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Published in: Critical Care 1/2016

Open Access 01-12-2016 | Research

Consensus development of core competencies in intensive and critical care medicine training in China

Authors: Xiaoyun Hu, Xiuming Xi, Penglin Ma, Haibo Qiu, Kaijiang Yu, Yaoqing Tang, Chuanyun Qian, Qiang Fang, Yushan Wang, Xiangyou Yu, Yuan Xu, Bin Du, for the China Critical Care Clinical Trials Group (CCCCTG) and the Task Force of Core Competencies in Intensive and Critical Care Medicine Training in China

Published in: Critical Care | Issue 1/2016

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Abstract

Background

The aim of this study is to develop consensus on core competencies required for postgraduate training in intensive care medicine.

Methods

We 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.

Results

The 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.

Conclusions

We have generated a set of core competencies using a consensus technique which can serve as an indicator for training program development.
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Literature
1.
go back to reference Du B, Xi X, Chen D, Peng J, China Critical Care Clinical Trial Group (CCCCTG). Clinical review: Critical care medicine in mainland China. Crit Care. 2010;14:206.CrossRefPubMedPubMedCentral Du B, Xi X, Chen D, Peng J, China Critical Care Clinical Trial Group (CCCCTG). Clinical review: Critical care medicine in mainland China. Crit Care. 2010;14:206.CrossRefPubMedPubMedCentral
3.
go back to reference Lane DS, Ross V. Consensus on core competencies for preventive medicine residents. Am J Prev Med. 1994;10:52–5.PubMed Lane DS, Ross V. Consensus on core competencies for preventive medicine residents. Am J Prev Med. 1994;10:52–5.PubMed
4.
go back to reference Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood). 2002;21:103–11.CrossRef Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood). 2002;21:103–11.CrossRef
5.
go back to reference Perkins GD, Barrett H, Bullock I, Gabbott DA, Nolan JP, Mitchell S, et al. 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;31:1627–33.CrossRefPubMed Perkins GD, Barrett H, Bullock I, Gabbott DA, Nolan JP, Mitchell S, et al. 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;31:1627–33.CrossRefPubMed
6.
go back to reference CoBaTrICE Collaboration, Bion JF, Barrett H. Development of core competencies for an international training programme in intensive care medicine. Intensive Care Med. 2006;32:1371–83.CrossRef CoBaTrICE Collaboration, Bion JF, Barrett H. Development of core competencies for an international training programme in intensive care medicine. Intensive Care Med. 2006;32:1371–83.CrossRef
7.
go back to reference Buckley JD, Addrizzo-Harris DJ, Clay AS, Curtis JR, Kotloff RM, Lorin SM, et al. Multisociety task force recommendations of competencies in Pulmonary and Critical Care Medicine. Am J Respir Crit Care Med. 2009;180:290–5.CrossRefPubMed Buckley JD, Addrizzo-Harris DJ, Clay AS, Curtis JR, Kotloff RM, Lorin SM, et al. Multisociety task force recommendations of competencies in Pulmonary and Critical Care Medicine. Am J Respir Crit Care Med. 2009;180:290–5.CrossRefPubMed
8.
go back to reference Collaboration CBTICE. International standards for programmes of training in intensive care medicine in Europe. Intensive Care Med. 2011;37:385–93.CrossRef Collaboration CBTICE. International standards for programmes of training in intensive care medicine in Europe. Intensive Care Med. 2011;37:385–93.CrossRef
10.
go back to reference Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CF, Askham J, et al. Consensus development methods, and their use in clinical guideline development. Health Technol Assess. 1998;2:i–iv, 1–88. Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CF, Askham J, et al. Consensus development methods, and their use in clinical guideline development. Health Technol Assess. 1998;2:i–iv, 1–88.
11.
go back to reference Brilli RJ, Spevetz A, Branson RD, Campbell GM, Cohen H, Dasta JF, et al. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med. 2001;29:2007–19.CrossRefPubMed Brilli RJ, Spevetz A, Branson RD, Campbell GM, Cohen H, Dasta JF, et al. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med. 2001;29:2007–19.CrossRefPubMed
12.
go back to reference Dorman T, Angood PB, Angus DC, Clemmer TP, Cohen NH, Durbin CG, et al. Guidelines for critical care medicine training and continuing medical education. Crit Care Med. 2004;32:263–72.CrossRefPubMed Dorman T, Angood PB, Angus DC, Clemmer TP, Cohen NH, Durbin CG, et al. Guidelines for critical care medicine training and continuing medical education. Crit Care Med. 2004;32:263–72.CrossRefPubMed
13.
go back to reference Goldfrad C, Vella K, Bion JF, Rowan KM, Black NA. Research priorities in critical care medicine in the UK. Intensive Care Med. 2000;26:1480–8.CrossRefPubMed Goldfrad C, Vella K, Bion JF, Rowan KM, Black NA. Research priorities in critical care medicine in the UK. Intensive Care Med. 2000;26:1480–8.CrossRefPubMed
14.
15.
go back to reference Beehler GP, Funderburk JS, Possemato K, Vair CL. Developing a measure of provider adherence to improve the implementation of behavioral health services in primary care: a Delphi study. Implement Sci. 2013;8:19.CrossRefPubMedPubMedCentral Beehler GP, Funderburk JS, Possemato K, Vair CL. Developing a measure of provider adherence to improve the implementation of behavioral health services in primary care: a Delphi study. Implement Sci. 2013;8:19.CrossRefPubMedPubMedCentral
16.
go back to reference Li J, Davis MP, Gamier P. Palliative medicine: barriers and developments in mainland China. Curr Oncol Rep. 2011;13:290–4.CrossRefPubMed Li J, Davis MP, Gamier P. Palliative medicine: barriers and developments in mainland China. Curr Oncol Rep. 2011;13:290–4.CrossRefPubMed
17.
go back to reference Zhang L, Wang J, Kwauk S, Wu Q, Nielson K, Zeng F, et al. Preliminary analysis of factors influencing organ donation rates in China. Transplant Proc. 2011;43:1421–4.CrossRefPubMed Zhang L, Wang J, Kwauk S, Wu Q, Nielson K, Zeng F, et al. Preliminary analysis of factors influencing organ donation rates in China. Transplant Proc. 2011;43:1421–4.CrossRefPubMed
18.
go back to reference van der Vleuten CPM, Schuwirth LWT. Assessing professional competence: from methods to programmes. Med Educ. 2005;39:309–17.CrossRefPubMed van der Vleuten CPM, Schuwirth LWT. Assessing professional competence: from methods to programmes. Med Educ. 2005;39:309–17.CrossRefPubMed
19.
go back to reference Park YS, Riddle J, Tekian A. Validity evidence of resident competency ratings and the identification of problem residents. Med Educ. 2014;48:614–22.CrossRefPubMed Park YS, Riddle J, Tekian A. Validity evidence of resident competency ratings and the identification of problem residents. Med Educ. 2014;48:614–22.CrossRefPubMed
Metadata
Title
Consensus development of core competencies in intensive and critical care medicine training in China
Authors
Xiaoyun Hu
Xiuming Xi
Penglin Ma
Haibo Qiu
Kaijiang Yu
Yaoqing Tang
Chuanyun Qian
Qiang Fang
Yushan Wang
Xiangyou Yu
Yuan Xu
Bin Du
for the China Critical Care Clinical Trials Group (CCCCTG) and the Task Force of Core Competencies in Intensive and Critical Care Medicine Training in China
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2016
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-016-1514-z

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