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Interdisciplinary Development of an Adult Intubation Procedural Checklist

机译：成人插管程序清单的跨学科发展

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BACKGROUND AND OBJECTIVES: There are multiple procedural skills common to all residency programs. This study had two main objectives: (1) Use an interdisciplinary team to develop a procedural competency checklist for adult endotracheal intubation that could be shared across specialty programs and levels of training and (2) Evaluate the validity and reliability of the checklist. METHODS: Clinical faculty from the institutional residency programs for family medicine, emergency medicine, obstetrics, and the simulation laboratory developed the initial checklist. Face validity and content validity of the checklist was established using literature review, expert opinion, and Lawshe's Content Validity Ratio. A training DVD was produced to standardize teaching and evaluation use of the checklist. Four teams of two physician raters representing a mix of specialty (family medicine, emergency medicine, obstetrics) and skill levels (clinical faculty and residents) were used to test inter-rater reliability of the checklist. RESULTS: A convenience sample of 35 residents from family medicine, emergency medicine, and obstetrics participated. Bland and Altman's method for measuring differences between raters was used to test inter-rater reliability. No differences were found between raters based on specialty area or level of training. CONCLUSIONS: Procedural skills common to multiple specialty residency programs can be taught and evaluated across residency programs when a standardized training program and checklist is used. Resources could be maximized by offering training and evaluation sessions across resident specialty programs that are cooperatively staffed by evaluators of different levels of training and specialty backgrounds.
机译：背景和目标：所有居住项目都有多种程序技能。这项研究有两个主要目标：（1）使用一个跨学科团队为成人气管插管制定程序能力清单，该清单可在专业计划和培训水平之间共享;（2）评估清单的有效性和可靠性。方法：来自家庭医学，急诊医学，产科和模拟实验室等机构住院医师项目的临床教师制定了初始清单。使用文献综述，专家意见和Lawshe的内容有效率来确定清单的面孔有效性和内容有效性。制作了培训DVD，以使清单的教学和评估使用标准化。由两个由专业医师（家庭医学，急诊医学，产科）和技能水平（临床教员和住院医师）混合组成的四个医师评估小组组成的团队用于检验检查清单的评估者之间的可靠性。结果：方便样本来自家庭医学，急诊医学和产科的35名居民参加。用布兰德和奥特曼的方法评估评估者之间的差异，以测试评估者之间的可靠性。根据专业领域或培训水平，评估者之间没有发现差异。结论：当使用标准化的培训计划和清单时，可以跨居住计划教授和评估多个专业居住计划所共有的程序技能。通过提供常驻专业课程的培训和评估课程，可以最大程度地利用资源，这些课程由不同级别的培训和专业背景的评估人员合作配备。

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