Abstract：
Cardiothoracic surgical critical care medicine is practiced by a diverse group of physicians including surgeons, anesthesiologists, pulmonologists, and cardiologists. With a wide array of specialties involved, the training of cardiothoracic surgical intensivists lacks standardization, creating significant variation in practice. Additionally, it results in siloed physicians who are less likely to collaborate and advocate for the cardiothoracic surgical critical care subspeciality. Moreover, the current model creates credentialing dilemmas, as experienced by some cardiothoracic surgeons. Through the lens of critical care anesthesiologists, this article addresses the shortcomings of the contemporary cardiothoracic surgical intensivist training standards. First, we describe the present state of practice, summarize past initiatives concerning specific training, outline why standardized education is needed, provide goals of such training standardization, and offer a list of desirable competencies that a trainee should develop to become a successful cardiothoracic surgical intensivist.
摘要：
心胸外科重症监护医学由包括外科医生在内的各种医生组成，麻醉师,肺病学家,和心脏病学家。涉及到各种各样的专业，心胸外科重症医师的培训缺乏标准化，在实践中创造了显著的变化。此外,这导致孤立的医生不太可能合作和倡导心胸外科重症监护亚专科。此外，当前的模式造成了认证困境，一些心胸外科医生的经验。通过重症监护麻醉师的镜头，本文针对当代心胸外科重症医师培训标准的不足。首先,我们描述了实践的现状，总结过去关于具体培训的举措，概述为什么需要标准化教育，提供此类培训标准化的目标，并提供受训者应该发展成为成功的心胸外科重症医师的理想能力清单。
