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