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中国神经危重症培训的核心能力:全国德尔菲共识调查与名义群体技术相结合得出的共识。

Core competencies in neurocritical care training in China: consensus developed by a national Delphi consensus survey combined with nominal group technique.

机构信息

Department of Critical Care Medicine, Ji Shui Tan Hospital and Fourth Medical College of Peking University, Beijing, China.

Department of Neurosurgery, Shanghai Tenth People's Hospital, Shanghai, China.

出版信息

BMJ Open. 2020 Jan 6;10(1):e033441. doi: 10.1136/bmjopen-2019-033441.

Abstract

OBJECTIVES

To define the core competencies essential for specialist training in neurocritical care in China.

DESIGN

Modified Delphi method and nominal group (NG) technique.

SETTING

National.

PARTICIPANTS

A total of 1094 respondents from 33 provinces in China participated in the online survey. A NG of 11 members was organised by the Neuro-Critical Care Committee affiliated with the Chinese Association of Critical Care Physicians and the National Center for Healthcare Quality Management in Neurological Diseases.

RESULTS

1094 respondents from 33 provinces in China participated in the online survey. A formal list containing 329 statements was generated for the rating by a NG. After five rounds of NG meetings and one round of comments and iterative review, 198 core competencies (54 on neurological diseases, 64 on general medical diseases, 42 on monitoring of practical procedures, 20 on professionalism and system management, five on ethical and legal aspects, three on the principles of research and certification and 10 on scoring systems) formed the final list.

CONCLUSION

By using consensus techniques, we have developed a list of core competencies for neurocritical care training, which may serve as a reference for future specialist training programmes in China.

摘要

目的

定义中国神经危重症专科培训所需的核心能力。

设计

改良 Delphi 法和名义小组(NG)技术。

地点

全国。

参与者

共有来自中国 33 个省的 1094 名受访者参加了在线调查。由中国重症医学协会神经重症委员会和国家神经病医疗质量控制中心组织了一个由 11 名成员组成的 NG。

结果

共有来自中国 33 个省的 1094 名受访者参加了在线调查。NG 对一个正式的包含 329 条陈述的清单进行了评级。经过五轮 NG 会议和一轮意见和迭代审查,最终确定了 198 项核心能力(54 项关于神经疾病,64 项关于一般内科疾病,42 项关于实际程序监测,20 项关于专业精神和系统管理,5 项关于伦理和法律方面,3 项关于研究和认证原则,10 项关于评分系统)。

结论

通过使用共识技术,我们制定了神经危重症培训的核心能力清单,可为中国未来的专科培训计划提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ca/6955523/07b915901aed/bmjopen-2019-033441f01.jpg

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