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Area of Science:

  • Medical Education
  • Emergency Medical Services
  • Healthcare Professional Development

Background:

  • Continued competency is not well-defined in emergency medical services (EMS).
  • There is a lack of a national standard for verifying continued competency among EMS clinicians.
  • This deficiency impacts the quality and consistency of pre-hospital care.

Purpose of the Study:

  • To clarify the concept of continued competency for EMS clinicians in the United States.
  • To establish national priorities for the development of effective competency assessment methods.
  • To inform the creation of consistent guidelines for EMS credentialing.

Main Methods:

  • A modified Delphi technique was employed with a panel of 14 EMS experts.
  • The process involved electronic conferencing and surveys over six months, with four rounds of discussion and rating.
  • Participants identified and prioritized essential content and assessment processes for EMS continued competency.

Main Results:

  • The panel identified 21 key content themes and 14 process themes for EMS continued competency.
  • Top prioritized content areas include airway, respiration, ventilation, patient assessment, pharmacology, pediatrics, and time-critical disease management.
  • Top prioritized assessment processes include evidence-based practice, performance-based assessments, and combined knowledge/skill evaluations.

Conclusions:

  • The Delphi process successfully identified critical priorities for EMS continued competency content and assessment methods.
  • These findings provide a foundation for developing national, transparent, and consistent guidelines for EMS competency verification.
  • The results can guide national task forces in establishing standards for certification, licensure, and local credentialing.