Safety, quality & education

A Consensus-Driven Approach to Redesigning Graduate Medical Education: The Pediatric Anesthesiology Delphi Study

Anesth AnalgPublished Delphi consensus study

Authors' conclusion

A Delphi process achieved robust consensus in assessing current training and recommending future directions for pediatric anesthesiology graduate medical education.

Study context

Population
Demographically and geographically varied pediatric anesthesiologists, US pediatric anesthesiology community (Society for Pediatric Anesthesia (SPA) Task Force)
Participants
37 pediatric anesthesiologists
Outcome
Consensus on pediatric anesthesiology fellowship education
Methodological detailsnationally representative, stakeholder-based, iterative survey rounds, Iterative rounds of open- and close-ended surveys, August 2020 to July 2021
  • Nationally representative
  • Stakeholder-based
  • Iterative survey rounds
  • Iterative rounds of open- and close-ended surveys, August 2020 to July 2021

Recommendations

As reported in the abstract

  • Consensus almost completely achieved by round 2
  • Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis: more strengths and opportunities than weaknesses or threats in current program
  • Fellows matriculate with some clinical knowledge and procedural gaps; a few clinical gaps exist upon graduation
  • Agreement on 8 nonclinical domains for all fellows: patient safety, quality improvement, communication skills, supervision skills, leadership, medical education, research basics, practice management
  • New case log system should be created to reflect modern pediatric anesthesia practice
  • Need for standardized and validated formative and summative assessment tools in a competency-based system
  • Significant departmental, institutional and national organizational support necessary for implementation

Original publication

A Consensus-Driven Approach to Redesigning Graduate Medical Education: The Pediatric Anesthesiology Delphi Study. Anesth Analg. Published 17 February 2023. doi:10.1213/ane.0000000000006128

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