Editorial
Pulmonary and critical care medicine: a peculiarly American hybrid?*
| The first 150 words of the full text of this article appear below. |
The evolution of pulmonary medicine over the last 15 years
has differed in the United States from that in other countries. Today,
most fellow applicants to a pulmonary training programme seek combined
training in pulmonary medicine and critical care medicine. Programmes
that offer fellowship training in pulmonary medicine alone, without
critical care training, are decreasing in number. Of the 2019 fellows
trained in pulmonary medicine in the United States over the last five
years, 79% obtained their training in a three year combined pulmonary
and critical care medicine programme; this number increases to 88% if
programmes in New York are excluded.1 Applicants to
fellowship programmes that offer training in critical care medicine
alone have concurrently decreased. As such, the majority of newly
certified pulmonary physicians in the United States also obtain
certification in critical care medicine, and vice versa. This
experience is very different from that of pulmonary medicine in Europe,
and
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