Publication:
Fit for Service: Preparing Residents for Neurointensive Care with Entrustable Professional Activities: A Delphi Study.

cris.virtual.author-orcid0000-0002-0797-2043
cris.virtualsource.author-orcid531916b6-6c3d-4169-8445-a6dfc964197d
datacite.rightsrestricted
dc.contributor.authorSchmidbauer, Moritz L
dc.contributor.authorPinilla, Severin
dc.contributor.authorKunst, Stefan
dc.contributor.authorBiesalski, Anne-Sophie
dc.contributor.authorBösel, Julian
dc.contributor.authorNiesen, Wolf-Dirk
dc.contributor.authorSchramm, Patrick
dc.contributor.authorWartenberg, Katja
dc.contributor.authorDimitriadis, Konstantinos
dc.date.accessioned2024-10-25T17:00:25Z
dc.date.available2024-10-25T17:00:25Z
dc.date.issued2024-04
dc.description.abstractBACKGROUND Although the relevance of neurointensive medicine and high-quality training of corresponding physicians is increasingly recognized, there is high heterogeneity in the nature, duration, and quality of neurointensive care curricula around the world. Thus, we aimed to identify, define, and establish validity evidence for entrustable professional activities (EPAs) for postgraduate training in neurointensive care to determine trainees' readiness for being on-call. METHODS After defining EPAs through an iterative process by an expert group, we used a modified Delphi approach with a single-center development process followed by a national consensus and a single-center validation step. EPAs were evaluated by using the EQual rubric (Queen's EPA Quality Rubric). Interrater reliability was measured with Krippendorff's α. RESULTS The expert group defined seven preliminary EPAs for neurointensive care. In two consecutive Delphi rounds, EPAs were adapted, and consensus was reached for level of entrustment and time of expiration. Ultimately, EPAs reached a high EQual score of 4.5 of 5 and above. Interrater reliability for the EQual scoring was 0.8. CONCLUSIONS Using a multistep Delphi process, we defined and established validity evidence for seven EPAs for neurointensive medicine with a high degree of consensus to objectively describe readiness for on-call duty in neurointensive care. This operationalization of pivotal clinical tasks may help to better train clinical residents in neurointensive care across sites and health care systems and has the potential to serve as a blueprint for training in general intensive care medicine. It also represents a starting point for further research and development of medical curricula.
dc.description.numberOfPages9
dc.description.sponsorshipInstitute for Medical Education, Assessment and Evaluation Unit (AAE)
dc.description.sponsorshipInstitute for Medical Education
dc.description.sponsorshipUniversity Hospital of Geriatric Psychiatry and Psychotherapy
dc.identifier.doi10.48350/185101
dc.identifier.pmid37498455
dc.identifier.publisherDOI10.1007/s12028-023-01799-x
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/168977
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofNeurocritical care
dc.relation.issn1541-6933
dc.relation.organizationDCD5A442C19EE17DE0405C82790C4DE2
dc.relation.organizationDCD5A442BE0DE17DE0405C82790C4DE2
dc.subjectDelphi study Entrustable professional activities Intensive care unit Neurointensive care Postgraduate medical education
dc.subject.ddc300 - Social sciences, sociology & anthropology::370 - Education
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleFit for Service: Preparing Residents for Neurointensive Care with Entrustable Professional Activities: A Delphi Study.
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.endPage653
oaire.citation.issue2
oaire.citation.startPage645
oaire.citation.volume40
oairecerif.author.affiliationUniversity Hospital of Geriatric Psychiatry and Psychotherapy
oairecerif.author.affiliation2Institute for Medical Education, Assessment and Evaluation Unit (AAE)
oairecerif.author.affiliation3Institute for Medical Education
unibe.additional.sponsorshipInstitute for Medical Education, Assessment and Evaluation Unit (AAE)
unibe.additional.sponsorshipInstitute for Medical Education
unibe.contributor.orcid0000-0002-0797-2043
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unibe.date.licenseChanged2023-07-29 14:13:11
unibe.description.ispublishedpub
unibe.eprints.legacyId185101
unibe.journal.abbrevTitleNEUROCRIT CARE
unibe.refereedtrue
unibe.subtype.articlejournal

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