关于麻醉学中脑电图教育的共识文件:定义学习成果:一个修改的四轮德尔菲研究
Joana Berger-Estilita1, Dana Baron Shahaf, Odmara L Barreto Chang
1From the Institute for Medical Education, University of Bern (JBE), Department of Anaesthesiology and Intensive Care, Salem-Spital, Hirslanden Hospital Group, Bern, Switzerland (JBE), RISE-Health, Centre for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal (JBE), Department of Anaesthesiology and Intensive Care, Rambam Healthcare Campus, Haifa, Israel (AR, DBS), Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California, USA (OLBC), Department of Anaesthesia and Intensive Care Medicine, Liège University Hospital, Liège, Belgium (VB), Anaesthesia and Perioperative Neuroscience Laboratory, GIGA-Consciousness, GIGA-Research, Liège University, Liège, Belgium (VB), Department of Intensive Care Medicine, University Hospital of Zürich, Zürich, Switzerland (IC), Department of Anaesthesiology and Surgical Intensive Care, Hospital del Mar; Hospital del Mar Research Institute, Barcelona, Spain (JLF-C), Department of Anesthesiology, Columbia University Medical Center, New York, New York, USA (PSG), Division of Anaesthesiology, Department of Anaesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, Geneva University Hospitals and Faculty of Medicine (MG), Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland (MG), Department of Anesthesiology, Montréal Neurological Institute and Hospital, McGill University, Montréal, Québec, Canada (BAG), Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (FL, HAK, DH), Department for Anesthesiology and Intensive Care, School of Medicine, Technical University of Munich, Munich, Germany; and Hessing Clinic for Anesthesiology, Intensive Care and Pain Medicine, Augsburg, Germany (SK), Department of Anaesthesiology and Intensive Care, Zealand University Hospital, Nyk⊘bing F., Denmark (SK, KJ), Department of Anesthesiology, University of Minnesota Medical School, Minneapolis, MN, USA (FMR), Department of Anaesthesiology, Oslo University Hospital, Oslo, Norway (IJR), Centre for Anaesthesiology and Intensive Care, Hirslanden Klinik Aarau, Hirslanden Medical Group, Aarau, Switzerland (HAK), Charité - University Medicine Humboldt University Berlin, Department for Anesthesiology and Intensive Care Medicine, Berlin, Germany (SK), Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Anesthesiology and Intensive Care, Istanbul, Turkey (OKD), Department of Anaesthesiology and Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany (GS, SP, MK), Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USA (JH), Anesthesiology and Pain Medicine Institute, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates (FAL), Balgrist University Hospital, Zurich (APM), Institute of Anaesthesiology and Intensive Care, Spital Limmattal, Schlieren, Switzerland (IM), Anaesthesiology and Intensive Care Unit Department, Ankara University Faculty of Medicine (BCM), Ankara University Brain Research Center (AÜBAUM); Department of Interdisciplinary Neuroscience, Health Sciences Institute, Ankara University, Ankara, Turkey (BCM), Department of Anesthesiology, Washington University School of Medicine, Saint Louis, Missouri, USA (BP), Department of Neuroanesthesia, Neurocritical and Postoperative Care, Spedali Civili University Hospital of Brescia, Brescia (FR), Department of Anesthesia and Critical Care, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy (SR), Department of Health Science, University of Florence, Florence, Italy (SR), Department of Anaesthesia, Intensive Care and Pain Medicine, General University Hospital. Universidad Europea de Valencia, Valencia, Spain (CSR), Hospital Base San José Osorno, Universidad Austral de Chile (POS), Private practice, Johannesburg, South Africa (DS), Department of Anaesthesia and Intensive Care Medicine, Medical University Innsbruck, Innsbruck, Austria (BS), Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany (MS), Metropolitan University of Santos (UNIMES), Santos, Brazil (FT), Irmandade da Santa Casa da Misericórdia de Santos Hospital, Santos, Brazil (FT), Department of Anesthesiology, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA (SV), Anaesthesiology Department, Unidade Local de Saúde de São João (SV), UNIC@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (SV), University Medicine Greifswald, Department of Anaesthesia, Intensive Care, Emergency Medicine and Pain Medicine, Greifswald, Germany (FvD), Department of Anaesthesiology, Helora (SS), Department of Surgery, UMons, Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium (SS), and Department of Anaesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (ARA).
这项研究确定了麻醉学中脑电图 (EEG) 教育的核心学习成果. 该共识框架旨在改善EEG培训和麻醉期间的患者监测.
科学领域:
- 神经科学是一个神经科学.
- 医疗教育 医学教育
- 麻醉学 麻醉学
背景情况:
- 总麻醉的目标是大脑,但大脑监测的利用不足.
- 脑电图 (EEG) 对于在麻醉期间评估大脑状态至关重要,但由于训练不一致,它面临着采用挑战.
- 过度依赖处理的EEG指数阻碍了临床整合.
研究的目的:
- 通过专家共识,通过麻醉学定义EEG教育的核心学习成果.
- 支持基础和高级EEG培训的结构化,分层课程的开发.
- 提高麻醉科医生的EEG能力,以提高患者的安全.
主要方法:
- 修改的四轮德尔菲研究.修改的四轮德尔菲研究.
- 多国,在线专家小组 (33名麻醉师) 具有多元背景.
- 共识定义为对学习成果达成80%以上的共识.
主要成果:
- 在基本和高级EEG培训的191个学习成果中,共识达到了58个.
- 结果分为几个维度:EEG基础,原始EEG,麻醉效果,处理EEG,文物,知觉,患者变性,与麻醉管理的整合,临床沉浸和持续的专业学习.
- 基础的EEG概念比神经反等高级主题的一致性更高.
结论:
- 建立了EEG学习成果的综合框架,用于麻醉学教育.
- 该框架支持结构化的课程开发,并突出了对麻醉实践中EEG能力的需求.
- 需要进一步的研究来验证这些结果在教育和临床环境.
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