Al Mulhim Mobarak A, Darling Robert G, Sarin Ritu, Hart Alex, Kamal Hetaf, Al Hadhirah Abdullah, Voskanyan Amalia, Hofmann Lewis, Connor Bradley A, Band Roger A, Jones James, Tubb Richard, Jackson Ronny, Baez Amado Alejandro, Wasser Edward, Conley Sean, Lang William, Ciottone Gregory
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.
Royal Clinics, Riyadh, Saudi Arabia.
Int J Emerg Med. 2020 Feb 21;13(1):11. doi: 10.1186/s12245-020-00270-4.
Dignitary medicine is an emerging field of training that involves the specialized care of diplomats, heads of state, and other high-ranking officials. In an effort to provide guidance on training in this nascent field, we convened a panel of experts in dignitary medicine and using the Delphi methodology, created a consensus curriculum for training in dignitary medicine.
A three-round Delphi consensus process was performed with 42 experts in the field of dignitary medicine. Predetermined scores were required for an aspect of the curriculum to advance to the next round. The scores on the final round were used to determine the components of the curriculum. Scores below the threshold to advance were dropped in the subsequent round.
Our panel had a high degree of agreement on the required skills needed to practice dignitary medicine, with active practice in a provider's baseline specialty, current board certification, and skills in emergency care and resuscitation being the highest rated skills dignitary medicine physicians need. Skills related to vascular and emergency ultrasound and quality improvement were rated the lowest in the Delphi analysis. No skills were dropped from consideration.
The results of our work can form the basis of formal fellowship training, continuing medical education, and publications in the field of dignitary medicine. It is clear that active medical practice and knowledge of resuscitation and emergency care are critical skills in this field, making emergency medicine physicians well suited to practicing dignitary medicine.
要员医学是一个新兴的培训领域，涉及对外交官、国家元首和其他高级官员的专门护理。为了为这个新兴领域的培训提供指导，我们召集了一个要员医学专家小组，并使用德尔菲方法，制定了一个要员医学培训的共识课程。
对42位要员医学领域的专家进行了三轮德尔菲共识流程。课程的一个方面需要达到预定分数才能进入下一轮。最后一轮的分数用于确定课程的组成部分。低于晋级门槛的分数在后续轮次中被剔除。
我们的专家小组对从事要员医学所需技能高度一致，在提供者的基础专业领域的积极实践、当前的委员会认证以及急诊护理和复苏技能是要员医学医生所需评分最高的技能。在德尔菲分析中，与血管和急诊超声以及质量改进相关的技能评分最低。没有技能被排除在考虑之外。
我们工作的结果可以作为要员医学领域正式专科培训、继续医学教育和出版物的基础。很明显，积极的医疗实践以及复苏和急诊护理知识是该领域的关键技能，这使得急诊医学医生非常适合从事要员医学。
