title: Challenges to the care of the critically ill: novel staffing paradigms.
abstract: The current shortage in intensive care unit (ICU) physician staffing coupled with Leapfrog initiatives has lead to novel ICU staffing paradigms including the use of nonsurgeon intensivists in surgical ICUs, increased development of telemedicine, and ICU regionalization.
authors.affiliation: Department of Surgery, University of Texas Health Science Center in Houston, Houston, Texas, USA. rosemary.a.kozar@uth.tmc.edu
authors.forename: Rosemary A
authors.initials: RA
authors.lastname: Kozar
authors.forename: Steven R
authors.initials: SR
authors.lastname: Shackford
authors.forename: Christine S
authors.initials: CS
authors.lastname: Cocanour
mesh_terms: D003422:Critical Care / Q000592:standards; D016638:Critical Illness / Q000628:therapy; D013502:General Surgery; D006280:Health Workforce; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling; D011787:Quality of Health Care; D012041:Regional Medical Programs; D013038:Specialization; D017216:Telemedicine; D014481:United States