Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark.
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Acta Anaesthesiol Scand. 2019 Jul;63(6):720-729. doi: 10.1111/aas.13344. Epub 2019 Mar 15.
Anaesthesiologists are expected to master an increasing number of technical procedures. Simulation-based procedural training can supplement and, in some areas, replace the classical apprenticeship approach during patient care. However, simulation-based training is very resource-intensive and must be prioritised and optimised. Developing a curriculum for simulation-based procedural training should follow a systematic approach, eg the Six-Step Approach developed by Kern. The aim of this study was to conduct a national general needs assessment to identify and prioritise technical procedures for simulation-based training in anaesthesiology.
A three-round Delphi process was completed with anaesthesiology key opinion leaders. In the first round, the participants suggested technical procedures relevant to simulation-based training. In the second round, a needs assessment formula was used to explore the procedures and produce a preliminary prioritised list. In the third round, participants evaluated the preliminary list by eliminating and re-prioritising the procedures.
All teaching departments in Denmark were represented with high response rates in all three rounds: 79%, 77%, and 75%, respectively. The Delphi process produced a prioritised list of 30 procedure groups suitable for simulation-based training from the initial 138 suggestions. Top-5 on the final list was cardiopulmonary resuscitation, direct- and video laryngoscopy, defibrillation, emergency cricothyrotomy, and fibreoptic intubation. The needs assessment formula predicted the final prioritisation to a great extent.
The Delphi process produced a prioritised list of 30 procedure groups that could serve as a guide in future curriculum development for the simulation-based training of technical procedures in anaesthesiology.
麻醉师需要掌握越来越多的技术操作。基于模拟的操作训练可以补充并在某些领域替代患者护理中的传统学徒模式。然而，基于模拟的培训非常耗费资源，因此必须进行优先级排序和优化。制定基于模拟的操作培训课程应遵循系统的方法，例如 Kern 开发的六步方法。本研究旨在进行全国性的一般需求评估，以确定并确定麻醉学中基于模拟的培训所需的技术操作。
采用三轮 Delphi 法对麻醉学关键意见领袖进行研究。在第一轮中，参与者提出了与基于模拟的培训相关的技术操作。在第二轮中，使用需求评估公式对这些操作进行了探讨，并生成了初步的优先列表。在第三轮中，参与者通过淘汰和重新排序操作对初步列表进行了评估。
所有丹麦的教学部门都有代表参加，并且在三轮研究中的回复率均很高，分别为 79%、77%和 75%。Delphi 过程从最初的 138 条建议中产生了 30 个适合基于模拟的培训的操作组的优先列表。最终列表的前五名是心肺复苏、直接和视频喉镜、除颤、紧急环甲膜切开术和纤维支气管镜检查。需求评估公式在很大程度上预测了最终的优先级排序。
Delphi 过程产生了一个 30 个操作组的优先列表，可作为未来麻醉学中基于模拟的技术操作培训课程发展的指南。
