TY - JOUR
T1 - The Definition of the Intensivist in the Era of Global Healthcare
T2 - 2024 Consensus Statement from the Society of Critical Care Medicine Defining Intensivist Task Force
AU - Wu, Daniel
AU - Dzierba, Amy L.
AU - Ablordeppey, Enyo A.
AU - Dorman, Todd
AU - Du, Bin
AU - Dulu, Alina O.
AU - Gunnerson, Kyle
AU - Holly, Pamela B.
AU - Jansen Van Rensburg, Johannes
AU - Kortz, Teresa B.
AU - Livesay, Sarah L.
AU - Lorenzo, Javier
AU - Madden, Maureen A.
AU - Mathur, Piyush
AU - Myatra, Sheila Nainan
AU - Roberts, Kathryn E.
AU - Rodríguez-Vega, Gloria M.
AU - Szakmany, Tamas
AU - Taha, Ahmed
AU - Tisherman, Samuel A.
N1 - Publisher Copyright:
© 2025 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
PY - 2025/3/1
Y1 - 2025/3/1
N2 - OBJECTIVES: The goal of this task force was to examine the 1992 definition of the intensivist, identify gaps, and initiate a path forward to define a concise and practical definition that could be applied globally. DESIGN: A modified Delphi technique was used to develop a revised definition and roles of the intensivist. We determined a priori that 75% or greater participant agreement for the definition and essential roles of the intensivist was required. SETTING: A task force consisting of physicians, a respiratory therapist, advanced practice providers, and a pharmacist that practice in critical/intensive care medicine, in various settings, was established with the goal of evaluating and revising the previous definition considering evolving healthcare. SUBJECTS: The task force participated in online questionnaires related to the definition and roles of the intensivist. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The task force agreed on the following definition of an intensivist: "A physician who has successfully completed an accredited program or equivalent critical care/intensive care medicine training and maintains advanced certification (if available); and shows dedication to the area of critical/intensive care medicine in the way of professional work."Additionally, the task force determined a list of essential roles of the intensivist categorized into Direct Clinical Care, Unit Management/Unit Involvement, Responsibility to the Community, and Administration and Leadership. CONCLUSIONS: The revised definition of the intensivist seeks to integrate the intensivist in the current realm of team-based healthcare. The intensivist is a physician who provides care to critically ill patients in collaboration with an interprofessional team. Establishment of a single, revised definition is intended to render clarity of an intensivist's role and responsibilities for patients, families, and the interprofessional team.
AB - OBJECTIVES: The goal of this task force was to examine the 1992 definition of the intensivist, identify gaps, and initiate a path forward to define a concise and practical definition that could be applied globally. DESIGN: A modified Delphi technique was used to develop a revised definition and roles of the intensivist. We determined a priori that 75% or greater participant agreement for the definition and essential roles of the intensivist was required. SETTING: A task force consisting of physicians, a respiratory therapist, advanced practice providers, and a pharmacist that practice in critical/intensive care medicine, in various settings, was established with the goal of evaluating and revising the previous definition considering evolving healthcare. SUBJECTS: The task force participated in online questionnaires related to the definition and roles of the intensivist. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The task force agreed on the following definition of an intensivist: "A physician who has successfully completed an accredited program or equivalent critical care/intensive care medicine training and maintains advanced certification (if available); and shows dedication to the area of critical/intensive care medicine in the way of professional work."Additionally, the task force determined a list of essential roles of the intensivist categorized into Direct Clinical Care, Unit Management/Unit Involvement, Responsibility to the Community, and Administration and Leadership. CONCLUSIONS: The revised definition of the intensivist seeks to integrate the intensivist in the current realm of team-based healthcare. The intensivist is a physician who provides care to critically ill patients in collaboration with an interprofessional team. Establishment of a single, revised definition is intended to render clarity of an intensivist's role and responsibilities for patients, families, and the interprofessional team.
KW - critical care specialist
KW - intensive care physician
KW - intensive care specialist critical care
KW - intensivist
UR - https://www.scopus.com/pages/publications/86000436995
U2 - 10.1097/CCM.0000000000006580
DO - 10.1097/CCM.0000000000006580
M3 - Article
C2 - 39982148
AN - SCOPUS:86000436995
SN - 0090-3493
VL - 53
SP - e548-e554
JO - Critical care medicine
JF - Critical care medicine
IS - 3
ER -