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Core Components of a Pediatric Critical Care Transport Communication Curriculum: A Modified Delphi Approach

Anna P Silberman1, Ranna A Rozenfeld2, David O Kessler3

  • 1Department of Pediatrics, Division of Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, TX.

Air Medical Journal
|March 21, 2022
PubMed

Insights

A consensus-based approach identified 17 essential communication components for a pediatric critical care medicine (PCCM) transport curriculum. This standardized training aims to improve care for critically ill infants and children during interfacility transport.

Area of Science:

  • Pediatric Critical Care Medicine
  • Transport Medicine
  • Medical Education

Background:

  • Interfacility transport of critically ill children lacks standardized coordination and performance.
  • Pediatric critical care medicine (PCCM) fellowship training varies, with no uniform approach to transport medical command.
  • Effective communication is crucial for safe and efficient pediatric patient transport.

Purpose of the Study:

  • To establish core components for a PCCM transport curriculum focused on communication.
  • To develop a consensus-based framework for training in pediatric critical care transport.
  • To address the variability in pediatric interfacility transport coordination and execution.

Main Methods:

  • A national Delphi method survey involving transport medicine experts.
  • Three rounds of surveys were used to rate the importance of 51 potential curriculum topics.
  • Consensus was defined as agreement among participating experts.

Main Results:

  • Fifteen curriculum items reached consensus in the first round with 14% expert participation.
  • An additional two items achieved consensus in the second round with 38% expert participation.
  • No further items reached consensus in the third round, resulting in 17 core components.

Conclusions:

  • Seventeen core components were identified for a PCCM fellowship transport communication curriculum.
  • The developed curriculum provides a standardized approach to training for pediatric critical care transport.
  • The curriculum framework is adaptable for training professionals across different disciplines involved in transport.
Abstract

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