Riley Jeffrey B, Lucas Mark T, Samolyk Keith A, Reagor James A, Timpa Joseph G, Pierce Christopher N, Preston Thomas J, Darling Edward M, Searles Bruce E, Longenecker Robert D, Hodge Ashley B, Charette Kevin A, Groom Robert C, Fitzgerald David C, Sleasman Justin R, Alwardt Cory M, Bonadonna Desiree K, Shepard Mark P, Harris William E
International Board of Blood Management, American Society of Extracorporeal Technology, Chicago, Illinois.
Cardiovascular Perfusion Department, SUNY Upstate Medical University, Syracuse, New York.
J Extra Corpor Technol. 2020 Jun;52(2):96-102. doi: 10.1182/ject-2000012.
The American Society of Extracorporeal Technology Board of Directors, consistent with the American Society of Extracorporeal Technology's safe patient care improvement mission, charged the International Board of Blood Management to write a knowledge and skill certification examination for healthcare personnel employed as adult extracorporeal membrane oxygenation (ECMO) specialists. Nineteen nationally recognized ECMO subject-matter experts were selected to complete the examination development. A job analysis was performed, yielding a job description and examination plan focused on 16 job categories. Multiple-choice test items were created and validated. Qualified ECMO specialists were identified to complete a pilot examination and both pre- and post-examination surveys. The examination item difficulty and candidate performance were ranked and matched using Rasch methodology. Candidates' examination scores were compared with their profession, training, and experience as ECMO specialists. The 120-item pilot examination form ranked 76 ECMO specialist candidates consistent with their licensure, ECMO training, and clinical experience. Forty-three registered nurses, 28 registered respiratory therapists, four certified clinical perfusionists, and one physician assistant completed the pilot examination process. Rasch statistics revealed examination reliability coefficients of .83 for candidates and .88 for test items. Candidates ranked the appropriateness for examination items consistent with the item content, difficulty, and their personal examination score. The pilot examination pass rate was 80%. The completed examination product scheduled for enrollment in March 2020 includes 100 verified test items with an expected pass rate of 84% at a cut score of 67%. The online certification examination based on a verified job analysis provides an extramural assessment that ranks minimally prepared ECMO specialists' knowledge, skills, and abilities (KSA) consistent with safe ECMO patient care and circuit management. It is anticipated that ECMO facilities and ECMO service providers will incorporate the certification examination as part of their process improvement, safety, and quality assurance plans.
美国体外技术协会董事会，秉持美国体外技术协会改善患者安全护理的使命，责成国际血液管理委员会为从事成人体外膜肺氧合（ECMO）专科工作的医护人员编写知识与技能认证考试。挑选了19位全国公认的ECMO主题专家来完成考试开发。进行了工作分析，得出了一份针对16个工作类别的工作描述和考试计划。创建并验证了多项选择题。确定了合格的ECMO专科医生来完成预测试和后测试以及考试前和考试后的调查。使用拉施方法对考试项目难度和考生表现进行排名和匹配。将考生的考试成绩与其作为ECMO专科医生的职业、培训和经验进行比较。这份包含120道题目的预测试表格对76名ECMO专科考生进行了排名，排名与他们的执照、ECMO培训和临床经验相符。43名注册护士、28名注册呼吸治疗师、4名认证临床灌注师和1名医师助理完成了预测试过程。拉施统计显示，考生的考试信度系数为0.83，考试项目的信度系数为0.88。考生根据题目内容、难度和个人考试成绩对考试项目的适宜性进行了排名。预测试通过率为80%。定于2020年3月开始招生的完整考试产品包括100道经过验证的测试题，预期通过率为84%，及格分数为67%。基于经过验证的工作分析的在线认证考试提供了一种校外评估，对准备最不足的ECMO专科医生的知识、技能和能力（KSA）进行排名，这些知识、技能和能力与安全的ECMO患者护理和回路管理相符。预计ECMO设施和ECMO服务提供商会将认证考试纳入其流程改进、安全和质量保证计划之中。
