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Proposing Entrustable Professional Activities for Pediatric Critical Care Ultrasound: A Modified Delphi Consensus
Michael Lintner-Rivera1, Ivanna N Maxson2, Awni M Al-Subu3
1Division of Pediatric Critical Care, Department of Pediatrics, Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, Indianapolis, IN.
Objective:
Develop a consensus-based framework for point-of care ultrasound in pediatric critical care, or critical care ultrasound (CCUS) education using entrustable professional activities (EPAs).
Design:
A modified Delphi method utilizing cycles of meetings and surveys for consensus-building.
Setting:
The endeavor involved members of the Pediatric Research Collaborative on Critical Ultrasound (PeRCCUS), a subgroup of the Pediatric Acute Lung Injury And Sepsis Investigators.
Subjects:
An expert panel consisting of 23 members representing 17 institutions, including diverse healthcare professionals involved in pediatric critical care ultrasound.
Interventions:
Three iterative modified Delphi rounds were conducted to propose and refine critical care ultrasound EPAs.
Measurements And Main Results:
The endeavor achieved a 74% response rate. Fourteen EPAs were formulated across five domains: Cardiac, Pulmonary, Abdomen, Procedures, and Vascular, along with two consensus opinions on educational content and methods. EPAs were evaluated using 5-point Likert items, requiring a median score of greater than or equal to 4.5 for progression.
Conclusions:
This collaborative effort led to the establishment of fourteen EPAs for pediatric critical care ultrasound, offering a structured approach for education and competency assessment in pediatric critical care. This initiative lays the groundwork for evolving standards in pediatric critical care ultrasound education and practice.
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