Jenelle Badulak MD , Jonah Rubin MD , Elizabeth Moore BSN, RN, MBA , Matthew Cunningham PhD , Jonathan S. Ilgen MD, PhD , Başak Çoruh MD , Bishoy Zakhary MD
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In three phases, experts rated the relative importance of objectives using a web-based survey instrument with a four-point Likert scale and opportunities for free-text commentary. In the final phase, experts could agree or disagree with the final product.</p></div><div><h3>Results</h3><p>All 12 invited experts agreed to participate. An initial set of 64 proposed LOs based on prior ECMO courses was submitted. In phase 1, the experts added, removed, or modified the LOs. Fifty-three LOs with a Likert score of ≥ 3.0 were identified as being of moderate or high importance. In phase 2, experts identified 29 LOs to emphasize on examinations. In phase 3, experts voted on the final list of comprehensive and high-priority LOs and suggested modifications. In phase 4, experts voted to finalize the list generated from phase 3. With 100% consensus in the final phase, we identified 53 LOs of at least moderate importance for inclusion in curricula and 32 of high priority for inclusion in an examination.</p></div><div><h3>Interpretation</h3><p>A consensus was reached regarding the initial LOs for an international ECMO curriculum and examination, contributing to the creation of the first international certification program developed by the Extracorporeal Life Support Organization (ELSO), the ELSO Adult ECMO Certification. This process paves the way for unified efforts around global ECMO course development and practitioner assessment. This also may strengthen efforts to standardize worldwide ECMO training expectations and practices.</p></div>","PeriodicalId":93934,"journal":{"name":"CHEST critical care","volume":"1 3","pages":"Article 100026"},"PeriodicalIF":0.0000,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949788423000266/pdfft?md5=e02829b26d95f7801c8bb1a1b0c2e3ff&pid=1-s2.0-S2949788423000266-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Development of the Extracorporeal Life Support Organization International Adult Extracorporeal Membrane Oxygenation Curriculum\",\"authors\":\"Jenelle Badulak MD , Jonah Rubin MD , Elizabeth Moore BSN, RN, MBA , Matthew Cunningham PhD , Jonathan S. Ilgen MD, PhD , Başak Çoruh MD , Bishoy Zakhary MD\",\"doi\":\"10.1016/j.chstcc.2023.100026\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>No international consensus exists for standardized learning objectives (LOs) for curricular development nor certification to recognize clinical qualifications for extracorporeal membrane oxygenation (ECMO).</p></div><div><h3>Research Question</h3><p>Could consensus on LOs for an international ECMO curriculum and examination be reached?</p></div><div><h3>Study Design and Methods</h3><p>A modified four-phase Delphi consensus study with 12 international experts aimed to identify comprehensive LOs for curriculum development and high-priority objectives for an examination. In three phases, experts rated the relative importance of objectives using a web-based survey instrument with a four-point Likert scale and opportunities for free-text commentary. In the final phase, experts could agree or disagree with the final product.</p></div><div><h3>Results</h3><p>All 12 invited experts agreed to participate. An initial set of 64 proposed LOs based on prior ECMO courses was submitted. In phase 1, the experts added, removed, or modified the LOs. Fifty-three LOs with a Likert score of ≥ 3.0 were identified as being of moderate or high importance. In phase 2, experts identified 29 LOs to emphasize on examinations. In phase 3, experts voted on the final list of comprehensive and high-priority LOs and suggested modifications. In phase 4, experts voted to finalize the list generated from phase 3. With 100% consensus in the final phase, we identified 53 LOs of at least moderate importance for inclusion in curricula and 32 of high priority for inclusion in an examination.</p></div><div><h3>Interpretation</h3><p>A consensus was reached regarding the initial LOs for an international ECMO curriculum and examination, contributing to the creation of the first international certification program developed by the Extracorporeal Life Support Organization (ELSO), the ELSO Adult ECMO Certification. This process paves the way for unified efforts around global ECMO course development and practitioner assessment. 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Development of the Extracorporeal Life Support Organization International Adult Extracorporeal Membrane Oxygenation Curriculum
Background
No international consensus exists for standardized learning objectives (LOs) for curricular development nor certification to recognize clinical qualifications for extracorporeal membrane oxygenation (ECMO).
Research Question
Could consensus on LOs for an international ECMO curriculum and examination be reached?
Study Design and Methods
A modified four-phase Delphi consensus study with 12 international experts aimed to identify comprehensive LOs for curriculum development and high-priority objectives for an examination. In three phases, experts rated the relative importance of objectives using a web-based survey instrument with a four-point Likert scale and opportunities for free-text commentary. In the final phase, experts could agree or disagree with the final product.
Results
All 12 invited experts agreed to participate. An initial set of 64 proposed LOs based on prior ECMO courses was submitted. In phase 1, the experts added, removed, or modified the LOs. Fifty-three LOs with a Likert score of ≥ 3.0 were identified as being of moderate or high importance. In phase 2, experts identified 29 LOs to emphasize on examinations. In phase 3, experts voted on the final list of comprehensive and high-priority LOs and suggested modifications. In phase 4, experts voted to finalize the list generated from phase 3. With 100% consensus in the final phase, we identified 53 LOs of at least moderate importance for inclusion in curricula and 32 of high priority for inclusion in an examination.
Interpretation
A consensus was reached regarding the initial LOs for an international ECMO curriculum and examination, contributing to the creation of the first international certification program developed by the Extracorporeal Life Support Organization (ELSO), the ELSO Adult ECMO Certification. This process paves the way for unified efforts around global ECMO course development and practitioner assessment. This also may strengthen efforts to standardize worldwide ECMO training expectations and practices.
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