Abstract
BackgroundThe aim of this study is to develop consensus on core competencies required for postgraduate training in intensive care medicine.MethodsWe used a combination of a modified Delphi method and a nominal group technique to create and modify the list of core competencies to ensure maximum consensus. Ideas were generated modified from Competency Based Training in Intensive Care Medicine in Europe collaboration (CoBaTrICE) core competencies. An online survey invited healthcare professionals, educators, and trainees to rate and comment on these competencies. The output from the online survey was edited and then reviewed by a nominal group of 13 intensive care professionals to identify each competence for importance. The resulting list was then recirculated in the nominal group for iterative rating.ResultsThe online survey yielded a list of 199 competencies for nominal group reviewing. After five rounds of rating, 129 competencies entered the final set defined as core competencies.ConclusionsWe have generated a set of core competencies using a consensus technique which can serve as an indicator for training program development.Electronic supplementary materialThe online version of this article (doi:10.1186/s13054-016-1514-z) contains supplementary material, which is available to authorized users.
Highlights
The aim of this study is to develop consensus on core competencies required for postgraduate training in intensive care medicine
Physician licensing has been slowly transforming from examination of knowledge to evaluation of competencies [3], which should develop during residency and fellowship training based on the Dreyfus model of knowledge development [4], and core competencies for graduates of fellowship programs in critical care have been defined by multiple critical care societies in western countries [5,6,7,8]
Phase 1: generation and structuring of competencies We developed the list of potential core competencies based on those proposed by the Competency Based Training in Intensive Care Medicine in Europe collaboration (CoBaTrICE) [6], the clinical roles of intensivists defined by Society of Critical Care Medicine (SCCM) [11], and the guidelines for critical care medicine training and continuing medical education developed by the American College of Critical Care Medicine (ACCM) [12]
Summary
The aim of this study is to develop consensus on core competencies required for postgraduate training in intensive care medicine. Postgraduate medical education in different fields of healthcare in China has been undergoing standardization for years, but standardized resident training in critical care is still under development. Up to 2010, there was Physician licensing has been slowly transforming from examination of knowledge to evaluation of competencies [3], which should develop during residency and fellowship training based on the Dreyfus model of knowledge development [4], and core competencies for graduates of fellowship programs in critical care have been defined by multiple critical care societies in western countries [5,6,7,8]. The goal does not encompass developing a comprehensive curriculum inclusive of teaching techniques and assessment methods, but to allow individual training centers to harmonize their training program or curriculum focused on producing intensive care specialists with common core skills. The present article describes the process and outcome related to this mandate, and we wish to set an example for such efforts in low and middle-income countries
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