Development of Core Competencies for an International Training Programme in Intensive Care Medicine

Overview

Journal Intensive Care Med

Specialty Critical Care

Date 2006 Jul 15

PMID 16841214

Citations 43

Authors

J F Bion

H Barrett

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of this study was to define the core (minimum) competencies required of a specialist in adult intensive care medicine (ICM). This is the second phase of a 3-year project to develop an internationally acceptable competency-based training programme in ICM for Europe (CoBaTrICE).

Methodology: Consensus techniques (modified Delphi and nominal group) were used to enable interested stakeholders (health care professionals, educators, patients and their relatives) to identify and prioritise core competencies. Online and postal surveys were used to generate ideas. A nominal group of 12 clinicians met in plenary session to rate the importance of the competence statements constructed from these suggestions. All materials were presented online for a second round Delphi prior to iterative editorial review.

Results: The initial surveys generated over 5,250 suggestions for competencies from 57 countries. Preliminary editing permitted us to encapsulate these suggestions within 164 competence stems and 5 behavioural themes. For each of these items the nominal group selected the minimum level of expertise required of a safe practitioner at the end of their specialist training, before rating them for importance. Individuals and groups from 29 countries commented on the nominal group output; this informed the editorial review. These combined processes resulted in 102 competence statements, divided into 12 domains.

Conclusion: Using consensus techniques we have generated core competencies which are internationally applicable but still able to accommodate local requirements. This provides the foundation upon which an international competency based training programme for intensive care medicine can be built.

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References

Stewart J, OHalloran C, Harrigan P, Spencer J, Barton J, Singleton S . Identifying appropriate tasks for the preregistration year: modified Delphi technique. BMJ. 1999; 319(7204):224-9. PMC: 28172. DOI: 10.1136/bmj.319.7204.224. View

Vella K, Goldfrad C, Rowan K, Bion J, Black N . Use of consensus development to establish national research priorities in critical care. BMJ. 2001; 320(7240):976-80. PMC: 27337. DOI: 10.1136/bmj.320.7240.976. View

. Guidelines for advanced training for physicians in critical care. American College of Critical Care Medicine of the Society of Critical Care Medicine. Crit Care Med. 1997; 25(9):1601-7. DOI: 10.1097/00003246-199709000-00032. View

McKee M, Priest P, Ginzler M, Black N . Which tasks performed by pre-registration house officers out of hours are appropriate?. Med Educ. 1992; 26(1):51-7. DOI: 10.1111/j.1365-2923.1992.tb00123.x. View

Alspach J . Designing a competency-based orientation for critical care nurses. Heart Lung. 1984; 13(6):655-62. View

Walley T, Webb D . Developing a core curriculum in clinical pharmacology and therapeutics: a Delphi study. Br J Clin Pharmacol. 1997; 44(2):167-70. PMC: 2042819. DOI: 10.1046/j.1365-2125.1997.00669.x. View

Williams P, Webb C . The Delphi technique: a methodological discussion. J Adv Nurs. 1994; 19(1):180-6. DOI: 10.1111/j.1365-2648.1994.tb01066.x. View

Macdonald E, Ritchie K, Murray K, Gilmour W . Requirements for occupational medicine training in Europe: a Delphi study. Occup Environ Med. 2000; 57(2):98-105. PMC: 1739906. DOI: 10.1136/oem.57.2.98. View

McLeod P, Steinert Y, Meterissian S, Child S . Using the Delphi process to identify the curriculum. Med Educ. 2004; 38(5):548. DOI: 10.1111/j.1365-2929.2004.01853.x. View

10.

McMullan M, Endacott R, Gray M, Jasper M, Miller C, Scholes J . Portfolios and assessment of competence: a review of the literature. J Adv Nurs. 2003; 41(3):283-94. DOI: 10.1046/j.1365-2648.2003.02528.x. View

11.

Boath E, Mucklow J, Black P . Consulting the oracle: a Delphi study to determine the content of a postgraduate distance learning course in therapeutics. Br J Clin Pharmacol. 1997; 43(6):643-7. PMC: 2042785. DOI: 10.1046/j.1365-2125.1997.00602.x. View

12.

Murphy M, Black N, Lamping D, McKEE C, Sanderson C, Askham J . Consensus development methods, and their use in clinical guideline development. Health Technol Assess. 1998; 2(3):i-iv, 1-88. View

13.

Alahlafi A, Burge S . What should undergraduate medical students know about psoriasis? Involving patients in curriculum development: modified Delphi technique. BMJ. 2005; 330(7492):633-6. PMC: 554910. DOI: 10.1136/bmj.330.7492.633. View

14.

Perkins G, Barrett H, Bullock I, Gabbott D, Nolan J, Mitchell S . The Acute Care Undergraduate TEaching (ACUTE) Initiative: consensus development of core competencies in acute care for undergraduates in the United Kingdom. Intensive Care Med. 2005; 31(12):1627-33. DOI: 10.1007/s00134-005-2837-4. View

15.

Goldfrad C, Vella K, Bion J, Rowan K, Black N . Research priorities in critical care medicine in the UK. Intensive Care Med. 2000; 26(10):1480-8. DOI: 10.1007/s001340000628. View

16.

Dorman T, Angood P, Angus D, Clemmer T, Cohen N, Durbin Jr C . Guidelines for critical care medicine training and continuing medical education. Crit Care Med. 2004; 32(1):263-72. DOI: 10.1097/01.CCM.0000104916.33769.9A. View

17.

Lane D, ROSS V . The importance of defining physicians' competencies: lessons from preventive medicine. Acad Med. 1994; 69(12):972-4. DOI: 10.1097/00001888-199412000-00010. View

18.

de Lange S, Van Aken H, Burchardi H . European Society of Intensive Care Medicine statement: intensive care medicine in Europe--structure, organisation and training guidelines of the Multidisciplinary Joint Committee of Intensive Care Medicine (MJCICM) of the European Union of Medical.... Intensive Care Med. 2003; 28(11):1505-1511. DOI: 10.1007/s00134-002-1504-2. View

19.

Jones J, Hunter D . Consensus methods for medical and health services research. BMJ. 1995; 311(7001):376-80. PMC: 2550437. DOI: 10.1136/bmj.311.7001.376. View

20.

Barrett H, Bion J . An international survey of training in adult intensive care medicine. Intensive Care Med. 2005; 31(4):553-61. DOI: 10.1007/s00134-005-2583-7. View