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Criteria, processes, and determination of competence in basic critical care echocardiography training: a Delphi process consensus statement by the learning ultrasound in critical care (LUCC) initiative
Rajamani, Arvind; Galarza, Laura; Sanfilippo, Filippo; Wong, Adrian; Goffi, Alberto; Tuinman, Pieter; Mayo, Paul; Arntfield, Robert; Fisher, Richard; Chew, Michelle; Abstract
Background: With the paucity of high-quality studies on longitudinal basic critical care echocardiography (BCCE) training, expert opinion guidelines have guided BCCE competence educational standards and processes. However, existing guidelines lack precise detail due to methodological flaws during guideline development.
Research questions: To formulate methodologically robust guidelines on BCCE training using evidence and expert opinion, detailing specific criteria for every step, we conducted a modified Delphi process using the principles of the validated AGREE-II tool. Based on systematic reviews, the following domains were chosen: components of a longitudinal BCCE curriculum; pass-grade criteria for image-acquisition and image-interpretation; and formative/summative assessment and final competence processes.