To the Editor: Drs Kaplan and Shaw focused on the critical care medicine (CCM) workforce shortage.1 However, their proposal for a single training pathway in CCM did not address the underlying complexities of the problem. The reasons behind the separate training pathways to critical care certification in the United States are lengthy and complex, as would be any attempt to align all key US stakeholders to consolidate training standards and credentialing into a single pathway similar to Europe's CoBaTrICE. More importantly, there is no evidence that a single CCM training pathway would either improve patient care or attract more trainees to the field.
Buckley JD, Mastronarde J, Piquette CA. Training Pathway for Critical Care Medicine. JAMA. 2011;305(18):1860-1861. doi:10.1001/jama.2011.583