ICVS/3B...s ..÷ PT Government Associate Laboratory, Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal; School of Medicine, University of Minho, Portugal.
ICVS/3B...s ..÷ PT Government Associate Laboratory, Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal; Tiago de Almeida USF, Viana do Castelo, Portugal.
Pulmonology. 2024 Mar-Apr;30(2):145-151. doi: 10.1016/j.pulmoe.2020.10.014. Epub 2020 Dec 6.
Respiratory diseases (RD) constitute a significant part of the workload of family physicians. There is no consensus on what family doctors should know in this area but established methods for achieving consensus may help to overcome this.
The purpose of the study was to obtain a national consensus on the required knowledge and skills in respiratory medicine for family medicine trainees after vocational training.
A Delphi study was conducted via e-mail with a diverse panel of experts. We developed a Learning Curriculum Framework (LCF) with 399 items adapted from the Royal Australasian College of Physicians ..÷ Respiratory Medicine Advanced Training Curriculum. The LCF was submitted to the experts in two rounds for consensus. Consensus was considered for items that had an agreement of 80% in the classifications above 4 on a scale of importance that ranged from 1 (not important) to 5 (very important).
Consensus was obtained for 159 items (38.8%). These included structure and function of the respiratory tract (0.6%), presenting problems (21.4%), diagnosis (7.5%), interventions and prevention (11.3%), COPD-emphysema (12.6%), tumours (3.1%), infections (10.7%), tuberculosis (5.7%), HIV (1.3%), thromboembolic disease (2.5%), pleural-pulmonary disease (3.1%), pregnancy (0.6%) and sleep disorders (3.8%). Items on iatrogenic diseases and respiratory research did not reach consensus.
Consensus on the respiratory medicine curriculum may contribute to further development of the vocational training curriculum in Portugal. This approach may help teachers in other countries in Europe to develop curricula for respiratory medicine and other areas of general practice.
呼吸疾病（RD）构成家庭医生工作量的重要部分。家庭医生在该领域应具备哪些知识尚无共识，但既定的达成共识的方法可能有助于克服这一问题。
本研究旨在为接受职业培训后的家庭医学住院医师获得呼吸医学所需知识和技能方面达成全国共识。
通过电子邮件进行了一项德尔菲研究，专家小组具有多样性。我们从澳大利亚皇家内科医学院制定的呼吸医学高级培训课程中改编了 399 项内容，制定了学习课程框架（LCF）。LCF 在两轮中提交给专家以达成共识。在重要性从 1（不重要）到 5（非常重要）的 5 分制中，在分类上达到 4 分以上的同意率为 80%的项目被认为达成共识。
达成了 159 项（38.8%）的共识。这些共识包括呼吸道的结构和功能（0.6%）、表现问题（21.4%）、诊断（7.5%）、干预和预防（11.3%）、COPD-肺气肿（12.6%）、肿瘤（3.1%）、感染（10.7%）、肺结核（5.7%）、HIV（1.3%）、血栓栓塞性疾病（2.5%）、胸膜-肺部疾病（3.1%）、妊娠（0.6%）和睡眠障碍（3.8%）。关于医源性疾病和呼吸研究的项目未达成共识。
呼吸医学课程的共识可能有助于进一步发展葡萄牙的职业培训课程。这种方法可能有助于欧洲其他国家的教师制定呼吸医学和其他一般实践领域的课程。
