Cash Rebecca E, Leggio William J, Powell Jonathan R, McKenna Kim D, Rosenberger Paul, Carhart Elliot, Kramer Adrienne, March Juan A, Panchal Ashish R
Department of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Office of the Chief Medical Officer City of Austin Austin Texas USA.
J Am Coll Emerg Physicians Open. 2021 Aug 21;2(4):e12543. doi: 10.1002/emp2.12543. eCollection 2021 Aug.
OBJECTIVE: Our objective was to identify research priorities to understand the impact of COVID-19 on initial emergency medical services (EMS) education. METHODS: We used a modified Delphi method with an expert panel (n = 15) of EMS stakeholders to develop consensus on the research priorities that are most important and feasible to understand the impact of the COVID-19 pandemic on initial EMS education. Data were collected from August 2020 to February 2021 over 5 rounds (3 electronic surveys and 2 live virtual meetings). In Round 1, participants submitted research priorities over 9 specific areas. Responses were thematically analyzed to develop a list of research priorities reviewed in Round 2. In Round 3, participants rated the priorities by importance and feasibility, with a weighted score (2/3importance+1/3feasibility) used for preliminary prioritization. In Round 4, participants ranked the priorities. In Round 5, participants provided their agreement or disagreement with the group's consensus of the top 8 research priorities. RESULTS: During Rounds 1 and 2, 135 ideas were submitted by the panel, leading to a preliminary list of 27 research priorities after thematic analysis. The top 4 research priorities identified by the expert panel were prehospital internship access, impact of lack of field and clinical experience, student health and safety, and EMS education program availability and accessibility. Consensus was reached with 10/11 (91%) participants in Round 5 agreeing. CONCLUSIONS: The identified research priorities are an important first step to begin evaluating the EMS educational infrastructure, processes, and outcomes that were affected or threatened through the pandemic.
目的:我们的目标是确定研究重点,以了解新型冠状病毒肺炎(COVID-19)对初始急救医疗服务(EMS)教育的影响。 方法:我们采用改良德尔菲法,与一个由EMS利益相关者组成的专家小组(n = 15)就研究重点达成共识,这些重点对于理解COVID-19大流行对初始EMS教育的影响最为重要且可行。数据于2020年8月至2021年2月期间通过5轮收集(3次电子调查和2次现场虚拟会议)。在第1轮中,参与者提交了9个特定领域的研究重点。对回复进行主题分析,以制定第2轮中审查的研究重点清单。在第3轮中,参与者根据重要性和可行性对重点进行评分,使用加权分数(2/3×重要性+1/3×可行性)进行初步排序。在第4轮中,参与者对重点进行排名。在第5轮中,参与者对小组关于前8项研究重点的共识表示同意或不同意。 结果:在第1轮和第2轮中,专家小组提交了135个想法,经过主题分析后得出了27项研究重点的初步清单。专家小组确定的前4项研究重点是院前实习机会、缺乏现场和临床经验的影响、学生健康与安全以及EMS教育项目的可获得性和可及性。在第5轮中,11名参与者中有10名(91%)达成了共识。 结论:确定的研究重点是开始评估受大流行影响或受到威胁的EMS教育基础设施、流程和结果的重要第一步。
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