the Beginning.","authors":"Erica Lin","doi":"10.34197/ats-scholar.2024-0098ED","DOIUrl":"10.34197/ats-scholar.2024-0098ED","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 3","pages":"348-350"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Patel and LaNou: The Missing Piece: The Intersection of Pharmacist Board Certification and Tobacco Use Disorder Treatment.","authors":"Janaki Deepak, Yaron B Gesthalter, Hyma P Gogineni, Anne C Melzer","doi":"10.34197/ats-scholar.2024-0049LE","DOIUrl":"10.34197/ats-scholar.2024-0049LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 3","pages":"469"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Boppana and Mirsaeidi: Nonsurgical Treatment for Symptomatic Pulmonary Aspergilloma.","authors":"Elizabeth Y Han, Sucharita Kher","doi":"10.34197/ats-scholar.2024-0094LE","DOIUrl":"10.34197/ats-scholar.2024-0094LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 3","pages":"472-473"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video Speaks a Thousand Words: A Novel Educational Tool in Airway Management.","authors":"Ilana Harwayne-Gidansky, Elizabeth Laverriere McGovern, Akira Nishisaki","doi":"10.34197/ats-scholar.2024-0103ED","DOIUrl":"10.34197/ats-scholar.2024-0103ED","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 3","pages":"345-347"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Missing Piece: The Intersection of Pharmacist Board Certification and Tobacco Use Disorder Treatment.","authors":"Parth H Patel, Elizabeth LaNou","doi":"10.34197/ats-scholar.2024-0020LE","DOIUrl":"10.34197/ats-scholar.2024-0020LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 3","pages":"467-468"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonsurgical Treatment for Symptomatic Pulmonary Aspergilloma. Reply to Han and Kher: Treatment of Simple Pulmonary Aspergilloma.","authors":"Leela Krishna Teja Boppana, Mehdi Mirsaeidi","doi":"10.34197/ats-scholar.2024-0050LE","DOIUrl":"10.34197/ats-scholar.2024-0050LE","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 3","pages":"470-471"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Multicenter Study of Pulmonary Critical Care Trainees' Perception of Airway Management Training during Fellowship.","authors":"Christopher Ghiathi, Anthony R Lanfranco, Janae K Heath","doi":"10.34197/ats-scholar.2024-0033OC","DOIUrl":"10.34197/ats-scholar.2024-0033OC","url":null,"abstract":"<p><strong>Background: </strong>There is significant variability in airway management training among pulmonary and critical care medicine (PCCM) fellows.</p><p><strong>Objective: </strong>To assess the airway management training of PCCM fellows, specifically evaluating the role of the institutional approach to intubations (anesthesia-predominant primary operators vs. PCCM-predominant) to the overall fellows' educational experience.</p><p><strong>Methods: </strong>We performed a survey of PCCM fellows at 14 institutions to assess the perceptions of airway management training. Summary statistics were used to analyze the Likert scale responses. Based on our hypothesis of a relationship of a fellow's experience to the institutional approach to intubations, we stratified responses based on whether the primary operator for airway management for critically ill patients was generally anesthesiology or PCCM providers. Statistical significance was determined using either <i>t</i> testing (after converting Likert-style responses to continuous variables) or analysis of variance for categorical variables (<i>P</i> < 0.05).</p><p><strong>Results: </strong>Respondents included 132 fellows across 14 PCCM programs (47% response rate), spanning all fellowship years (29% in first year [<i>n</i> = 38], 31% in second year [<i>n</i> = 41], 26% in third/fourth year [<i>n</i> = 34]). Seventy percent (<i>n</i> = 80) of fellows were very or somewhat satisfied with their airway management training. In fellows training where anesthesia providers primarily perform airway management (29% [<i>n</i> = 34]), satisfaction with training was significantly lower, as was the self-assessment of one's airway management skills. The location of airway management experience in anesthesia-predominant programs was mainly the operating room (69% [<i>n</i> = 22]), versus mainly in the intensive care unit for PCCM-predominant programs (94% [<i>n</i> = 77]). The number of completed intubations was lower for fellows in anesthesia-predominant programs (<i>P</i> = 0.02).</p><p><strong>Conclusion: </strong>We found significant differences in fellows' experiences in airway management based on the institutional approach to intubations (anesthesia-predominant primary operators vs. PCCM-predominant). Ongoing focus on strategies to optimize competency-based airway management training is needed, particularly at programs where anesthesia involvement limits the amount of clinical exposure.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":"5 4","pages":"538-546"},"PeriodicalIF":1.7,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}