Development of an Approach to Assessing Pediatric Fellows' Transport Medical Control Skills

Ryan J Good¹, Donald L Boyer², Ashley R Bjorklund³, Mark H Corden⁴, Matthew I Harris⁵, M Hossein Tcharmtchi⁶, Rudy J Kink⁷, Monica L Koncicki⁸, Kira Molas-Torreblanca⁹, Franscesca Miquel-Verges¹⁰, Richard B Mink¹¹, Ranna A Rozenfeld¹², William C Sasser¹³, Scott Saunders¹⁴, Anna P Silberman¹⁵, Sushant Srinivasan¹⁶, Ashlie S Tseng¹⁷, David A Turner^{18

19}, Adrian D Zurca²⁰, Angela S Czaja¹

Affiliations

¹ Section of Critical Care Medicine, Department of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
² Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
³ Division of Pediatric Critical Care, University of Minnesota, Minneapolis, Minnesota.
⁴ Division of Hospital Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.
⁵ Department of Pediatrics, Northwell Hofstra School of Medicine, New Hyde Park, New York.
⁶ Section of Pediatric Critical Care, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
⁷ Le Bonheur Children's Hospital, and University of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee.
⁸ Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, New York.
⁹ Department of Pediatrics, University of California, Irvine, School of Medicine, Children's Hospital of (Continued) Orange County, Orange, California.
¹⁰ Division of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
¹¹ Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
¹² Division of Pediatric Critical Care Medicine, Department of Pediatrics, Hasbro Children's Hospital, Brown University, Providence, Rhode Island.
¹³ Division of Pediatric Critical Care Medicine, University of Alabama Birmingham, Birmingham, Alabama.
¹⁴ School of Medicine, Washington University in St Louis, St Louis, Missouri.
¹⁵ Department of Pediatrics, Division of Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
¹⁶ Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
¹⁷ Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
¹⁸ Competency-Based Medical Education, American Board of Pediatrics, Chapel Hill, North Carolina.
¹⁹ Division of Pediatric Critical Care, Department of Pediatrics, Duke University Hospital and Health System, Durham, North Carolina.
²⁰ Division of Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Children's Hospital, Hershey, Pennsylvania.

PMID: 37376965
DOI: 10.1542/hpeds.2022-007102

Review

Development of an Approach to Assessing Pediatric Fellows' Transport Medical Control Skills

Ryan J Good et al. Hosp Pediatr. 2023.

. 2023 Jul 1;13(7):e199-e206.

doi: 10.1542/hpeds.2022-007102.

Authors

Affiliations

¹ Section of Critical Care Medicine, Department of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
² Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
³ Division of Pediatric Critical Care, University of Minnesota, Minneapolis, Minnesota.
⁴ Division of Hospital Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.
⁵ Department of Pediatrics, Northwell Hofstra School of Medicine, New Hyde Park, New York.
⁶ Section of Pediatric Critical Care, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
⁷ Le Bonheur Children's Hospital, and University of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee.
⁸ Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, New York.
⁹ Department of Pediatrics, University of California, Irvine, School of Medicine, Children's Hospital of (Continued) Orange County, Orange, California.
¹⁰ Division of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
¹¹ Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
¹² Division of Pediatric Critical Care Medicine, Department of Pediatrics, Hasbro Children's Hospital, Brown University, Providence, Rhode Island.
¹³ Division of Pediatric Critical Care Medicine, University of Alabama Birmingham, Birmingham, Alabama.
¹⁴ School of Medicine, Washington University in St Louis, St Louis, Missouri.
¹⁵ Department of Pediatrics, Division of Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
¹⁶ Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
¹⁷ Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
¹⁸ Competency-Based Medical Education, American Board of Pediatrics, Chapel Hill, North Carolina.
¹⁹ Division of Pediatric Critical Care, Department of Pediatrics, Duke University Hospital and Health System, Durham, North Carolina.
²⁰ Division of Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Children's Hospital, Hershey, Pennsylvania.

PMID: 37376965
DOI: 10.1542/hpeds.2022-007102

Abstract

Background and objective: Pediatric interfacility transport teams facilitate access to subspecialty care, and physicians often guide management remotely as transport medical control (TMC). Pediatric subspecialty fellows frequently perform TMC duties, but tools assessing competency are lacking. Our objective was to develop content validity for the items required to assess pediatric subspecialty fellows' TMC skills.

Methods: We conducted a modified Delphi process among transport and fellow education experts in pediatric critical care medicine, pediatric emergency medicine, neonatal-perinatal medicine, and pediatric hospital medicine. The study team generated an initial list of items on the basis of a literature review and personal experience. A modified Delphi panel of transport experts was recruited to participate in 3 rounds of anonymous, online voting on the importance of the items using a 3-point Likert scale (marginal, important, essential). We defined consensus for inclusion as ≥80% agreement that an item was important/essential and consensus for exclusion as ≥80% agreement that an item was marginal.

Results: The study team of 20 faculty drafted an initial list of items. Ten additional experts in each subspecialty served on the modified Delphi panel. Thirty-six items met the criteria for inclusion, with widespread agreement across subspecialties. Only 1 item, "discussed bed availability," met the criteria for inclusion among some subspecialties but not others. The study team consolidated the final list into 26 items for ease of use.

Conclusions: Through a consensus-based process among transport experts, we generated content validity for the items required to assess pediatric subspecialty fellows' TMC skills.

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Development of an Approach to Assessing Pediatric Fellows' Transport Medical Control Skills

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Development of an Approach to Assessing Pediatric Fellows' Transport Medical Control Skills

Authors

Affiliations

Abstract

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LinkOut - more resources

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