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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Competency-based education in intensive care multiprofessional training: a scoping review.

Thais Oliveira Gomes1, Fernanda Berchelli Girão2, Matheus Henrique Silva3

  • 1Hospital das Clínicas, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.

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Summary

Competency-based education shows promise for intensive care training, enhancing learning transparency and individual tracking. Further research is needed to confirm its impact on patient safety and expand its application across diverse health fields.

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Area of Science:

  • Medical Education
  • Healthcare Professional Training
  • Intensive Care Medicine

Background:

  • Competency-based education (CBE) is increasingly adopted in professional training.
  • Its application in intensive care multiprofessional training requires comprehensive mapping.

Purpose of the Study:

  • To map the development and implementation of CBE in intensive care multiprofessional training.
  • To synthesize findings from national and international literature.

Main Methods:

  • A scoping review methodology was employed.
  • Searches were conducted across six databases and gray literature sources.
  • 31 studies published between 2000 and 2024 were included.

Main Results:

  • CBE conceptualization evolved from skill lists to core competencies, milestones, and entrustable professional activities.
  • Identified benefits include learning process transparency, individualized tracking, and reflective learning.
  • Implementation challenges involve faculty training, resistance to change, resource limitations, and assessment tool development.
  • Limited research exists in Latin America and non-medical health fields like nursing and physiotherapy.

Conclusions:

  • Competency-based education presents a promising framework for intensive care training.
  • Further research is essential to evaluate its impact on patient care quality and safety.
  • Expanding the scope to diverse contexts and health professions is crucial.