title: A national survey of airway management training in United States internal medicine-based critical care fellowship programs.
abstract: BACKGROUND
  Intensivists may be primarily responsible for airway management in non-operating room locations. Little is known of airway management training provided during fellowship.Our primary aim was to describe the current state of airway education in internal medicine-based critical care fellowship programs.
  
  
  METHODS
  Between February 1 and April 30, 2011, program directors of all 3-year combined pulmonary/critical care and 2-year multidisciplinary critical care medicine programs in the United States were invited to complete an online survey. Contact information was obtained via FRIEDA Online (https://freida.ama-assn.org). Non-responders were sent automated reminders, were contacted by e-mail, or by telephone.
  
  
  RESULTS
  The overall response proportion was 66% (111/168 programs). Sixty-four (58%) programs reported a designated airway rotation, chiefly occurring for 1 month during the first year of training. Thirty-five programs (32%)reported having a director of airway education and 78 (70%) reported incorporating simulation based airway education. Nearly all programs (95%) reported provision of supervised airway experience during fellowship. Commonly used airway management devices, including video laryngoscopes,intubating stylets, supraglottic airway devices, and fiberoptic bronchoscopes, were reportedly available to trainees. However, 73% reported < 10 uses of a supraglottic airway device, 60% < 25 uses of intubating stylets, 73% < 30 uses of a video laryngoscope, and 65% reported < 10 flexible fiberoptic intubations. Estimates of the required number of procedures to ensure competence varied widely.
  
  
  CONCLUSIONS
  The majority of programs have a formal airway management program incorporating a variety of intubation techniques. Overall experience varies widely, however.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Harborview Medical Center, Seattle WA 98195-9724, USA. joffea@uw.edu
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Joffe
authors.forename: Elaine C
authors.initials: EC
authors.lastname: Liew
authors.forename: Hernando
authors.initials: H
authors.lastname: Olivar
authors.forename: Armagan H C
authors.initials: AH
authors.lastname: Dagal
authors.forename: Andreas
authors.initials: A
authors.lastname: Grabinsky
authors.forename: Matt
authors.initials: M
authors.lastname: Hallman
authors.forename: Miriam M
authors.initials: MM
authors.lastname: Treggiari
mesh_terms: D058109:Airway Management; D002983:Clinical Competence; D003422:Critical Care; D005257:Fellowships and Scholarships / Q000592:standards; D019538:Health Care Surveys; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D012138:Respiratory Therapy / Q000193:education*; D014481:United States