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PANEL DISCUSSION: EDUCATIONAL ISSUES — QUESTIONS AND COMMENTS

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1. Question: How do you manage acute patients when the MD is not in the house or when the managing physician is not a specialist. Is it feasible to train several nurses in the area of resuscitation and have these nurses be called?

2. Question: How have non intensivists been trained to be MET leaders?

3. Comment: To be a successful MET leader, one must learn to be a team player, which most physicians are not. It seems that the medical school admission process needs to focus on applicants who are team players.

4. Comment: One option to improving training is the FCCS course by SCCM. It is open to advance-practice nurses, critical care nurses, and physicians who provide > 50% of practice in critical care.

5. Question: Simulator training moves you farther towards competency than does FCCS training. But what opportunities are available to those without access to simulator training?

6. Question: How do we address sustainability and durability of simulator training? How do these skills mesh with everyday practice. How often is retesting and retraining required?