Skip to main content
Erschienen in: Intensive Care Medicine 9/2006

01.09.2006 | Original

Development of core competencies for an international training programme in intensive care medicine

verfasst von: The CoBaTrICE Collaboration

Erschienen in: Intensive Care Medicine | Ausgabe 9/2006

Einloggen, um Zugang zu erhalten

Abstract

Objective

The aim of this study was to define the core (minimum) competencies required of a specialist in adult intensive care medicine (ICM). This is the second phase of a 3-year project to develop an internationally acceptable competency-based training programme in ICM for Europe (CoBaTrICE).

Methodology

Consensus techniques (modified Delphi and nominal group) were used to enable interested stakeholders (health care professionals, educators, patients and their relatives) to identify and prioritise core competencies. Online and postal surveys were used to generate ideas. A nominal group of 12 clinicians met in plenary session to rate the importance of the competence statements constructed from these suggestions. All materials were presented online for a second round Delphi prior to iterative editorial review.

Results

The initial surveys generated over 5,250 suggestions for competencies from 57 countries. Preliminary editing permitted us to encapsulate these suggestions within 164 competence stems and 5 behavioural themes. For each of these items the nominal group selected the minimum level of expertise required of a safe practitioner at the end of their specialist training, before rating them for importance. Individuals and groups from 29 countries commented on the nominal group output; this informed the editorial review. These combined processes resulted in 102 competence statements, divided into 12 domains.

Conclusion

Using consensus techniques we have generated core competencies which are internationally applicable but still able to accommodate local requirements. This provides the foundation upon which an international competency based training programme for intensive care medicine can be built.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Barrett H, Bion JF on behalf of the CoBaTrICE collaboration (2005) An international survey of training in adult intensive care medicine. Intensive Care Med 31:553–561PubMedCrossRef Barrett H, Bion JF on behalf of the CoBaTrICE collaboration (2005) An international survey of training in adult intensive care medicine. Intensive Care Med 31:553–561PubMedCrossRef
2.
Zurück zum Zitat Anonymous (1993) Council Directive 93/16/EEC of 5 April 1993 to facilitate the free movement of doctors and the mutual recognition of their diplomas, certificates and other evidence of formal qualifications. nominal group (NG http://www.ilo.org/public/english/employment/skills/recomm/instr/eu_5.htm (accessed 18 January 2006) Anonymous (1993) Council Directive 93/16/EEC of 5 April 1993 to facilitate the free movement of doctors and the mutual recognition of their diplomas, certificates and other evidence of formal qualifications. nominal group (NG http://​www.​ilo.​org/​public/​english/​employment/​skills/​recomm/​instr/​eu_​5.​htm (accessed 18 January 2006)
3.
Zurück zum Zitat Anonymous (2002) Proposal for a directive of the European Parliament and of the Council of 7 March 2002 on the recognition of professional qualifications. COM 119 final, Official J C181E of 30 July 07 http://europa.eu.int/scadplus/leg/en/cha/c11065.htm (accessed 18 January 2006) Anonymous (2002) Proposal for a directive of the European Parliament and of the Council of 7 March 2002 on the recognition of professional qualifications. COM 119 final, Official J C181E of 30 July 07 http://​europa.​eu.​int/​scadplus/​leg/​en/​cha/​c11065.​htm (accessed 18 January 2006)
4.
Zurück zum Zitat Barrett H, Bion J, Field S, Bullock A, Hasman A, Askham J, Kari A, Mussalo P on behalf of the CoBaTrICE collaboration (2005) Abstract 85N—consensus methodology: developing a competency based training programme in intensive care medicine. AMEE. http://www.amee.org/conf2005/2005_abstracts.pdf (accessed 18 January 2006) Barrett H, Bion J, Field S, Bullock A, Hasman A, Askham J, Kari A, Mussalo P on behalf of the CoBaTrICE collaboration (2005) Abstract 85N—consensus methodology: developing a competency based training programme in intensive care medicine. AMEE. http://​www.​amee.​org/​conf2005/​2005_​abstracts.​pdf (accessed 18 January 2006)
5.
Zurück zum Zitat Barrett H, Bion JF on behalf of the CoBaTrICE Collaboration (2005) CoBaTrICE: development of core competencies. Intensive Care Med 31 [Suppl 1]:S220CrossRef Barrett H, Bion JF on behalf of the CoBaTrICE Collaboration (2005) CoBaTrICE: development of core competencies. Intensive Care Med 31 [Suppl 1]:S220CrossRef
6.
Zurück zum Zitat Barrett H, Bion JF on behalf of the CoBaTrICE Collaboration (2005) CoBaTrICE Core competencies and syllabus development. Crit Care Med 33 [Suppl]:A14CrossRef Barrett H, Bion JF on behalf of the CoBaTrICE Collaboration (2005) CoBaTrICE Core competencies and syllabus development. Crit Care Med 33 [Suppl]:A14CrossRef
7.
Zurück zum Zitat Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CFB, Askham J, Marteau T (1998) Consensus development methods, and their use in clinical guideline development. Health Technol Assess 2 Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CFB, Askham J, Marteau T (1998) Consensus development methods, and their use in clinical guideline development. Health Technol Assess 2
8.
Zurück zum Zitat Perkins GD, Barrett H, Bullock I, Gabbott DA, Nolan JP, Mitchell S, Short A, Smith CM, Smith GB, Todd S, Bion JF (2005) The Acute Care Undergraduate Teaching (ACUTE) initiative: consensus development of core competencies in acute care for undergraduates in the UK. Intensive Care Med 31:1627–1633PubMedCrossRef Perkins GD, Barrett H, Bullock I, Gabbott DA, Nolan JP, Mitchell S, Short A, Smith CM, Smith GB, Todd S, Bion JF (2005) The Acute Care Undergraduate Teaching (ACUTE) initiative: consensus development of core competencies in acute care for undergraduates in the UK. Intensive Care Med 31:1627–1633PubMedCrossRef
9.
Zurück zum Zitat Stewart J, O'Halloran C, Harrigan P, Spencer JA, Barton R, Singleton SJ (1999) Identifying appropriate tasks for the pre-registration year: modified Delphi technique. BMJ 319:224–229PubMed Stewart J, O'Halloran C, Harrigan P, Spencer JA, Barton R, Singleton SJ (1999) Identifying appropriate tasks for the pre-registration year: modified Delphi technique. BMJ 319:224–229PubMed
10.
Zurück zum Zitat McKee M, Priest P, Ginzler M, Black N (1992) Which tasks performed by preregistration house officers out of hours are appropriate? Med Educ 26:51–57PubMedCrossRef McKee M, Priest P, Ginzler M, Black N (1992) Which tasks performed by preregistration house officers out of hours are appropriate? Med Educ 26:51–57PubMedCrossRef
11.
Zurück zum Zitat McLeod P, Steinert Y, Meterissan S, Child S (2004) Using the Delphi process to identify the curriculum. Med Educ 38:548PubMedCrossRef McLeod P, Steinert Y, Meterissan S, Child S (2004) Using the Delphi process to identify the curriculum. Med Educ 38:548PubMedCrossRef
12.
Zurück zum Zitat Alahlafi A, Burge S (2005) What should undergraduate medical students know about psoriasis? Involving patients in curriculum development: modified Delphi technique. BMJ 330:633–636PubMedCrossRef Alahlafi A, Burge S (2005) What should undergraduate medical students know about psoriasis? Involving patients in curriculum development: modified Delphi technique. BMJ 330:633–636PubMedCrossRef
13.
Zurück zum Zitat Williams PL, Webb C (1994) The Delphi technique: a methodological discussion. J Adv Nurs 19:180–186PubMedCrossRef Williams PL, Webb C (1994) The Delphi technique: a methodological discussion. J Adv Nurs 19:180–186PubMedCrossRef
14.
Zurück zum Zitat Boath E, Mucklow J, Black P (1997) Consulting the oracle: a Delphi study to determine the content of a post graduate distance learning course in therapeutics. Br J Clin Pharmacol 43:643–647PubMedCrossRef Boath E, Mucklow J, Black P (1997) Consulting the oracle: a Delphi study to determine the content of a post graduate distance learning course in therapeutics. Br J Clin Pharmacol 43:643–647PubMedCrossRef
15.
Zurück zum Zitat Walley T, Webb DJ (1997) Developing a core curriculum in clinical pharmacology & therapeutics: a Delphi study. Br J Clin Pharmacol 44:167–170PubMedCrossRef Walley T, Webb DJ (1997) Developing a core curriculum in clinical pharmacology & therapeutics: a Delphi study. Br J Clin Pharmacol 44:167–170PubMedCrossRef
16.
Zurück zum Zitat MacDonald EB, Ritchie KA, Murray KJ, Gilmour WH (2000) Requirements for occupational medicine training in Europe: a Delphi study. Occup Environ Med 57:98–105PubMedCrossRef MacDonald EB, Ritchie KA, Murray KJ, Gilmour WH (2000) Requirements for occupational medicine training in Europe: a Delphi study. Occup Environ Med 57:98–105PubMedCrossRef
17.
Zurück zum Zitat Lane DS, Ross V (1994) The importance of defining physicians' competencies: lessons from preventative medicine. Acad Med 69:972–974PubMedCrossRef Lane DS, Ross V (1994) The importance of defining physicians' competencies: lessons from preventative medicine. Acad Med 69:972–974PubMedCrossRef
18.
Zurück zum Zitat Jones J & Hunter D (1995) Qualitative Research: Consensus methods for health services research. BMJ 311:376–380PubMed Jones J & Hunter D (1995) Qualitative Research: Consensus methods for health services research. BMJ 311:376–380PubMed
19.
Zurück zum Zitat Vella K, Goldfrad C, Rowan K, Bion J, Black N (2000) Use of consensus development to establish national research priorities in critical care. BMJ 320:976–980PubMedCrossRef Vella K, Goldfrad C, Rowan K, Bion J, Black N (2000) Use of consensus development to establish national research priorities in critical care. BMJ 320:976–980PubMedCrossRef
20.
Zurück zum Zitat Goldfrad C. Vella K. Bion JF. Rowan KM. Black NA (2000) Research priorities in critical care medicine in the UK. Intensive Care Med 26:1480–1488PubMedCrossRef Goldfrad C. Vella K. Bion JF. Rowan KM. Black NA (2000) Research priorities in critical care medicine in the UK. Intensive Care Med 26:1480–1488PubMedCrossRef
21.
Zurück zum Zitat Hasman A, Askham J on behalf of the CoBaTrICE collaboration (2005) Abstract 073-CoBaTrICE Survey of patients and relatives in intensive care medicine. Intensive Care Med 31 [Suppl 1]:S23 Hasman A, Askham J on behalf of the CoBaTrICE collaboration (2005) Abstract 073-CoBaTrICE Survey of patients and relatives in intensive care medicine. Intensive Care Med 31 [Suppl 1]:S23
22.
Zurück zum Zitat Thijs LG, Baltopoulos G, Bihari D, Burchardi H, Carlet J, Chioléro R, Dragsted L, Edwards DJ, Ferdinande P, Giunta F, Kari A, Kox W, Planas M, Vincent JL, Pfenninger J, Edberg KE, Floret D, Leijala M, Tegtmeyer FK (ESICM & ESPNIC task force) (1996) Guidelines for a training programme in intensive care medicine. Intensive Care Med 22:166–172CrossRef Thijs LG, Baltopoulos G, Bihari D, Burchardi H, Carlet J, Chioléro R, Dragsted L, Edwards DJ, Ferdinande P, Giunta F, Kari A, Kox W, Planas M, Vincent JL, Pfenninger J, Edberg KE, Floret D, Leijala M, Tegtmeyer FK (ESICM & ESPNIC task force) (1996) Guidelines for a training programme in intensive care medicine. Intensive Care Med 22:166–172CrossRef
23.
Zurück zum Zitat Vincent JL, Baltopoulos G, Bihari D, Blanch L, Burchardi H, Carrington da Costa RB, Edwards D, Iapichino G, Lamy M, Murrillo F, Raphael JC, Suter P, Takala J, Thijs LG (ESICM task force) (1994) Guidelines for training in intensive care medicine. Intensive Care Med 20:80–81CrossRef Vincent JL, Baltopoulos G, Bihari D, Blanch L, Burchardi H, Carrington da Costa RB, Edwards D, Iapichino G, Lamy M, Murrillo F, Raphael JC, Suter P, Takala J, Thijs LG (ESICM task force) (1994) Guidelines for training in intensive care medicine. Intensive Care Med 20:80–81CrossRef
24.
Zurück zum Zitat De Lange S, Van Aken H, Burchardi H (2002) European society of Intensive Care Medicine: Intensive care medicine in Europe-structure, organisation and training guidelines of the Multidisciplinary Joint Committee of Intensive Care Medicine (MJCICM) of the European Union of Medical Specialists (UEMS). Intensive Care Med 28:1505–1511PubMedCrossRef De Lange S, Van Aken H, Burchardi H (2002) European society of Intensive Care Medicine: Intensive care medicine in Europe-structure, organisation and training guidelines of the Multidisciplinary Joint Committee of Intensive Care Medicine (MJCICM) of the European Union of Medical Specialists (UEMS). Intensive Care Med 28:1505–1511PubMedCrossRef
25.
Zurück zum Zitat Dorman T, Angood PB, Angus DC, Clemmer TP, Cohen NH, Durbin CG, Falk JL, Helfaer MA, Haupt MT, Horst HM, Ivy ME, Ognibene FP, Sladen RN, Grenvik ANA, Napolitano LM (2004) Guidelines for critical care medicine training and continuing medical education. Crit Care Med 32:263–272PubMedCrossRef Dorman T, Angood PB, Angus DC, Clemmer TP, Cohen NH, Durbin CG, Falk JL, Helfaer MA, Haupt MT, Horst HM, Ivy ME, Ognibene FP, Sladen RN, Grenvik ANA, Napolitano LM (2004) Guidelines for critical care medicine training and continuing medical education. Crit Care Med 32:263–272PubMedCrossRef
26.
Zurück zum Zitat Anonymous (1997) Guidelines for advanced training for physicians in critical care. American College of Critical Care Medicine of the Society of Critical Care Medicine. Crit Care Med 25:1601–1607CrossRef Anonymous (1997) Guidelines for advanced training for physicians in critical care. American College of Critical Care Medicine of the Society of Critical Care Medicine. Crit Care Med 25:1601–1607CrossRef
27.
Zurück zum Zitat Royal College of Physicians and Surgeons of Canada (2002) Specific standards for accreditation and specialist training requirements for residency programs in adult critical care medicine. http://rcpsc.medical.org/residency/accreditation/ssas/critcare-adult_e.html (accessed June 2004) Royal College of Physicians and Surgeons of Canada (2002) Specific standards for accreditation and specialist training requirements for residency programs in adult critical care medicine. http://​rcpsc.​medical.​org/​residency/​accreditation/​ssas/​critcare-adult_​e.​html (accessed June 2004)
28.
Zurück zum Zitat IBTICM (2001) The CCST. In: Intensive care medicine competency based training and assessment. I. A reference manual for trainees and trainers. http://www.rcoa.ac.uk/ibticm/docs/CBTPart1.pdf (accessed June 2004) IBTICM (2001) The CCST. In: Intensive care medicine competency based training and assessment. I. A reference manual for trainees and trainers. http://​www.​rcoa.​ac.​uk/​ibticm/​docs/​CBTPart1.​pdf (accessed June 2004)
29.
Zurück zum Zitat ANZICS (2003) Objectives of training in intensive care for the diploma of fellowship of the joint faculty of intensive care medicine, Australian and New Zealand College of Anaesthetists and Royal Australian College of Physicians, 2nd edn ANZICS (2003) Objectives of training in intensive care for the diploma of fellowship of the joint faculty of intensive care medicine, Australian and New Zealand College of Anaesthetists and Royal Australian College of Physicians, 2nd edn
30.
Zurück zum Zitat Roca Guiseris et al (2006) SEMICYUY Skill map: ICM specialist's competence. Med Intensiva. (in press) Roca Guiseris et al (2006) SEMICYUY Skill map: ICM specialist's competence. Med Intensiva. (in press)
31.
Zurück zum Zitat Anonymous (2004) Curriculum for the Diploma of the Irish board of intensive care medicine (DIBICM). http://www.icmed.com/i_b_i_c_m.htm (accessed June 2004) Anonymous (2004) Curriculum for the Diploma of the Irish board of intensive care medicine (DIBICM). http://​www.​icmed.​com/​i_​b_​i_​c_​m.​htm (accessed June 2004)
32.
Zurück zum Zitat Karimi A, Dick W (1997) German Interdisciplinary Association of Critical Care Medicine (DIVI) Excerpt from recommendations on problems in emergency and intensive Care Medicine. DIVI Karimi A, Dick W (1997) German Interdisciplinary Association of Critical Care Medicine (DIVI) Excerpt from recommendations on problems in emergency and intensive Care Medicine. DIVI
33.
Zurück zum Zitat Webb AR, Shapiro MJ, Singer M, Suter PM (eds) (1999) Oxford textbook of critical care. Oxford University Press, Oxford Webb AR, Shapiro MJ, Singer M, Suter PM (eds) (1999) Oxford textbook of critical care. Oxford University Press, Oxford
34.
Zurück zum Zitat Bersten AD, Soni N (eds) (2003) Oh's intensive care manual. Butterworth-Heinemann, Edinburgh Bersten AD, Soni N (eds) (2003) Oh's intensive care manual. Butterworth-Heinemann, Edinburgh
35.
Zurück zum Zitat Hall JB, Schmidt GA, Wood LDH (1992) Principles of critical care. McGraw-Hill, New York Hall JB, Schmidt GA, Wood LDH (1992) Principles of critical care. McGraw-Hill, New York
36.
Zurück zum Zitat Royal College of Physicians (2005) Doctors in society: medical professionalism in a changing world. Report of a working party of the Royal College of Physicians of London. RCP, London. http://www.rcplondon.ac.uk/pubs/books/docinsoc/docinsoc.pdf (accessed 18 January 2006) Royal College of Physicians (2005) Doctors in society: medical professionalism in a changing world. Report of a working party of the Royal College of Physicians of London. RCP, London. http://​www.​rcplondon.​ac.​uk/​pubs/​books/​docinsoc/​docinsoc.​pdf (accessed 18 January 2006)
37.
Zurück zum Zitat Royal College of Anaesthetists (2003) The CCST in anaesthesia. I, General principles, sect 5.2, edn, 2 April Royal College of Anaesthetists (2003) The CCST in anaesthesia. I, General principles, sect 5.2, edn, 2 April
38.
Zurück zum Zitat Alspach JG (1984) Designing a competency-based orientation for critical care nurses. Heart Lung 13:655–662PubMed Alspach JG (1984) Designing a competency-based orientation for critical care nurses. Heart Lung 13:655–662PubMed
39.
Zurück zum Zitat McMullan M, Endacott R, Gray M et al (2003) Portfolios and assessment of competence. J Adv Nurs 41:283–294PubMedCrossRef McMullan M, Endacott R, Gray M et al (2003) Portfolios and assessment of competence. J Adv Nurs 41:283–294PubMedCrossRef
Metadaten
Titel
Development of core competencies for an international training programme in intensive care medicine
verfasst von
The CoBaTrICE Collaboration
Publikationsdatum
01.09.2006
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 9/2006
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-006-0215-5

Weitere Artikel der Ausgabe 9/2006

Intensive Care Medicine 9/2006 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.