Objectives: To define a curriculum that outlines the core knowledge re
sidents should possess upon completion of graduate training in order t
o be able to formulate and initiate a treatment plan for the criticall
y ill patient. Data Sources: Requirements for training program certifi
cation as outlined by the Accreditation Council for Graduate Medical E
ducation; consensus opinion of adult and pediatric critical care physi
cians, nurses, and pharmacists with multidisciplinary experience and e
xpertise in the critical care teaching environment. Data Synthesis: Be
cause of concerns about variability between the training requirements
of the five major specialties, and in keeping with the concept of crit
ical care as a multispecialty discipline, preference was given to expe
rt consensus opinion over certification requirements. Conclusions: A c
urriculum was developed that defines the core cognitive and procedural
skills and special certifications residents should possess upon compl
etion of residency training in order to be able to formulate and initi
ate a treatment plan for the critically ill patient. Special skills un
iquely required for pediatric and adult patient populations are deline
ated.