TY - JOUR
T1 - A dignitary medicine curriculum developed using a modified Delphi methodology
AU - Al Mulhim, Mobarak A.
AU - Darling, Robert G.
AU - Sarin, Ritu
AU - Hart, Alex
AU - Kamal, Hetaf
AU - Al Hadhirah, Abdullah
AU - Voskanyan, Amalia
AU - Hofmann, Lewis
AU - Connor, Bradley A.
AU - Band, Roger A.
AU - Jones, James
AU - Tubb, Richard
AU - Jackson, Ronny
AU - Baez, Amado Alejandro
AU - Wasser, Edward
AU - Conley, Sean
AU - Lang, William
AU - Ciottone, Gregory
N1 - Publisher Copyright:
© 2020 The Author(s).
PY - 2020/2/21
Y1 - 2020/2/21
N2 - Background: Dignitary medicine is an emerging field of training that involves the specialized care of diplomats, heads of state, and other high-ranking officials. In an effort to provide guidance on training in this nascent field, we convened a panel of experts in dignitary medicine and using the Delphi methodology, created a consensus curriculum for training in dignitary medicine. Methods: A three-round Delphi consensus process was performed with 42 experts in the field of dignitary medicine. Predetermined scores were required for an aspect of the curriculum to advance to the next round. The scores on the final round were used to determine the components of the curriculum. Scores below the threshold to advance were dropped in the subsequent round. Results: Our panel had a high degree of agreement on the required skills needed to practice dignitary medicine, with active practice in a provider's baseline specialty, current board certification, and skills in emergency care and resuscitation being the highest rated skills dignitary medicine physicians need. Skills related to vascular and emergency ultrasound and quality improvement were rated the lowest in the Delphi analysis. No skills were dropped from consideration. Conclusions: The results of our work can form the basis of formal fellowship training, continuing medical education, and publications in the field of dignitary medicine. It is clear that active medical practice and knowledge of resuscitation and emergency care are critical skills in this field, making emergency medicine physicians well suited to practicing dignitary medicine.
AB - Background: Dignitary medicine is an emerging field of training that involves the specialized care of diplomats, heads of state, and other high-ranking officials. In an effort to provide guidance on training in this nascent field, we convened a panel of experts in dignitary medicine and using the Delphi methodology, created a consensus curriculum for training in dignitary medicine. Methods: A three-round Delphi consensus process was performed with 42 experts in the field of dignitary medicine. Predetermined scores were required for an aspect of the curriculum to advance to the next round. The scores on the final round were used to determine the components of the curriculum. Scores below the threshold to advance were dropped in the subsequent round. Results: Our panel had a high degree of agreement on the required skills needed to practice dignitary medicine, with active practice in a provider's baseline specialty, current board certification, and skills in emergency care and resuscitation being the highest rated skills dignitary medicine physicians need. Skills related to vascular and emergency ultrasound and quality improvement were rated the lowest in the Delphi analysis. No skills were dropped from consideration. Conclusions: The results of our work can form the basis of formal fellowship training, continuing medical education, and publications in the field of dignitary medicine. It is clear that active medical practice and knowledge of resuscitation and emergency care are critical skills in this field, making emergency medicine physicians well suited to practicing dignitary medicine.
KW - Curriculum
KW - Curriculum development
KW - Delphi methodology
KW - Dignitary medicine
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U2 - 10.1186/s12245-020-00270-4
DO - 10.1186/s12245-020-00270-4
M3 - Article
AN - SCOPUS:85081125434
SN - 1865-1372
VL - 13
JO - International Journal of Emergency Medicine
JF - International Journal of Emergency Medicine
IS - 1
M1 - 11
ER -