Education Clinical Trial
Official title:
Competencies Required by Anesthesiologists Managing Critically Ill Medical and Surgical Patients in an Intensive Care Unit
NCT number | NCT05007704 |
Other study ID # | WFSA-CCM |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | September 11, 2021 |
Est. completion date | March 21, 2022 |
Verified date | April 2022 |
Source | NMC Specialty Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Critical Care Medicine (CCM) has emerged as an independent specialty over the last few decades. Anesthesiologists being perioperative physicians, often practice CCM full time or part-time. Deficiencies have been noted by experts in the Anesthesiology training in certain competencies required for the management of critically ill medical and surgical patients in the Intensive care unit (ICU). This is often compounded by considerable variation in the training curriculum of the Anesthesiologists based on the geographical region and base specialty. The Intensive & Critical Care Medicine Committee of the World Federation of Societies of Anesthesiologists (WFSA), has developed a preliminary survey of recently qualified Anesthesiologists, to review the existing competencies for CCM in the Anesthesiology curriculum across the globe. The results of this survey will be used to identify the gaps and additional competencies required for Anesthesiologists to practice Critical Care in ICU through expert consensus, using a Delphi process.
Status | Completed |
Enrollment | 1155 |
Est. completion date | March 21, 2022 |
Est. primary completion date | September 30, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 70 Years |
Eligibility | Inclusion Criteria: Preliminary survey • Anesthesiologists who have completed their training within the last three years. Selection of experts for the Delphi process: - Anesthesiologist (a medical graduate who has completed a nationally recognized Anesthesiology training programme) - Involved in the management of critically ill patients in ICU - More than ten years of experience in teaching and training in Critical Care. Exclusion Criteria: Preliminary survey - Anesthesiologists have started training in critical care medicine immediately after completion of their Anesthesia training - Anesthesiologists who refused to participate Delphi Process selection of experts: - Non-Anesthesiologist intensivist - Anesthesiologist not involved in the management of critically ill patient - Pediatric Intensivist |
Country | Name | City | State |
---|---|---|---|
India | Tata Memorial Hospital | Mumbai |
Lead Sponsor | Collaborator |
---|---|
Prashant Nasa | World Federation of Societies of Anaesthesiologists |
India,
Barrett H, Bion JF. An international survey of training in adult intensive care medicine. Intensive Care Med. 2005 Apr;31(4):553-61. Epub 2005 Mar 5. — View Citation
CoBaTrICE Collaboration. The educational environment for training in intensive care medicine: structures, processes, outcomes and challenges in the European region. Intensive Care Med. 2009 Sep;35(9):1575-83. doi: 10.1007/s00134-009-1514-4. Epub 2009 Jun 23. — View Citation
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Gelb AW, Morriss WW, Johnson W, Merry AF, Abayadeera A, Belîi N, Brull SJ, Chibana A, Evans F, Goddia C, Haylock-Loor C, Khan F, Leal S, Lin N, Merchant R, Newton MW, Rowles JS, Sanusi A, Wilson I, Velazquez Berumen A; International Standards for a Safe Practice of Anesthesia Workgroup. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Anesth Analg. 2018 Jun;126(6):2047-2055. doi: 10.1213/ANE.0000000000002927. Review. — View Citation
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Jünger S, Payne SA, Brine J, Radbruch L, Brearley SG. Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations based on a methodological systematic review. Palliat Med. 2017 Sep;31(8):684-706. doi: 10.1177/0269216317690685. Epub 2017 Feb 13. Review. — View Citation
Kain ZN, Fitch JC, Kirsch JR, Mets B, Pearl RG. Future of anesthesiology is perioperative medicine: a call for action. Anesthesiology. 2015 Jun;122(6):1192-5. doi: 10.1097/ALN.0000000000000680. Erratum in: Anesthesiology. 2015 Aug;123(2):492. — View Citation
Nasa P, Jain R, Juneja D. Delphi methodology in healthcare research: How to decide its appropriateness. World J Methodol. 2021 Jul 20;11(4):116-129. doi: 10.5662/wjm.v11.i4.116. eCollection 2021 Jul 20. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Development of Preliminary Competencies | Using a 5-point likert scale (never seen, have observed, can manage under supervision, can manage with minimal assistance, and can manage independently) through a cross-sectional survey with 500 recently (less than three years) trained Anesthesiologists. | 30 days | |
Primary | Consensus among participating experts | The participating experts will be asked to score each of the competencies listed on a 5-point Likert scale (nonessential, optional, optional but desirable, desirable, and mandatory).The Delphi rounds will be continued till desired consensus and stability is achieved for competencies. | 45 days |
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