Identifying Technical Procedures in Pulmonary Medicine That Should Be Integrated in a Simulation-Based Curriculum: A National General Needs Assessment
Background: Simulation training is a revolutionary addition to health care education. However, developing simulation-based training programs is often dictated by those simulators that are commercially available. Curriculum development requires deliberate planning and a standardized approach, includi...
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| Veröffentlicht in: | Respiration 2016-01, Vol.91 (6), p.517-522 |
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| creator | Nayahangan, Leizl Joy Clementsen, Paul Frost Paltved, Charlotte Lindorff-Larsen, Karen Gilboe Nielsen, Bjørn Ulrik Konge, Lars |
| description | Background: Simulation training is a revolutionary addition to health care education. However, developing simulation-based training programs is often dictated by those simulators that are commercially available. Curriculum development requires deliberate planning and a standardized approach, including a ‘general needs assessment'. Objectives: The aim of this study was to perform a national general needs assessment to identify technical procedures in pulmonary medicine that should be integrated in a simulation-based curriculum. Methods: A three-round Delphi process was initiated among 62 key opinion leaders. Round 1 was an open-ended question to identify technical procedures pulmonologists should learn. Round 2 was a survey using a newly developed needs assessment formula to explore the frequency of procedures, number of operators, risk or discomfort when performed by an inexperienced doctor, and feasibility of simulation-based training. In round 3, results were reviewed and ranked according to priority. Results: The response rates for the three rounds were 74, 63, and 60%, respectively. The Delphi process reduced the 30 procedures identified in round 1 to 11 prioritized technical procedures in round 3. These were: flexible bronchoscopy, pleurocentesis, endobronchial ultrasound, endoscopic ultrasound-guided fine-needle aspiration, noninvasive ventilation treatment, transthoracic biopsy of pleural or lung tumor, focused ultrasound scanning of the lungs, chest tube insertion, needle biopsy of visible lymph node/tumor of the skin, focused ultrasound scanning of the heart, and thoracoscopy. Conclusion: We performed a Delphi study using a needs assessment formula, which identified 11 technical procedures that are highly suitable for simulation-based training. Medical educators can use this list as a resource in planning simulation-based training programs for trainees in pulmonary medicine. |
| doi_str_mv | 10.1159/000446926 |
| format | Article |
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However, developing simulation-based training programs is often dictated by those simulators that are commercially available. Curriculum development requires deliberate planning and a standardized approach, including a ‘general needs assessment'. Objectives: The aim of this study was to perform a national general needs assessment to identify technical procedures in pulmonary medicine that should be integrated in a simulation-based curriculum. Methods: A three-round Delphi process was initiated among 62 key opinion leaders. Round 1 was an open-ended question to identify technical procedures pulmonologists should learn. Round 2 was a survey using a newly developed needs assessment formula to explore the frequency of procedures, number of operators, risk or discomfort when performed by an inexperienced doctor, and feasibility of simulation-based training. In round 3, results were reviewed and ranked according to priority. Results: The response rates for the three rounds were 74, 63, and 60%, respectively. The Delphi process reduced the 30 procedures identified in round 1 to 11 prioritized technical procedures in round 3. These were: flexible bronchoscopy, pleurocentesis, endobronchial ultrasound, endoscopic ultrasound-guided fine-needle aspiration, noninvasive ventilation treatment, transthoracic biopsy of pleural or lung tumor, focused ultrasound scanning of the lungs, chest tube insertion, needle biopsy of visible lymph node/tumor of the skin, focused ultrasound scanning of the heart, and thoracoscopy. Conclusion: We performed a Delphi study using a needs assessment formula, which identified 11 technical procedures that are highly suitable for simulation-based training. Medical educators can use this list as a resource in planning simulation-based training programs for trainees in pulmonary medicine.</description><identifier>ISSN: 0025-7931</identifier><identifier>EISSN: 1423-0356</identifier><identifier>DOI: 10.1159/000446926</identifier><identifier>PMID: 27287472</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Basic Science Investigations ; Curricula ; Curriculum development ; Delphi Technique ; Educational aspects ; Health education ; Lung diseases ; Medical education ; Needs analysis ; Needs Assessment ; Patient simulation ; Pulmonary medicine ; Pulmonary Medicine - education ; Simulation Training ; Study and teaching</subject><ispartof>Respiration, 2016-01, Vol.91 (6), p.517-522</ispartof><rights>2016 S. Karger AG, Basel</rights><rights>2016 S. Karger AG, Basel.</rights><rights>COPYRIGHT 2016 S. Karger AG</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-2e23cfcf752e2222439ffe2b91ba550f6f7af866b2cf2fbcc5ddfa8e1f03adf63</citedby><cites>FETCH-LOGICAL-c400t-2e23cfcf752e2222439ffe2b91ba550f6f7af866b2cf2fbcc5ddfa8e1f03adf63</cites><orcidid>0000-0002-6179-1622</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27287472$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nayahangan, Leizl Joy</creatorcontrib><creatorcontrib>Clementsen, Paul Frost</creatorcontrib><creatorcontrib>Paltved, Charlotte</creatorcontrib><creatorcontrib>Lindorff-Larsen, Karen Gilboe</creatorcontrib><creatorcontrib>Nielsen, Bjørn Ulrik</creatorcontrib><creatorcontrib>Konge, Lars</creatorcontrib><title>Identifying Technical Procedures in Pulmonary Medicine That Should Be Integrated in a Simulation-Based Curriculum: A National General Needs Assessment</title><title>Respiration</title><addtitle>Respiration</addtitle><description>Background: Simulation training is a revolutionary addition to health care education. However, developing simulation-based training programs is often dictated by those simulators that are commercially available. Curriculum development requires deliberate planning and a standardized approach, including a ‘general needs assessment'. Objectives: The aim of this study was to perform a national general needs assessment to identify technical procedures in pulmonary medicine that should be integrated in a simulation-based curriculum. Methods: A three-round Delphi process was initiated among 62 key opinion leaders. Round 1 was an open-ended question to identify technical procedures pulmonologists should learn. Round 2 was a survey using a newly developed needs assessment formula to explore the frequency of procedures, number of operators, risk or discomfort when performed by an inexperienced doctor, and feasibility of simulation-based training. In round 3, results were reviewed and ranked according to priority. Results: The response rates for the three rounds were 74, 63, and 60%, respectively. The Delphi process reduced the 30 procedures identified in round 1 to 11 prioritized technical procedures in round 3. These were: flexible bronchoscopy, pleurocentesis, endobronchial ultrasound, endoscopic ultrasound-guided fine-needle aspiration, noninvasive ventilation treatment, transthoracic biopsy of pleural or lung tumor, focused ultrasound scanning of the lungs, chest tube insertion, needle biopsy of visible lymph node/tumor of the skin, focused ultrasound scanning of the heart, and thoracoscopy. Conclusion: We performed a Delphi study using a needs assessment formula, which identified 11 technical procedures that are highly suitable for simulation-based training. Medical educators can use this list as a resource in planning simulation-based training programs for trainees in pulmonary medicine.</description><subject>Basic Science Investigations</subject><subject>Curricula</subject><subject>Curriculum development</subject><subject>Delphi Technique</subject><subject>Educational aspects</subject><subject>Health education</subject><subject>Lung diseases</subject><subject>Medical education</subject><subject>Needs analysis</subject><subject>Needs Assessment</subject><subject>Patient simulation</subject><subject>Pulmonary medicine</subject><subject>Pulmonary Medicine - education</subject><subject>Simulation Training</subject><subject>Study and teaching</subject><issn>0025-7931</issn><issn>1423-0356</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0U-P1CAUAHBiNO64evBuDImJ0UOVPy1tvc1OdJ1kXTfZ8dxQeExZKV2hHPaL-HmlzjgHuTwCP3g8HkIvKflAadV-JISUpWiZeIRWtGS8ILwSj9GKEFYVdcvpGXoW4x0htGoa9hSdsZo1dVmzFfq91eBnax6s3-MdqMFbJR2-CZMCnQJEbD2-SW6cvAwP-Btoq6wHvBvkjG-HKTmNLwBv_Qz7IGfQi5f41o7JydlOvriQMa9uUghWJZfGT3iNr_9u5TyX4CHkeA2gI17HCDGO-UHP0RMjXYQXx3iOfnz5vNt8La6-X24366tClYTMBQPGlVGmrvIsj5K3xgDrW9rLqiJGmFqaRoieKcNMr1SltZENUEO41Ebwc_TucO99mH4liHM32qjAOelhSrGjDWE157xtM33zH72bUshFLIoKxmlZNlm9Pai9dNANIN08xMmlpd7YrQWvaS1qvmR-f4AqTDEGMN19sGP-446Sbulqd-pqtq-PqVM_gj7Jf23M4NUB_JRhD-EEjuf_AK24pqo</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Nayahangan, Leizl Joy</creator><creator>Clementsen, Paul Frost</creator><creator>Paltved, Charlotte</creator><creator>Lindorff-Larsen, Karen Gilboe</creator><creator>Nielsen, Bjørn Ulrik</creator><creator>Konge, Lars</creator><general>S. 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| subjects | Basic Science Investigations Curricula Curriculum development Delphi Technique Educational aspects Health education Lung diseases Medical education Needs analysis Needs Assessment Patient simulation Pulmonary medicine Pulmonary Medicine - education Simulation Training Study and teaching |
| title | Identifying Technical Procedures in Pulmonary Medicine That Should Be Integrated in a Simulation-Based Curriculum: A National General Needs Assessment |
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