Development of an Approach to Assessing Pediatric Fellows’ Transport Medical Control Skills

Author:

Good Ryan J.1,Boyer Donald L.2,Bjorklund Ashley R.3,Corden Mark H.4,Harris Matthew I.5,Tcharmtchi M. Hossein6,Kink Rudy J.7,Koncicki Monica L.8,Molas-Torreblanca Kira9,Miquel-Verges Franscesca10,Mink Richard B.11,Rozenfeld Ranna A.12,Sasser William C.13,Saunders Scott14,Silberman Anna P.15,Srinivasan Sushant16,Tseng Ashlie S.17,Turner David A.1819,Zurca Adrian D.20,Czaja Angela S.1

Affiliation:

1. aSection of Critical Care Medicine, Department of Pediatrics, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, Colorado

2. bDepartment of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania

3. cDivision of Pediatric Critical Care, University of Minnesota, Minneapolis, Minnesota

4. dDivision of Hospital Medicine, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California

5. eDepartment of Pediatrics, Northwell Hofstra School of Medicine, New Hyde Park, New York

6. fSection of Pediatric Critical Care, Department of Pediatrics, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas

7. gLe Bonheur Children’s Hospital, and University of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee

8. hDepartment of Pediatrics, Albert Einstein College of Medicine, Children’s Hospital at Montefiore, Bronx, New York

9. iDepartment of Pediatrics, University of California, Irvine, School of Medicine, Children’s Hospital of (Continued) Orange County, Orange, California

10. jDivision of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas

11. kDepartment of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

12. lDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Hasbro Children’s Hospital, Brown University, Providence, Rhode Island

13. mDivision of Pediatric Critical Care Medicine, University of Alabama Birmingham, Birmingham, Alabama

14. nSchool of Medicine, Washington University in St Louis, St Louis, Missouri

15. oDepartment of Pediatrics, Division of Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, Texas

16. pDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

17. qDepartment of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Virginia

18. rCompetency-Based Medical Education, American Board of Pediatrics, Chapel Hill, North Carolina

19. sDivision of Pediatric Critical Care, Department of Pediatrics, Duke University Hospital and Health System, Durham, North Carolina

20. tDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Children’s Hospital, Hershey, Pennsylvania

Abstract

BACKGROUND AND OBJECTIVE Pediatric interfacility transport teams facilitate access to subspecialty care, and physicians often guide management remotely as transport medical control (TMC). Pediatric subspecialty fellows frequently perform TMC duties, but tools assessing competency are lacking. Our objective was to develop content validity for the items required to assess pediatric subspecialty fellows’ TMC skills. METHODS We conducted a modified Delphi process among transport and fellow education experts in pediatric critical care medicine, pediatric emergency medicine, neonatal-perinatal medicine, and pediatric hospital medicine. The study team generated an initial list of items on the basis of a literature review and personal experience. A modified Delphi panel of transport experts was recruited to participate in 3 rounds of anonymous, online voting on the importance of the items using a 3-point Likert scale (marginal, important, essential). We defined consensus for inclusion as ≥80% agreement that an item was important/essential and consensus for exclusion as ≥80% agreement that an item was marginal. RESULTS The study team of 20 faculty drafted an initial list of items. Ten additional experts in each subspecialty served on the modified Delphi panel. Thirty-six items met the criteria for inclusion, with widespread agreement across subspecialties. Only 1 item, “discussed bed availability,” met the criteria for inclusion among some subspecialties but not others. The study team consolidated the final list into 26 items for ease of use. CONCLUSIONS Through a consensus-based process among transport experts, we generated content validity for the items required to assess pediatric subspecialty fellows’ TMC skills.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics,General Medicine,Pediatrics, Perinatology and Child Health

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