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Development of competency framework for postgraduate anesthesia training in China: a Delphi study
Xiaoning Zhang1,2, Kun Meng3, Junli Cao4
1Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, 2318, Yuhangtang Road, Yuhang District, Hangzhou, Zhejiang, 311121, China. xiaoning.zhang22@outlook.com.
BMC Medical Education
|January 3, 2025
Summary
A new competency framework for postgraduate anesthesia training (PGAT) in China was developed. This framework standardizes training and enhances patient care quality in anesthesiology.
Area of Science:
- Medical Education
- Anesthesiology Training
Background:
- Postgraduate medical education (PGME) in anesthesiology lacks standardization in China.
- A competency framework is crucial for improving PGAT quality and patient care.
Purpose of the Study:
- To develop a comprehensive competency framework for postgraduate anesthesia training (PGAT) in China.
- To establish standards for anesthesiology education and training.
Main Methods:
- A multi-step approach including literature review and semi-structured interviews.
- Modified Delphi method with three rounds involving 47 experts from the Chinese Society of Anesthesiology (CSA).
- Consensus achieved using a 5-point Likert scale (≥4) and 80% agreement rate.
Main Results:
- A final framework comprising 140 competency items within 23 enabling competencies.
- Competencies categorized into seven key roles: medical expert, communicator, collaborator, professional leader, health advocate, academic scholar, and specialized professional.
- High expert participation rates (90.2% and 88.2% response rates).
Conclusions:
- This study provides the foundation for a competency-based medical education and training (CBMET) program for PGAT in China.
- The developed framework is essential for standardizing anesthesiology training and improving patient outcomes.
