Interdepartmental Division of Critical Care Medicine, Department of Medicine, University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
Crit Care Med. 2012 Oct;40(10):2828-32. doi: 10.1097/CCM.0b013e31825bc695.
We sought to identify and standardize the core clinical knowledge and skills required to care for patients receiving mechanical ventilation.
Prospective survey reaching consensus by the Delphi technique.
North American survey conducted anonymously by electronic e-mail.
International experts in mechanical ventilation, frontline resident educators, medical education experts, and community intensivists were recruited to participate
Fourteen panelists participated (ten content experts, three resident educators, one medical education expert, zero community intensivists). Individual panelists generated a total of 200 educational objectives, of which 109 were duplicates. Of the remaining 91 items, 56 met predefined consensus criteria for inclusion in the final set of educational objectives. The educational objectives spanned a broad range of categories, including respiratory physiology, noninvasive ventilation, lung protective ventilation, weaning, and withholding and withdrawing mechanical ventilation. Agreement among panelists on the items included was high (median proportion supporting item inclusion was 88%, range 70%-100%).
There is a consensus that general resident core competency in mechanical ventilation requires a broad range of knowledge application and skill. These educational objectives may help identify and standardize the educational outcomes related to mechanical ventilation that residents should achieve.
我们旨在确定并规范为接受机械通气治疗的患者提供护理所需的核心临床知识和技能。
通过德尔菲技术达成共识的前瞻性调查。
北美，通过电子电子邮件匿名进行的调查。
机械通气方面的国际专家、一线住院医师教育者、医学教育专家和社区重症监护医师被招募来参与。
共有 14 名小组成员参与（10 名内容专家、3 名住院医师教育者、1 名医学教育专家、0 名社区重症监护医师）。每位小组成员共生成了 200 项教育目标，其中 109 项是重复的。在其余的 91 项中，有 56 项符合纳入最终教育目标集的预定义共识标准。教育目标涵盖了广泛的类别，包括呼吸生理学、无创通气、肺保护性通气、脱机和机械通气的撤停。小组成员对纳入项目的意见高度一致（中位数支持纳入项目的比例为 88%，范围为 70%-100%）。
人们普遍认为，住院医师的机械通气核心能力需要广泛的知识应用和技能。这些教育目标可能有助于确定和规范与机械通气相关的住院医师应达到的教育成果。
