The Intensivist's Challenge Aging and Career Growth in a High-Stress

This book brings together personal narratives from critical care medicine specialists around the world. Most of these physicians started in critical care at or before the exponential increase in technological modalities to reverse or sustain organ functio

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The Intensivist’s Challenge

Aging and Career Growth in a High-Stress Medical Specialty

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The Intensivist's Challenge

David Crippen Editor

The Intensivist's Challenge Aging and Career Growth in a High-Stress Medical Specialty

Editor David Crippen Department of Critical Care Medicine University of Pittsburgh Pittsburgh, PA USA

ISBN 978-3-319-30452-6 ISBN 978-3-319-30454-0 DOI 10.1007/978-3-319-30454-0

(eBook)

Library of Congress Control Number: 2016938432 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland

Foreword

I still read the odd journal that comes in the mail, and through the electronic waterfalls. In this week’s selection, there seemed to be a number of articles written by people, with whom I podiumed over the years, who were older than me. “Still charging the windmills” I thought. And there were some advertisements for industry functions spruiking some unfathomable device to measure blood flow starring some of the usual suspects. But many of the names who shared my journey are vanishing. The real pioneers have been slowly vanishing for some time. The baby boomers represent the second echelon. It was they who turned the inspiration of the Safars, Thompsons, Civettas, Shoemakers, Rapins, Grenviks, and Bursteins into a functional specialty. And now their time has come to go gently into the night. Intensive and Critical Care, like other specialties, have a number of unique features. Not least of these is that it has been an emerging specialty. It has been established for many years that the sickest patients are best looked after together in a special place, and in most countries, it is recognized that they are best cared for by specialist doctors and nurses. Successful intensive care seems to be dependent upon specialist presence at the bedside and the b