Position Paper on Global Extracorporeal Membrane Oxygenation Education and Educational Agenda for the Future: A Statement From the Extracorporeal Life Support Organization ECMOed Taskforce.
Autor: | Zakhary B; Division of Pulmonary and Critical Care, Oregon Health and Science University, Portland, OR., Shekar K; Adult Intensive Care Services and Critical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia.; University of Queensland, Brisbane, QLD, Australia.; Bond University, Gold Coast, QLD, Australia., Diaz R; Clinica Las Condes, Santiago, Chile., Badulak J; University of Washington, Seattle, WA., Johnston L; Yale School of Medicine, New Haven, CT., Roeleveld PP; Department of Pediatric Intensive Care, Leiden University Medical Center, Leiden, The Netherlands., Alinier G; Research Department, Hamad Medical Corporation Ambulance Service, Doha, Qatar.; School of Health and Social Work, University of Hertfordshire, Hatfield, United Kingdom.; Weill Cornell Medicine - Qatar, Doha, Qatar.; Faculty of Health and Life Sciences, Northumbria University, Newcastle Upon Tyne, United Kingdom., Lai PCK; Adult Intensive Care Unit, Queen Mary Hospital, Hong Kong., Ramanathan K; Cardiothoracic Intensive Care Unit, National University Heart Centre, Singapore., Moore E; Heart and Vascular Center, University of Iowa Hospitals and Clinics, Iowa City, IA., Hassan I; Hamad Medical Corporation, Doha, Qatar.; Weill Cornell Medical College, New York, NY., Agerstrand C; Division of Pulmonary, Allergy, and Critical Care, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, NY., Ngai WC; Adult Intensive Care Unit, Queen Mary Hospital, Hong Kong., Salazar L; Department of ECMO and VAD, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia., Raman L; University of Texas Southwestern Medical Center, Dallas, TX., Bembea MM; Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD., Davidson M; Department of Paediatric Intensive Care, Royal Hospital for Children, Glasgow, United Kingdom., Gomez-Gutierrez RD; Christus Muguerza Hospital Alta Especialidad, Universidad de Monterrey, San Pedro Garza García, Mexico., Mateo-Sidrón JAR; University Hospital Foundation Jiménez Diaz, Madrid, Spain., Kukutschka J; ECMO Center, Christus Muguerza Hospital Alta Especialidad, Universidad de Monterrey, San Pedro Garza García, Mexico., Antonini MV; ICU I° Department of Anesthesia and Intensive Care, University Hospital of Parma, Parma, Italy., Dickstein ML; Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY., Schmidt M; Sorbonne Université, INSERM UMRS_1166 - iCAN, Institute of Cardiometabolism and Nutrition, Assistance Publique - Hôpitaux de Paris, Pitié - Salpêtrière Hospital, Medical Intensive Care Unit, 75651 Paris Cedex 13, France., Abrams D; Division of Pulmonary, Allergy, and Critical Care, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, NY., Ogino MT; Department of Pediatrics, Division of Neonatology, Nemours Alfred I duPont Hospital for Children, Wilmington, DE.; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA. |
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Jazyk: | angličtina |
Zdroj: | Critical care medicine [Crit Care Med] 2020 Mar; Vol. 48 (3), pp. 406-414. |
DOI: | 10.1097/CCM.0000000000004158 |
Abstrakt: | Objectives: The purpose of this position paper is two-fold: first, to describe the state of extracorporeal membrane oxygenation education worldwide, noting current limitations and challenges; and second, to put forth an educational agenda regarding opportunities for an international collaborative approach toward standardization. Design: Relevant medical literature was reviewed through literature search, and materials from national organizations were accessed through the Internet. Taskforce members generated a consensus statement using an iterative consensus process through teleconferences and electronic communication. Setting: In 2018, the Extracorporeal Life Support Organization convened the ECMOed Taskforce at two structured, face-to-face meetings of 40 healthcare practitioners and educators with expertise in caring for the extracorporeal membrane oxygenation patient and in extracorporeal membrane oxygenation education. Patients: None. Interventions: None. Measurements and Main Results: The ECMOed Taskforce identified seven educational domains that would benefit from international collaborative efforts. Of primary importance, the Taskforce outlined actionable items regarding 1) the creation of a standardized extracorporeal membrane oxygenation curriculum; 2) defining criteria for an extracorporeal membrane oxygenation course as a vehicle for delivering the curriculum; 3) outlining a mechanism for evaluating the quality of educational offerings; 4) utilizing validated assessment tools in the development of extracorporeal membrane oxygenation practitioner certification; and 5) promoting high-quality educational research to guide ongoing educational and competency assessment development. Conclusions: Significant variability and limitations in global extracorporeal membrane oxygenation education exist. In this position paper, we outline a road map for standardizing international extracorporeal membrane oxygenation education and practitioner certification. Ongoing high-quality educational research is needed to evaluate the impact of these initiatives. |
Databáze: | MEDLINE |
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