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The educational environment for training in intensive care medicine: structures, processes, outcomes and challenges in the European region
- Source :
- Wilde, J D, Bion, J K & Girbes, A R J 2009, ' The educational environment for training in intensive care medicine: structures, processes, outcomes and challenges in the European region ', Intensive Care Medicine, vol. 35, no. 9, pp. 1575-1583 . https://doi.org/10.1007/s00134-009-1514-4, Intensive Care Medicine, 35(9), 1575-1583. Springer Verlag
- Publication Year :
- 2009
- Publisher :
- Springer Science and Business Media LLC, 2009.
-
Abstract
- Objective To characterise the training environment in ICM across Europe, with a particular focus on factors influencing competency-based training. Method A cross-sectional web-based survey completed by the national coordinator for the CoBaTrICE (Competency-Based Training in Intensive Care medicinE) programme in each of 28 European countries. Results Since the last survey in 2004, 50% of EU countries have modified their training programmes. Seven have already adopted the CoBaTrICE programme since its completion in 2006. Multidisciplinary access to ICM training (‘supraspeciality’ model) is available in 57%, most commonly as a 2-year training programme. National examinations are held by 26 (93%); in 24 (86%) this is a mandatory exit exam; ten use the European Diploma of Intensive Care (EDIC). A formal national system for quality assurance of ICM training exists in only 18 (64%) countries. National standards for approving hospitals as training centres vary widely. In 29% there is no designated specialist with responsibility for training at the local level. Time for teaching was cited as inadequate by 93% of respondents; only 21% of trainers receive contractual recognition for their work. In 39% there is no protected teaching time for trainees. Half of countries surveyed have no formal system for workplace-based assessment of competence of trainees. Conclusions There is considerable diversity in pedagogic structures, processes and quality assurance of ICM across Europe. National training organisations should develop common standards for quality assurance, health systems need to invest in educator support, and the EU should facilitate harmonisation by recognising ICM as a multidisciplinary speciality.
- Subjects :
- Educational measurement
medicine.medical_specialty
Inservice Training
Critical Care
business.industry
Health Personnel
Critical Care and Intensive Care Medicine
European region
Formal system
Competency-Based Education
Accreditation
Europe
Cross-Sectional Studies
Nursing
Multidisciplinary approach
Intensive care
Humans
Medicine
Clinical Competence
Educational Measurement
business
Intensive care medicine
Quality assurance
Competence (human resources)
Subjects
Details
- ISSN :
- 14321238 and 03424642
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Intensive Care Medicine
- Accession number :
- edsair.doi.dedup.....3e2a81261c6cd5653b4d77895ddf1a4e