In Reply: Dr Buckley and colleagues highlight the issues involved in developing and deploying a unified training and certification program in CCM. As they suggest, some relate to lengthy and complex politics that have established the currently fractured approach and serve as roadblocks to progress. Others stem from funding limitations. We agree that a new approach is warranted that includes additional position funding from CMS as a means of improving care. Unfortunately, evidence does not exist that a single CCM training pathway would improve care or attract more trainees and cannot be obtained without inaugurating such a program.
Kaplan LJ, Shaw A. Training Pathway for Critical Care Medicine—Reply. JAMA. 2011;305(18):1860-1861. doi:10.1001/jama.2011.584