A Needs Assessment of Brain Death Education in Pediatric Critical Care Medicine Fellowships

Objectives: To assess the current training in brain death examination provided during pediatric critical care medicine fellowship. Design: Internet-based survey. Setting: United States pediatric critical care medicine fellowship programs. Subjects: Sixty-four pediatric critical care medicine fellowship program directors and 230 current pediatric critical care medicine fellows/recent graduates were invited to participate. Interventions: Participants were asked demographic questions related to their fellowship programs, training currently provided at their fellowship programs, previous experience with brain death examinations (fellows/graduates), and perceptions regarding the adequacy of current training. Measurements and Main Results: Twenty-nine program directors (45%) and 91 current fellows/graduates (40%) responded. Third-year fellows reported having performed a median of five examinations (interquartile range, 3–6). On a five-point Likert scale, 93% of program directors responded they “agree” or “strongly agree” that their fellows receive enough instruction on performing brain death examinations compared with 67% of fellows and graduates (p = 0.007). The responses were similar when asked about opportunity to practice brain death examinations (90% vs 54%; p

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