Chiara Robba1, Daniele Poole2, Giuseppe Citerio3, Fabio S Taccone4, Frank A Rasulo5. 1. Department of Anaesthesia and Intensive Care, Ospedale Policlinico San Martino IRCCS, Genoa, Italy. 2. Anesthesia and Intensive Care Operative Unit, S. Martino Hospital, Belluno, Italy. 3. School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy. 4. Department of Intensive Care Medicine, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. 5. Department of Anaesthesia, Intensive Care and Emergency Medicine, Spedali Civili University Hospital of Brescia, University of Brescia, Brescia, Italy. frank.rasulo@gmail.com.
Abstract
BACKGROUND: To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. METHODS: Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached. RESULTS: We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. CONCLUSIONS: Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.
BACKGROUND: To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. METHODS: Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached. RESULTS: We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. CONCLUSIONS: Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.
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Authors: Chiara Robba; Adrian Wong; Daniele Poole; Ashraf Al Tayar; Robert T Arntfield; Michelle S Chew; Francesco Corradi; Ghislaine Douflé; Alberto Goffi; Massimo Lamperti; Paul Mayo; Antonio Messina; Silvia Mongodi; Mangala Narasimhan; Corina Puppo; Aarti Sarwal; Michel Slama; Fabio S Taccone; Philippe Vignon; Antoine Vieillard-Baron Journal: Intensive Care Med Date: 2021-10-05 Impact factor: 41.787
Authors: Silvia Mongodi; Francesca Bonomi; Rosanna Vaschetto; Chiara Robba; Giulia Salve; Carlo Alberto Volta; Elena Bignami; Luigi Vetrugno; Francesco Corradi; Salvatore Maurizio Maggiore; Paolo Pelosi; Francesco Mojoli Journal: BMC Med Educ Date: 2022-08-28 Impact factor: 3.263