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A Theoretical Framework and Competency-Based Approach to Training in Guideline Development.

Shahnaz Sultan^1,2, Rebecca L Morgan³, M Hassan Murad⁴

¹Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, MN, USA.

Journal of General Internal Medicine

|November 16, 2019

Summary

This summary is machine-generated.

Developing clinical guidelines requires specific expertise. This study outlines a competency framework to standardize skills for guideline panel members, ensuring rigorous and transparent evidence-based recommendations.

Keywords:

clinical practice guideline competency-based training guideline panel methodologist

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Area of Science:

Health Services Research
Medical Education
Evidence-Based Practice

Background:

Increasing demand for transparent and standardized guideline development methods.
Need for a clearer understanding of essential knowledge, skills, and expertise for guideline development panels.
Current approaches lack a standardized framework for assessing and developing necessary competencies.

Purpose of the Study:

To describe a theoretical framework outlining the knowledge and skills required for individuals serving on guideline panels.
To establish a competency-based education framework for guideline development.
To aid in standardizing qualifications and developing curricula for guideline panel members.

Main Methods:

Iterative review of published manuscripts on guideline development.
Identification of core competencies, subcompetencies, and developmental milestones.
Application of a competency-based approach and the Dreyfus model of skill acquisition.

Main Results:

Three core competencies identified: facilitating guideline structure, judging evidence quality, and transforming evidence into recommendations.
A 5-level skill acquisition model (Dreyfus model) applied to competency development.
Framework includes progressive learning levels from recognition to mastery.

Conclusions:

A preliminary competency-based education framework is proposed for guideline panel members.
The framework aims to standardize qualifications and inform training curricula for guideline development.
Further validation and refinement are necessary for widespread adoption and effective implementation.