INTENSIVE CARE MEDICINE, cilt.37, ss.385-393, 2010 (Hakemli Dergi)
Abstract Purpose: To develop
internationally harmonised standards
for programmes of training in intensive
care medicine (ICM).
Methods: Standards were developed
by using consensus techniques. A
nine-member nominal group of
European intensive care experts
developed a preliminary set of standards.
These were revised and refined
through a modified Delphi process
involving 28 European national
coordinators representing national
training organisations using a combination
of moderated discussion
meetings, email, and a Web-based
tool for determining the level of
agreement with each proposed standard,
and whether the standard could
be achieved in the respondent’s
country. Results: The nominal
group developed an initial set of 52
possible standards which underwent
four iterations to achieve maximal
consensus. All national coordinators
approved a final set of 29 standards in
four domains: training centres,
training programmes, selection of
trainees, and trainers’ profiles. Only
three standards were considered
immediately achievable by all countries,
demonstrating a willingness to
aspire to quality rather than merely
setting a minimum level. Nine proposed
standards which did not
achieve full consensus were identified
as potential candidates for future
review. Conclusions: This preliminary
set of clearly defined and
agreed standards provides a transparent
framework for assuring the
quality of training programmes, and a
foundation for international harmonisation
and quality improvement of
training in ICM.