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. 2019 Oct 21;2(1):42-45.
doi: 10.1016/j.sopen.2019.09.001. eCollection 2020 Jan.

Design of an entrustable professional activity for adult extracorporeal membrane oxygenation

W Christian Crannell  1 , Bishoy Zakhary  2 , Heather Hamilton  3 , Karen Brasel  1 , David Zonies  3
Affiliations

Design of an entrustable professional activity for adult extracorporeal membrane oxygenation

W Christian Crannell et al. Surg Open Sci. .

Abstract

Background: Extracorporeal membrane oxygenation supports severe cardiac or pulmonary failure. There are currently no competency-based standards for extracorporeal membrane oxygenation training.

Methods: Extracorporeal membrane oxygenation experts were interviewed using a structured interview. Responses were audio recorded, transcribed, and validated by respondents. Interviews were coded using grounded theory with a constant comparison method. Themes were developed and used to construct the entrustable professional activity, which was reviewed by the extracorporeal membrane oxygenation experts.

Results: Nine experts were interviewed; all had experience with trainees. Interview themes identified include patient selection, circuit and medical management, multidisciplinary communication, problem-based learning and simulation, and entrustment decisions. Essential functions of the entrustable professional activity were patient selection, circuit management, cannula selection, responding to circuit emergencies/complications, anticoagulation management, weaning, and family/team communication.

Conclusions: Essential functions of an extracorporeal membrane oxygenation entrustable professional activity were defined using data from structured interviews. The resultant entrustable professional activity could be implemented by critical-care programs as a scaffolding for competency-based fellow training.

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