Competencies Required by Anesthesiologists Managing Critically Ill Patients

NCT05007704 | Completed

• 1 other identifier: WFSA-CCM
• Study Type: observational
• Target: 1,155
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Training; Education; Competence

Keywords

Training of Anesthesiologists; Training in Intensive care medicine; Anesthesiologists intensivist; Curriculum of training for Anesthesiologists

Outcome Measures

Primary Outcomes (2)

• 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

• 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

Study Arms (2)

Anesthesiologists for preliminary survey

Anesthesiologists who have completed their training within the last three years to identify preliminary competencies for Delphi round one survey.

Global Experts in Anesthesiology and Critical Care Medicine

Anesthesiologist (a medical graduate who has completed a nationally recognized Anesthesiology training programme) involved in the management of critically ill patients in ICU and have more than ten years of experience in teaching and training in Critical Care. They will be involved in the Delphi process to generate expert consensus on the additional competencies (mandatory desirable and optional) required for Anesthesiologists to practice Critical Care in the Intensive Care Unit (ICU).

Behavioral: Global Experts Consensus opinion using Delphi Methodology

Interventions

Global Experts Consensus opinion using Delphi Methodology BEHAVIORAL

The Investigators will conduct iterative Delphi Rounds with Global experts to achieve consensus on Competencies required for Anesthesiologists to manage critically ill medical and surgical patients in ICU

Global Experts in Anesthesiology and Critical Care Medicine

Eligibility Criteria

• Age: 20 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Preliminary survey: A cross-sectional will be circulated through snowball sampling technique among Anesthesiologists worldwide. Delphi Process: Global Experts in Anesthesiology and Critical Care Medicine.

You may qualify if:

• 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.

You may not qualify if:

• 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

Sponsors & Collaborators

• Prashant Nasa: lead
• World Federation of Societies of Anaesthesiologists: collaborator

Study Sites (1)

Tata Memorial Hospital

Mumbai, India

Location

Related Publications (8)

• Hastie J. Anesthesiologists as perioperative leaders. Int Anesthesiol Clin. 2020 Fall;58(4):58-63. doi: 10.1097/AIA.0000000000000296. No abstract available.

  PMID: 32889956 BACKGROUND

• Barrett H, Bion JF. An international survey of training in adult intensive care medicine. Intensive Care Med. 2005 Apr;31(4):553-61. doi: 10.1007/s00134-005-2583-7. Epub 2005 Mar 5.

  PMID: 15750798 BACKGROUND

• 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.

  PMID: 19547957 BACKGROUND

• 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. No abstract available.

  PMID: 25886775 BACKGROUND

• Gelb AW, Morriss WW, Johnson W, Merry AF, Abayadeera A, Belii 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.

  PMID: 29734240 BACKGROUND

• Diamond IR, Grant RC, Feldman BM, Pencharz PB, Ling SC, Moore AM, Wales PW. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014 Apr;67(4):401-9. doi: 10.1016/j.jclinepi.2013.12.002.

  PMID: 24581294 BACKGROUND

• 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.

  PMID: 34322364 BACKGROUND

• Junger 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.

  PMID: 28190381 BACKGROUND

Study Officials

• Sheila N Myatra, MD

  Tata Memorial Hospital, Mumbai, India

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Head Critical Care Medicine

Study Record Dates

• First Submitted: August 11, 2021
• First Posted: August 16, 2021
• Study Start: September 11, 2021
• Primary Completion: September 30, 2021
• Study Completion: March 21, 2022
• Last Updated: April 20, 2022

Record last verified: 2022-04

Locations

IN (1)