Abstract
Background: Extracorporeal membrane oxygenation (ECMO) supports severe cardiac or pulmonary failure. There are currently no competency-based standards for ECMO training. Methods: ECMO experts were interviewed using a structured interview. Responses were audio recorded,transcribed, and validated by respondents. Interviews were coded using grounded theory with a constant comparison method. Themes were developed and used to construct the entrustable professional activity (EPA), which was reviewed by the ECMO-experts. Results: Nine experts were interviewed; all had experience with trainees. Interview themes identified include: patient selection; circuit and medical management; multidisciplinary communication; problem based learning and simulation; and entrustment decisions. Essential functions of the EPA were: patient selection; circuit management; cannula selection; responding to circuit emergencies/complications; anticoagulation management; weaning; and family/team communication. Conclusions: Essential functions of an ECMO EPA were defined using data from structured interviews.The resultant EPA could be implemented by critical-care programs as a scaffolding for competency based fellow training.
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