Advanced Critical Care Competency: Verified hands-on proficiency managing high-acuity trauma, neuro, high-risk OB, surgical, and unstable cardiac ICU patients requiring Q1H assessments strictly required [HARDSTOP]. Hemodynamic & Airway Management: Mastery in continuous vasoactive drip titration, advanced invasive hemodynamic monitoring, mechanical ventilation management, and emergency airway stabilization strictly required [HARDSTOP].