Blood Systems Research Institute, San Francisco, California 94118, USA.
Transfusion. 2010 May;50(5):1071-8. doi: 10.1111/j.1537-2995.2009.02549.x. Epub 2009 Dec 29.
Pediatric transfusion medicine (PTM) is a subspecialty of transfusion medicine with no formal training program and few specialists. The Pediatric Transfusion Medicine Academic Awardees (PedsTMAA) group surveyed PTM content experts to identify relevant objectives for the first formal PTM curriculum.
Eight North American PTM experts were invited to participate in a two-step consensus process. PTM-related objectives compiled from a review of existing training documents were organized into a survey. Experts were asked to rate each objective for relevancy for a clinical pathology trainee. Content validity indexes (CVIs) and asymmetric confidence intervals (ACIs) of expert ratings and analysis of respondents' comments were used to identify relevant objectives.
Six experts participated and reviewed 117 objectives. Based on content validity criteria (CVI > or = 0.83 and lower-limit 95% ACI > or = 3), a total of 65 objectives were considered relevant. Twenty-three objectives were rated "very relevant" by all the experts while some proposed objectives were determined to be not relevant, out of date, or inappropriate for a resident trainee level.
The PedsTMAA group identified 65 objectives for a PTM curriculum. Twenty-three represent a clear core set of objectives and should be considered for clinical pathology training. The next step is to consider the teaching strategies and evaluation methods that will be employed to best deliver this content addressing competency in medical knowledge.
儿科输血医学（PTM）是输血医学的一个分支，没有正式的培训计划，也只有少数专家。儿科输血医学学术奖获得者（PedsTMAA）小组调查了 PTM 内容专家，以确定第一个正式的 PTM 课程的相关目标。
邀请了 8 名北美 PTM 专家参与两步共识过程。从审查现有培训文件中编制的与 PTM 相关的目标被组织成一项调查。专家们被要求对每个目标对临床病理实习生的相关性进行评分。使用专家评分的内容有效性指数（CVI）和不对称置信区间（ACI）以及对受访者意见的分析，来确定相关目标。
6 名专家参与并审查了 117 个目标。根据内容有效性标准（CVI≥0.83 和下限 95%ACI≥0.3），共有 65 个目标被认为是相关的。23 个目标得到了所有专家的“非常相关”评价，而有些提出的目标则被认为不相关、过时或不适合住院医生培训水平。
PedsTMAA 小组确定了儿科输血医学课程的 65 个目标。其中 23 个代表了明确的核心目标集，应考虑纳入临床病理培训。下一步是考虑将采用的教学策略和评估方法，以最佳地传授这些内容，以达到医学知识方面的能力要求。
