TY - JOUR
T1 - A national needs assessment study to determine procedures for simulation-based training in cardiology in Denmark
AU - Gustavsen, Pia Helene
AU - Nielsen, Dorte Guldbrand
AU - Paltved, Charlotte
AU - Konge, Lars
AU - Nayahangan, Leizl Joy
PY - 2019/2
Y1 - 2019/2
N2 - OBJECTIVES: New training methods such as simulation have been introduced in cardiology as in other specialties; however, the development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The objective of this study was to perform a nationwide general needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum for cardiology residency in Denmark.DESIGN: We completed a needs assessment using the Delphi method among key opinion leaders in cardiology. Brainstorming in round 1 identified technical procedures that future cardiologists should learn. Round 2 was a survey to examine frequency of procedure, number of cardiologists performing the procedure, operator-related risk and/or discomfort for patients and feasibility for simulation. Round 3 was final elimination and prioritization of procedures.RESULTS: Ninety-four key opinion leaders were included, and the response rates were 77% (round 1), 62% (Round 2), and 68% (Round 3). Twenty-four technical procedures were identified in Round 1 and pre-prioritized in Round 2. In round 3, 13 procedures were included in the final prioritized list. The five highly prioritized procedures eligible for simulation-based training were advanced life support, pleurocentesis, transesophageal echocardiography, coronary angiography, and pericardiocentesis.CONCLUSION: The general needs assessment following the Delphi process identified and prioritized 13 technical procedures in cardiology that should be integrated in a simulation-based curriculum. The final list provides educators a guide when developing simulation-based training programmes for cardiology residents.
AB - OBJECTIVES: New training methods such as simulation have been introduced in cardiology as in other specialties; however, the development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The objective of this study was to perform a nationwide general needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum for cardiology residency in Denmark.DESIGN: We completed a needs assessment using the Delphi method among key opinion leaders in cardiology. Brainstorming in round 1 identified technical procedures that future cardiologists should learn. Round 2 was a survey to examine frequency of procedure, number of cardiologists performing the procedure, operator-related risk and/or discomfort for patients and feasibility for simulation. Round 3 was final elimination and prioritization of procedures.RESULTS: Ninety-four key opinion leaders were included, and the response rates were 77% (round 1), 62% (Round 2), and 68% (Round 3). Twenty-four technical procedures were identified in Round 1 and pre-prioritized in Round 2. In round 3, 13 procedures were included in the final prioritized list. The five highly prioritized procedures eligible for simulation-based training were advanced life support, pleurocentesis, transesophageal echocardiography, coronary angiography, and pericardiocentesis.CONCLUSION: The general needs assessment following the Delphi process identified and prioritized 13 technical procedures in cardiology that should be integrated in a simulation-based curriculum. The final list provides educators a guide when developing simulation-based training programmes for cardiology residents.
KW - Cardiologists/education
KW - Cardiology/education
KW - Clinical Competence
KW - Computer-Assisted Instruction/methods
KW - Consensus
KW - Curriculum
KW - Delphi Technique
KW - Denmark
KW - Education, Medical, Graduate/methods
KW - Humans
KW - Internship and Residency
KW - Needs Assessment
KW - Simulation Training/methods
U2 - 10.1080/14017431.2019.1569716
DO - 10.1080/14017431.2019.1569716
M3 - Journal article
C2 - 30649966
SN - 1401-7431
VL - 53
SP - 35
EP - 41
JO - Scandinavian cardiovascular journal : SCJ
JF - Scandinavian cardiovascular journal : SCJ
IS - 1
ER -