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Shortcut in Critical Care Training Is Wrong Route for Hospitalists

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Any training pathway to critical care board certification must be as rigorous as the existing pathways. We must resist replacing rigor with expediency. The frenetic pace of hospitalist growth is the reason we never developed hospitalist fellowships and our own board in the first place. We have taken the path of least resistance in regard to our own identity and training. Before we look at a new expedited training path for another subspecialty board, I propose we get our own house in order. SHM should put the horse back in front of the cart.

Dr. Michota is director of academic affairs in the hospital medicine department at the Cleveland Clinic and medical editor of Hospitalist News. He reported having no relevant financial conflicts.