Core sepsis-related competencies for medical students: an international consensus by Delphi technique.

Autor: Gomersall ELM; Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China. elanorgomersall@gmail.com.; Department of Anaesthesia & Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China. elanorgomersall@gmail.com., Ling L; Department of Anaesthesia & Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China. lowell.ling@cuhk.edu.hk., Reinhart K; Charité Universitätsmedizin, Berlin, 13353, Germany., Bion V; Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK., Ekesh A; Department of Internal Medicine, Saint Paul Hospital, Millennium Medical College, Addis Ababa, Ethiopia., Adu-Takyi C; Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana., Azevedo LCP; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Banguti PR; Department of Anesthesia, Critical Care and Emergency Medicine, University of Rwanda, Kigali, Rwanda., Cohen J; Department of Medicine, Brighton and Sussex Medical School, Brighton, UK., Diaz JV; World Health Organization, Avenue de Appia 20, Geneva, 1202, Switzerland., Du B; Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing, China., Goldfarb DM; Department of Pathology and Laboratory Medicine, University of British Columbia, BC Children's Hospital, Vancouver, Canada., Gorordo-Delsol LA; Emergency Medicine and Critical Care Medicine, Adults Intensive Care Unit, Hospital Juárez de México, Mexico City, México., Graham CA; Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong SAR, China., Iramain R; Emergency Department,, Hospital de Clinicas, Asunción, Paraguay., Jacob ST; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK., Kecskes Z; ANU Medical School, Canberra Hospital, Woden, Australia., Kissoon N; Department of Pediatrics, University of British Columbia, Vancouver, Canada., Lipman J; Royal Brisbane and Womens Hospital and The University of Queensland, Brisbane, QLD, Australia.; Nimes University Hospital, University of Montpellier, Nimes, France., Lundeg G; Department of Critical Care and Anaesthesiology, School of Medicine, Mongolian National University of Medical Sciences, Ulaan Batar, Mongolia., Maitland K; Department of Medicine, St Mary's Campus, Imperial College London, Norfolk Place, London, UK.; KEMRI Wellcome Trust Research Programme, Kilifi, Kenya., Mergani KO; Adult Critical Care Medicine Department, Military Hospital, Khartoum, Sudan., Moschides C; Dunvegan Medical Centre, 48 Dunvegan Avenue, Edenvale, Gauging, South Africa., Nakalembe M; Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda., Ndu IK; Department of Paediatrics, College of Medicine, Enugu State University of Science and Technology, Park Lane, Enugu, Nigeria., Oon J; Division of Infectious Diseases, Department of Medicine, National University Hospital Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Sale T; Emergency Department, National Referral Hospital, Honiara, Solomon Islands., Shresthra A; Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Patan, Nepal., Stockley S; Eaglescliffe Health Centre, Sunningdale Drive, Eaglescliffe, Stockton-on-Tees, UK., Talmor D; Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA., Tse AB; Department of Emergency Medicine, John Muir Health, Walnut Creek/ Concord, CA, USA., Zachariah A; Department of Medicine, Christian Medical College, Vellore, India., Joynt GM; Department of Anaesthesia & Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2024 Jun 11; Vol. 24 (1), pp. 653. Date of Electronic Publication: 2024 Jun 11.
DOI: 10.1186/s12909-024-05525-9
Abstrakt: Background: Sepsis is a life-threatening condition which may arise from infection in any organ system and requires early recognition and management. Healthcare professionals working in any specialty may need to manage patients with sepsis. Educating medical students about this condition may be an effective way to ensure all future doctors have sufficient ability to diagnose and treat septic patients. However, there is currently no consensus on what competencies medical students should achieve regarding sepsis recognition and treatment. This study aims to outline what sepsis-related competencies medical students should achieve by the end of their medical student training in both high or upper-middle incomes countries/regions and in low or lower-middle income countries/regions.
Methods: Two separate panels from high or upper-middle income and low or lower-middle income countries/regions participated in a Delphi method to suggest and rank sepsis competencies for medical students. Each panel consisted of 13-18 key stakeholders of medical education and doctors in specialties where sepsis is a common problem (both specialists and trainees). Panelists came from all continents, except Antarctica.
Results: The panels reached consensus on 38 essential sepsis competencies in low or lower-middle income countries/regions and 33 in high or upper-middle incomes countries/regions. These include competencies such as definition of sepsis and septic shock and urgency of antibiotic treatment. In the low or lower-middle income countries/regions group, consensus was also achieved for competencies ranked as very important, and was achieved in 4/5 competencies rated as moderately important. In the high or upper-middle incomes countries/regions group, consensus was achieved in 41/57 competencies rated as very important but only 6/11 competencies rated as moderately important.
Conclusion: Medical schools should consider developing curricula to address essential competencies, as a minimum, but also consider addressing competencies rated as very or moderately important.
(© 2024. The Author(s).)
Databáze: MEDLINE
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