학술논문
International standards for programmes of training in intensive care medicine in Europe
Document Type
Author
Bullock, A; Wilde, J D; Bion, J F; Clutton-Brock, T; Flaatten, H; Mathy, B; van Mook, W; Schuwirth, L; Marsh, B; Phelan, D; Shippey, B; Nimmo, G; Castel, S; Hillion, Y; Bonnet, J; Chaumont, D; Rothen, H U; Reay, H; Krenn, C; Germann, P; Ferdinande, P; de Backer, D; Smilov, I; Keremidchieva, N; Gasparoviae, V; Radonic, R; Kyprianou, T; Kakas, M; Sramek, V; Rubertsson, Sten; m.fl., (et al)
Source
Intensive Care Medicine. 37(3):385-393
Subject
Language
English
ISSN
0342-4642
1432-1238
1432-1238
Abstract
PURPOSE:To develop internationally harmonised standards for programmes of training in intensive care medicine (ICM).METHODS:Standards were developed by using consensus techniques. A nine-member nominal group of European intensive care experts developed a preliminary set of standards. These were revised and refined through a modified Delphi process involving 28 European national coordinators representing national training organisations using a combination of moderated discussion meetings, email, and a Web-based tool for determining the level of agreement with each proposed standard, and whether the standard could be achieved in the respondent's country.RESULTS:The nominal group developed an initial set of 52 possible standards which underwent four iterations to achieve maximal consensus. All national coordinators approved a final set of 29 standards in four domains: training centres, training programmes, selection of trainees, and trainers' profiles. Only three standards were considered immediately achievable by all countries, demonstrating a willingness to aspire to quality rather than merely setting a minimum level. Nine proposed standards which did not achieve full consensus were identified as potential candidates for future review.CONCLUSIONS:This preliminary set of clearly defined and agreed standards provides a transparent framework for assuring the quality of training programmes, and a foundation for international harmonisation and quality improvement of training in ICM.