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Tearing down the silos in Critical Care Medicine

After a rousing start from Scott Weingart at SMACC2013, John Myburgh, Intensivist from StGeorge in Sydney raised the issue of “silos” in Critical Care Medicine.  Why do we still see ourselves as such distinct specialties, who “play on different teams”, who are antagonistic, who often lose the focus of the patient as the most important thing in the resus room? What do you think of “silos”, and how can we all learn to work better together for the best outcome for the patient. Should we all just be called “Resuscitationists” as Scott suggested?

Leave your comments below…

 

 

3 Responses to Tearing down the silos in Critical Care Medicine

  1. Todd Fraser March 12, 2013 at 1:18 pm #

    While the term “Resuscitationists” has a certain flamboyance to it, quite obviously the answer is no. No-one practitioner can bridge all fields, and an expertise in a particular field has merit. Personally, I don’t see any problem with the model we have in Australasia.

    That not-withstanding, we must stop these silly turf-wars and regain focus -“What can I do to improve the status of the patient?”

    My personal belief is that we should invest on interdisciplinary training and debriefing, a process that will facilitate interpersonal relationship building and an enhanced understanding of each other’s perspective

  2. Chris Cole March 16, 2013 at 9:34 pm #

    I tend to agree with Todd Fraser, above. While there are a growing number of enthusiastic dual-qualified ED/ICU specialists floating about, for the rest of us mere mortals, there are indeed distinct differences in the day to day work and clinical roles between the two specialties.

    There is merit in adopting descriptors such as Resuscitationist, but I think that’s all that they are… sub-set descriptors of roles that we occupy.

    For an ED physician I would suggest we could suggest that the roles of Resuscitationist and Dispositionist are paramount, with Diagnostician, Logistician, Diplomat and Teacher coming in not far behind.

    There are commonalities, clearly, but to try to toss us all in together in a warm and fuzzy group hug is purely a matter of politically correct semantics and is unlikely to achieve much in the way of practical improvement for patient care which, as Todd points out, is what it’s all about.

  3. kangaroobeach March 17, 2013 at 9:23 am #

    …so, after the RPA’s performance in SimWars, we are agreed that some components of upstairs care are best left upstairs?

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