Critical Care Scenarios

Lightning rounds 56: The CHEST Critical Care APP cert, with Leeah Sloan

Aug 6, 2025
In this conversation, Leeah Sloan, PA-C and co-chair of the Critical Care APP Steering Committee for CHEST, reveals exciting news about a new certification for Critical Care Advanced Practice Providers. She discusses the challenges of traditional training and the urgent need for standardized certification to enhance APP competency. Leeah also critiques the dangers of unstructured learning and the importance of collaborative approaches in critical care. This insightful talk shines a light on evolving inclusivity in the medical field.
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INSIGHT

Why a National Standard Was Needed

  • CHEST created the certification to set a national standard validating APPs' critical care knowledge and skills.
  • Leeah Sloan argues standardization protects patients and reduces variability from employer-dependent onboarding.
INSIGHT

Training Gaps Drive The Problem

  • Training for critical care APPs varies widely and many new graduates are underprepared for ICU roles.
  • Sloan highlights that limited fellowship spots and employer-dependent onboarding create inconsistent competency.
ADVICE

How To Prepare For The Exam

  • Prepare for a 150-question multiple-choice exam covering system-based critical care and applied skills like ultrasound.
  • Use the CHESS blueprint and the Essentials lecture series to focus study on heavily weighted pulmonary and cardiovascular topics.
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