ICU's in the United States consume some 1% of the gross national produ
ct, 10% of hospital beds, and 30% of acute hospital costs. Critical ca
re medicine is the only specialty fellowship which requires formal tra
ining in administrative, management, and economic skills by its certif
ying organizations. The nonclinical curriculum requirements of fellows
hip training have been defined, Increasing attention to this aspect of
medicine is being paid by professional societies and medical institut
ions. In order for critical care medicine to continue to grow as an ac
ademic, as well as a successful institutional clinical service, it is
important that the quality of training provided in this nonclinical pa
rt of the fellowship curriculum be at least comparable to the clinical
aspects of training.