1.   Become proficient in critical care knowledge in the following areas:

a.  Cardiothoracic-respiratory resuscitation;

b.  Physiology, pathophysiology, diagnosis, and therapy of disorders of the cardiovascular, respiratory, gastrointestinal, genitourinary, neurologic, endocrine, musculoskeletal, and immune systems as well as of infectious diseases;

c.  Metabolic, nutritional, and endocrine effects of critical illness;

d.  Hematologic and coagulation disorders;

e.  Critical obstetric and gynecologic disorders;

f.  Trauma, thermal, electrical, radiation, inhalation and immersion injuries;

g.  Monitoring and medical instrumentation;

h.  Critical pediatric surgical conditions;

i.  Pharmacokinetics and dynamics of drug metabolism and excretion in critical illness;

j.  Ethical and legal aspects of surgical critical care;

k.  Principles and techniques of administration and management;

 l.  Biostatistics and experimental design;

2.   Become proficient in critical care skills in the following areas:

a.  Respiratory airway management including endoscopy and management of respiratory systems;

b.  Circulatory: invasive and non invasive monitoring techniques, including transesophageal and precordial cardiac ultrasound and application of transvenous pacemakers, computations of cardiac output and of system and pulmonary vascular resistance; monitoring electrocardiograms and management of cardiac assist devices;

c.  Neurological: the performance of complete neurological examinations; use of intracranial pressure monitoring techniques and the electroencephalogram to evaluate cerebral function; application of hypothermia in the management of cerebral trauma;

d.  Renal: the evaluation of renal function, peritoneal dialysis and hemofiltration, knowledge of the indications of complications of hemodialysis;

e.  Gastrointestinal: utilization of gastrointestinal intubation and endoscopic techniques in the management of the critically ill patient; application of enteral feeds, management of stomas, fistulas, and percutaneous catheter devices;

f.   Hematologic: application of autotransfusion, assessment of coagulation status, appropriate use of component therapy;

g.  Infectious Disease: classification of infections and application of isolation techniques, pharmacokinetics, drug interactions, and management of antibiotic therapy during organ failure, nosocomial infections, indications for applications of hyperbaric oxygen therapy;

h.  Nutritional: application of parenteral and enteral nutrition, monitoring and assessing metabolism and nutrition;

 i.  Monitoring/bioengineering: use and calibration of transducers, amplifiers, and recorders;

     J.  Miscellaneous: use of special beds for specific injuries; employment of pneumatic

         antishock garments, traction, and fixation devices.

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