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Editorials |

First, Do No HarmFirst, Do No Harm: Less Training ≠ Quality Care

Michael H. Baumann, MD, MS, FCCP; Steven Q. Simpson, MD, FCCP; Mary Stahl, RN, MSN, ACNS-BC, CCNS; Suhail Raoof, MBBS, FCCP, MACP, FCCM; Darcy D. Marciniuk, MD, FRCPC, FCCP; David D. Gutterman, MD, FCCP; On Behalf of the American College of Chest Physicians and the American Association of Critical-Care Nurses
Author and Funding Information

From the Division of Pulmonary, Critical Care and Sleep Medicine (Dr Baumann), University of Mississippi Medical Center; the Division of Pulmonary and Critical Care Medicine (Dr Simpson), University of Kansas; Mid America Heart Institute (Ms Stahl), Saint Luke’s Hospital of Kansas City; Weill Medical School of Cornell University (Dr Raoof), and the Division of Pulmonary, Critical Care and Sleep Medicine (Dr Raoof), New York Methodist Hospital; the Division of Respirology, Critical Care, and Sleep Medicine (Dr Marciniuk), University of Saskatchewan; and Medical College of Wisconsin (Dr Gutterman).

Correspondence to: Michael H. Baumann, MD, FCCP, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216; e-mail: mbaumann@umc.edu

Financial/nonfinancial disclosures: The authors have reported that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.


This article is being simultaneously published in the American Journal of Critical Care.

Financial/nonfinancial disclosures: The authors have reported that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(1):5-7. doi:10.1378/chest.12-1354
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Editor’s Note: In an attempt to transform the health-care system in the United States to improve upon the inadequacies and deficiencies of our current model, the Robert Wood Johnson Foundation and the Institute of Medicine created a collaborative partnership to spell out what aspects of our health-care system need to be remodeled. They envisioned that “interprofessional collaboration and coordination would be the ‘norm,’”1 because no discipline functions in isolation of others, certainly not in our intensive care units. In this spirit of interdisciplinary collaboration, the American College of Chest Physicians (ACCP) and the American Association of Critical-Care Nurses (AACN)—physician and nursing societies, respectively, with combined memberships totaling more than 110,000 practicing critical care practitioners—have spoken with one voice in the editorial that follows about how and how not to address the shortage of critical care physicians. Because our critical care nurses work side by side with our intensivists, shouldn’t they have a say in how intensivists are trained? The ACCP and AACN think so, and we agree.

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