Development of obstetric anesthesia core competencies for USA residency programs through a Delphi process.
Development of obstetric anesthesia core competencies for USA residency programs through a Delphi process.
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DOI：
10.1007/s12630-023-02536-w
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发表时间：
2023-10
影响因子：
4.2
通讯作者：
George, Ronald B. B.
中科院分区：
文献类型：
--
作者：
Lilaonitkul, Maytinee;Cosden, Christopher W. W.;Markley, John C. C.;Pian-Smith, May;Lim, Grace;Yeh, Peter;Aleshi, Pedram;Boscardin, Christy;Sullivan, Kristina;George, Ronald B. B.
美国麻醉住院医师培训的标准主要依赖于研究生医学教育认证委员会（ACGME）成果项目，该框架缺乏针对产科麻醉等亚专业的具体指令。我们的目的是确定产科麻醉学的核心能力，这些能力可以适应不同的住院医师培训计划，以帮助提高美国境内机构的培训质量和问责制。我们通过审查现有的基于能力的产科麻醉培训课程和实践指南，确定了初步的能力清单。我们使用改进的德尔菲法在产科麻醉学会和围产期教育委员会成员之间达成专家共识。小组成员被要求使用李克特五点量表评估每项能力的重要性，两轮后达成的共识达到 80%。受访者还被问及每种能力应达到哪个级别的培训。德尔菲轮次的回复率为 75%，得出 94 项能力，分为 6 个 ACGME 领域：患者护理（38 项）、医学知识（45 项）、基于系统的实践（2 项）、基于实践的学习和改进（5 项）、人际沟通技巧（2 项）和专业精神（2 项）。我们通过专家共识生成了产科麻醉学住院医师培训能力清单。住院医师培训计划可以使用该列表来开发具有具体里程碑的结构化的基于能力的课程，从而减少培训标准的异质性。
The standard for anesthesia residency training in the USA mainly relies on the Accreditation Council for Graduate Medical Education (ACGME) Outcome Project, a framework that lacks specific directives for subspecialties including obstetric anesthesia. We aimed to identify core competencies in obstetric anesthesiology that can be adapted to different residency training programs to help improve the quality of training and accountability of the institutions within the USA. We identified a preliminary list of competencies from review of existing competency-based obstetric anesthesia training curricula and practice guidelines. We used a modified Delphi methodology to achieve expert consensus among members of the Society for Obstetric Anesthesia and Perinatology education committee. The panellists were asked to evaluate the importance of each competency using a five-point Likert scale, with consensus after two rounds defined at 80% agreement. The responders were also asked at which level of training each competency should be attained. The Delphi rounds had 75% response rate and derived 94 competencies that were categorized under the six ACGME domains: patient care (38), medical knowledge (45), system-based practice (two), practice-based learning and improvement (five), interpersonal communication skills (two), and professionalism (two). We generated a residency training competency list for obstetric anesthesiology through expert consensus. This list can be used by residency training programs to develop a structured competency-based curriculum with tangible milestones, thereby reducing heterogeneity in the standard of training.
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影响因子：
5.7
作者：
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通讯作者：
Carvalho, Brendan
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Guttsche, BB
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