A Modified Delphi Study for Development of a Pediatric Curriculum for Emergency Medicine Residents.

Autor: Mitzman J; The Ohio State University and Nationwide Children's Hospital Columbus OH., King AM; The Ohio State University and The Ohio State University Emergency Medicine Residency Program Columbus OH., Fastle RK; University of New Mexico School of Medicine Albuquerque NM., Hopson LR; University of Michigan Health System and Department of Emergency Medicine University of Michigan Health System/St. Joseph Mercy Hospital Emergency Medicine Residency Program Ann Arbor MI., Hoyle JD Jr; Department of Emergency Medicine Western Michigan University Stryker School of Medicine Kalamazoo MI., Levasseur KA; Oakland University William Beaumont School of Medicine and the Department of Emergency Medicine Beaumont Health System Royal Oak MI., Mitchell MS; Wake Forest University School of Medicine and the Department of Emergency Medicine Wake Forest Baptist Medical Center Winston-Salem NC., O'Neill JC; Section of Pediatric Emergency Medicine Wake Forest University School of Medicine and the Department of Emergency Medicine Wake Forest Baptist Medical Center Winston-Salem NC., Pazderka PA; Western Michigan University Stryker School of Medicine and the Department of Emergency Medicine Western Michigan University Emergency Medicine Residency Program Kalamazoo MI., Perry MA; University of Michigan Health System and the Department of Emergency Medicine University of Michigan Residency Program Ann Arbor MI., Reynolds M; Pediatric Emergency Medicine Program Nationwide Children's Hospital Columbus OH., Shah PG; Department of Emergency Medicine Oakland University William Beaumont School of Medicine and Beaumont Health System Residency Program Royal Oak MI., Skarbek-Borowska S; University of New Mexico School of Medicine Albuquerque NM., Way DP; Department of Emergency Medicine The Ohio State University College of Medicine Columbus OH., Stanley RM; The Ohio State University and Nationwide Children's Hospital Columbus OH.
Jazyk: angličtina
Zdroj: AEM education and training [AEM Educ Train] 2017 Mar 22; Vol. 1 (2), pp. 140-150. Date of Electronic Publication: 2017 Mar 22 (Print Publication: 2017).
DOI: 10.1002/aet2.10021
Abstrakt: Objectives: Emergency medicine (EM) trainees are expected to learn to provide acute care for patients of all ages. The American Council for Graduate Medical Education provides some guidance on topics related to caring for pediatric patients; however, education about pediatric topics varies across residency programs. The goal of this project was to develop a consensus curriculum for teaching pediatric emergency care.
Methods: We recruited 13 physicians from six academic health centers to participate in a three-round electronic modified Delphi project. Participants were selected on the basis of expertise with both EM resident education and pediatric emergency care. The first modified Delphi survey asked participants to generate the core knowledge, skills, and experiences needed to prepare EM residents to effectively treat children in an acute care setting. The qualitative data from the first round was reformulated into a second-round questionnaire. During the second round, participants used rating scales to prioritize the curriculum content proposed during the first round. In round 3, participants were asked to make a determination about each curriculum topic using a three-point scale labeled required, optional, or not needed.
Results: The first modified Delphi round yielded 400 knowledge topics, 206 clinical skills, and 44 specific types of experience residents need to prepare for acute pediatric patient care. These were narrowed to 153 topics, 84 skills, and 28 experiences through elimination of redundancy and two rounds of prioritization. The final lists contain topics classified by highly recommended, partially recommended, and not recommended. The partially recommended category is intended to help programs tailor their curriculum to the unique needs of their learners as well as account for variability between 3- and 4-year programs and the amount of time programs allocate to pediatric education.
Conclusion: The modified Delphi process yielded the broad outline of a consensus core pediatric emergency care curriculum.
Databáze: MEDLINE
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