학술논문

Training competencies in adult metabolic medicine: A survey of working adult metabolic medicine physicians
Document Type
Academic Journal
Source
JIMD Reports. September 2022, Vol. 63 Issue 5, p468, 7 p.
Subject
Canada
France
Netherlands
Australia
Portugal
United Kingdom
Language
English
Abstract
Synopsis We have developed a list of medical expert competencies for specialists in adult metabolic medicine using input from working clinicians in this field. BACKGROUND Adult metabolic medicine (AMM) is [...]
: The rapid expansion of the number of adult patients with inherited metabolic diseases (IMDs) has created demand for physicians with expertise in the field of adult metabolic medicine (AMM). Unfortunately, existing accredited training programs in this field are rare, and training programs in pediatric metabolic medicine cannot fully meet the needs of AMM physicians as the types of patients and the problems they face are different in the adult setting. We surveyed a group of working practitioners in AMM for input on what medical expert competencies they feel should be included as part of training programs in AMM. Through a modified Delphi process, 66 physicians from six continents reached consensus on a comprehensive list of training competencies in AMM. This list includes competencies from the fields of adult internal medicine, neurology, medical genetics, and pediatric metabolic medicine but also includes competencies not found in any of those programs, leading to the conclusion that the training needs for specialists in AMM cannot be met from any of these existing programs. We propose that AMM be considered a subspecialty separate from pediatric metabolic medicine and that accredited training programs in AMM be created using these medical expert competencies as part of a broader program design.