Safety, quality & education

Intensive care unit (ICU) onboarding, boot camp, and procedural readiness curricula as entry-phase competency development for residents and fellows entering adult critical care: A scoping review

J Crit CarePublished scoping review

Authors' conclusion

Adult critical care entry curricula were heterogeneous and predominantly US-based. Technical and respiratory readiness were the largest evidence clusters, although nonprocedural transition domains were also represented. No superior curriculum model was identified; workplace-transfer evidence was uncommon, and patient-level evidence was limited to one uncontrolled airway-program evaluation.

Study context

Population
Residents and fellows entering adult critical care31 reports representing 26 independent studies and five linked reports
Outcome
Included studies by type
Methodological detailsprospectively registered
  • Prospectively registered

Main finding

As reported in the abstract

Studies evaluating interventions
Twenty-three
Landscape/needs studies
three
Entry-window interventions
20
Entry-anchored longitudinal interventions
three

Further findings

Outcome levels mapped (non-mutually exclusive)

Level 1 outcomes, studies
14
Level 2a, studies
15
Level 2b, studies
14
Level 3, studies
2
Level 4a, studies
1
Level 4b, studies
1

Conference-abstract-only studies

Independent studies conference-abstract-only
Twelve

Conduct of the review

Embase searched on September 10, 2026 to address its omission from the initial search; eligibility re-adjudication performed

Original publication

ICU onboarding, boot camp, and procedural readiness curricula as entry-phase competency development for residents and fellows entering adult critical care: A scoping review. J Crit Care. Published 7 October 2026. doi:10.1016/j.jcrc.2026.155768

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