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

Critical Care, Oct 2016

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

Hu et al. Critical Care Consensus development of core competencies in intensive and critical care medicine training in China Xiaoyun Hu 0 Xiuming Xi Penglin Ma Haibo Qiu Kaijiang Yu Yaoqing Tang Chuanyun Qian Qiang Fang Yushan Wang Xiangyou Yu Yuan Xu Bin Du 0 for the China Critical Care Clinical Trials Group (CCCCTG) the Task Force of Core Competencies in Intensive Critical Care Medicine Training in China 0 Medical Intensive Care Unit, Peking Union Medicine Collage Hospital , 1 Shuai Fu Yuan, Beijing 100730 , China 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. Intensive care; Critical care; Training; Core competence; Delphi; Nominal group - Background Critical care medicine was recognized by the government as an independent specialty in China in 2008, almost three decades after its introduction in the 1980s [1]. Despite the lack of national census, it is a common belief that there has been great progress in critical care resources during the past 10 years; the provision of qualified intensivists through accredited training programs has therefore become a major challenge to meet increasing needs. 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 no formal accredited critical care training program in China [1]. Moreover, there is no nationwide agreement upon evaluation and accreditation of critical care trainees, which makes it more difficult to attain the government objective of free movement of medical professionals as proposed by China’s healthcare reform plan [2]. 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 therefore been defined by multiple critical care societies in western countries [5–8]. In spring 2012, the Chinese College of Intensive and Critical Care Medicine (CCICCM) affiliated to the Chinese Medical Doctors’ Association (CMDA) called for a task force to define the minimum competencies of intensive and critical care training in © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. China, using consensus techniques. 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. Methods We used a combination of a modified Delphi method and a nominal group (NG) to generate and rate the importance of core competencies for critical care training [9, 10]; this approach has been used successfully by others to develop competency-based critical care training [5–8]. The Delphi technique, originally developed in the 1950s at The RAND Corporation, is designed to gather input from expert contributors using an iterative process with feedback of individ (...truncated)


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Bin Du, Chuanyun Qian, Haibo Qiu, Kaijiang Yu, Penglin Ma, Qiang Fang, Xiangyou Yu, Xiaoyun Hu, Xiuming Xi, Yaoqing Tang, Yuan Xu, Yushan Wang. Consensus development of core competencies in intensive and critical care medicine training in China, Critical Care, 2016,