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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
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April 11-13, 2019
Internal Medicine Meeting 2019
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Critical care medicine encompasses the diagnosis and treatment
of a wide variety of clinical problems representing the extreme of
human disease. Critically ill patients require intensive care by a
coordinated team. The critical care specialist (intensivist) may be
the primary provider of care or a consultant. The intensivist needs
to be competent not only in a broad range of conditions common
among critically ill patients but also with the technological
procedures and devices used in the intensive care setting. The care
of critically ill patients raises many complicated ethical and
social issues, and the intensivist must be competent in areas such
as end-of-life decisions, advance directives, estimating prognosis,
and counseling of patients and their families.
Important procedural skills for the critical care medicine
specialist include advanced cardiac life support, arterial blood
gas sampling and interpretation, bedside pulmonary function,
mechanical ventilation, placement of arterial and central venous
lines, insertion of temporary pacemaker, endotracheal intubation,
placement of pulmonary artery catheter, and interpretation of
Training in critical care medicine is most commonly pursued as
part of a combined 3-year subspecialty fellowship in pulmonary and
critical care medicine, after which the trainee is eligible for
subspecialty certification in both pulmonary medicine and critical
care medicine. In addition, a physician interested in critical care
medicine can pursue training by alternative routes besides linking
critical care with pulmonary medicine training. Such alternative
For the 2012-2013 academic year, there are 34 Accreditation
Council for Graduate Medical Education (ACGME)-accredited training
programs in Critical Care Medicine with 200 active positions.
The American Board of Internal Medicine, ABIM, offers certification in critical
care medicine. Certificates of Added Qualifications are also
awarded from the American Board of Surgery, American Board of
Pediatrics, and the American Board of Anesthesiology.
March 2013 Issue of IMpact
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