ABP PCCM

ABP Pediatric Critical Care Medicine content outline

American Board of Pediatrics · US/Canada · Doctors

• 1 Normal development, physiology and pharmacology of organ systems
• 1.A Respiratory system basics5
• 1.B Cardiovascular system basics–
• 1.C Nervous system basics–
• 1.D Inflammatory and immune response basics–
• 1.E Renal function and fluid-electrolyte balance4
• 1.F Blood and haematology basics–
• 1.G Endocrine and metabolic basics1
• 1.H Liver, biliary and gut basics–
• 1.I Drug actions and pharmacokinetics7
• 2 Common critical care conditions
• 2.A Multiple organ failure and organ interactions–
• 2.B Respiratory conditions
• 2.B.1 ARDS27
• 2.B.2 Upper airway disease5
• 2.B.3 Lower airway and lung disease55
• 2.B.4 Pulmonary vascular disease and pulmonary hypertension1
• 2.B.5 Gas exchange problems and blood gas interpretation9
• 2.B.6 Other respiratory problems, including diaphragm and breathing control–
• 2.C Cardiovascular conditions
• 2.C.1 Congenital cardiac disease19
• 2.C.2 Acquired cardiac disease1
• 2.C.3 Arrhythmias18
• 2.C.4 Types of shock16
• 2.C.5 Cardiac arrest33
• 2.D Neurological conditions
• 2.D.1 Acute brain and spinal cord disorders49
• 2.D.2 Long-term brain and spinal cord disorders4
• 2.D.3 Peripheral nerve and neuromuscular disease–
• 2.D.4 Neurological and psychiatric effects of critical illness33
• 2.E Inflammatory, immune and infectious disease
• 2.E.1 Sepsis and associated conditions41
• 2.E.2 Infections and infectious syndromes26
• 2.E.3 Transplantation medicine–
• 2.E.4 Autoimmune and inflammatory disease7
• 2.E.5 Primary and acquired immunodeficiency1
• 2.E.6 Other immune and post-infectious syndromes, including anaphylaxis2
• 2.F Renal, fluid and electrolyte disorders
• 2.F.1 Acute and chronic kidney dysfunction33
• 2.F.2 Fluid and electrolyte management48
• 2.G Haematology and oncology
• 2.G.1 Blood disorders including clotting and cytopenias35
• 2.G.2 Cancer and its complications, including stem cell transplant21
• 2.H Endocrine and metabolic conditions
• 2.H.1 Endocrine gland disorders6
• 2.H.2 Metabolic disorders including glucose and inborn errors30
• 2.I Liver and gut disease and nutrition
• 2.I.1 Liver and biliary disease5
• 2.I.2 Gut dysfunction–
• 2.I.3 Nutrition in critical illness and injury71
• 2.J Trauma
• 2.J.1 Head injury34
• 2.J.2 Blunt and penetrating trauma11
• 2.J.3 Burns15
• 2.J.4 Environmental injury such as heat illness1
• 2.J.5 Non-accidental injury1
• 2.J.6 Other injuries including drowning and hanging3
• 2.K Poisoning and envenomation
• 2.K.1 Toxidromes–
• 2.K.2 Bites and stings–
• 2.K.3 Smoke inhalation and hydrocarbon poisoning–
• 2.L Mental health conditions seen in PICU1
• 3 Sedation and analgesia
• 3.A Sedation depth, complications and rescue38
• 3.B Pharmacology of sedatives, analgesics and paralytics34
• 3.C Equipment and monitoring for safe sedation4
• 4 Organ support and monitoring
• 4.A Supporting failing organs
• 4.A.1 Oxygen therapy, non-invasive and invasive ventilation96
• 4.A.2 Mechanical circulatory support including ECMO and VADs50
• 4.A.3 Renal replacement therapy33
• 4.B Monitoring techniques
• 4.B.1 Invasive cardiorespiratory monitoring9
• 4.B.2 Non-invasive cardiorespiratory monitoring4
• 4.B.3 Invasive neuromonitoring1
• 4.B.4 Non-invasive neuromonitoring3
• 5 Procedures
• 5.A Procedures done by the intensivist1
• 5.A.1 Airway management and intubation66
• 5.A.2 Arterial line insertion4
• 5.A.3 Central line insertion8
• 5.A.4 Intraosseous access9
• 5.A.5 Pleural drainage and chest drains9
• 5.A.6 Pericardial drainage–
• 5.A.7 Abdominal fluid drainage–
• 5.A.8 Defibrillation and cardioversion5
• 5.A.9 Cardiac pacing1
• 5.B Procedures the intensivist assists with1
• 5.B.1 Flexible bronchoscopy5
• 5.B.2 Visceral endoscopy–
• 5.B.3 Bone marrow sampling–
• 5.B.4 Plasma exchange and exchange transfusion1
• 5.B.5 Peritoneal dialysis7
• 5.B.6 Starting haemodialysis and CRRT5
• 5.B.7 Surgical airway via cricothyroid11
• 5.B.8 Tracheostomy28
• 5.B.9 ICP monitor insertion–
• 5.B.10 ECMO cannulation3
• 6 End-of-life care
• 6.A Diagnosis and definition of death3
• 6.B Symptom control at end of life6
• 6.C Legal and ethical end-of-life practice, including donation14
• 6.D Advance directives, assent and decision-making capacity1
• 7 PICU management and care coordination
• 7.A Triage17
• 7.B Patient transport24
• 7.C Infection isolation7
• 7.D Hospital-acquired conditions30
• 7.E Causes of PICU readmission–
• 7.F Cost-effective care and antimicrobial stewardship3
• 7.G Inter- and intra-hospital transfer of care2
• 7.H Handover6
• 7.I Long-term effects of critical illness37
• 7.J Medicolegal aspects of practice1
• 8 Professionalism, leadership, advocacy and education
• 8.A Recognising burnout7
• 8.B Crisis resource management7
• 8.C Leadership and leadership styles1
• 8.D Managing change1
• 8.E Health equity and inequalities1
• 8.F Adult learning theory2
• 9 Clinical ethics
• 9.A Core medical ethics principles1
• 9.B Futile or potentially inappropriate treatment6
• 9.C Consent and assent1
• 10 Research and scholarship knowledge
• 10.A Biostatistics
• 10.A.1 Variable types–
• 10.A.2 Data distributions–
• 10.A.3 Hypothesis testing and power–
• 10.A.4 Common statistical tests–
• 10.A.5 Measures of association and effect size–
• 10.A.6 Regression methods1
• 10.A.7 Diagnostic test accuracy1
• 10.A.8 Systematic reviews and meta-analysis3
• 10.B Epidemiology and research design
• 10.B.1 Study design and internal validity3
• 10.B.2 External validity–
• 10.B.3 Bias and confounders4
• 10.B.4 Causality4
• 10.B.5 Incidence and prevalence1
• 10.B.6 Screening–
• 10.B.7 Health economics and outcomes–
• 10.B.8 Measurement validity and reliability2
• 10.C Research ethics
• 10.C.1 Research misconduct and conflicts of interest–
• 10.C.2 Human subjects research–
• 10.C.3 Consent and assent in research4
• 10.D Quality improvement
• 10.D.1 QI project design and PDSA cycles4
• 10.D.2 QI data, measures and charts3

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