Department of Pediatrics, Division of Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Department of Pediatrics, Division of Critical Care Medicine, Brown University, Providence, RI.
Air Med J. 2022 Mar-Apr;41(2):217-221. doi: 10.1016/j.amj.2021.11.003. Epub 2021 Dec 26.
Interfacility transport of critically ill infants and children is an essential part of the care of children in the United States. However, there is tremendous variation in how transports are coordinated and performed. Pediatric critical care medicine (PCCM) fellows have differing experiences in their fellowships, and there is no standardized way of training medical command for the transport process. The aim of this study was to use a consensus-building process to establish core components of a PCCM transport curriculum focused on communication.
A national group of experts in transport medicine rated 51 total possible topics for their importance to include in a fellowship curriculum. Three rounds of surveys were completed.
Fifty-two of 372 invitees (14%) participated in round 1. Consensus was reached to include 15 items in a PCCM curriculum. Twenty of 52 (38%) experts completed round 2, reaching consensus on 2 additional items. Seventeen of 20 (85%) experts completed round 3. No additional items reached consensus.
Experts reached consensus on 17 core components to include in a PCCM fellowship transport communication curriculum. This curriculum could likely be adapted to train providers from different disciplines in the transport process.
危重新生儿和儿童的机构间转运是美国儿童护理的重要组成部分。然而，转运的协调和实施方式存在巨大差异。儿科危重病医学（PCCM）研究员在其研究员中具有不同的经验，并且没有标准化的方法来培训医疗指挥人员进行转运过程。本研究的目的是使用共识建立过程来确定以沟通为重点的 PCCM 转运课程的核心组成部分。
一组全国范围内的转运医学专家对 51 个可能的总主题进行了评分，以确定其在研究员课程中的重要性。完成了三轮调查。
372 名受邀者中的 52 名（14%）参加了第一轮。达成共识，在 PCCM 课程中包括 15 个项目。52 名专家中的 20 名（38%）完成了第二轮，就另外 2 个项目达成共识。20 名专家中的 17 名（85%）完成了第三轮。没有达成共识的其他项目。
专家就包括在 PCCM 研究员转运沟通课程中的 17 个核心组成部分达成共识。该课程可能适用于培训来自不同学科的转运过程中的提供者。
