Main Outcomes of the Curriculum Content Delphi

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Main Outcomes of the Curriculum Content Delphi

• HERMES Plenary Session Munich, 15 December 2007
• Dr. Julie-Lyn Noël

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Overview

• Introduction
• Methodology
• Response Rates of Surveys
• Respondent Profiles
• Main Findings
• Summary Conclusions

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introduction
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HERMES Project Phases
Preliminary Phase
Phase 4
Phase 3
Phase 2
Phase 1
Core Syllabus
Core Curriculum
ERS Examinations
Standards for Training Centers
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IntroductionCurriculum Content

• 34 modules
• Reflect essential competencies for professional
  respiratory specialist practice

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IntroductionCurriculum Content

• Terms
• Knowledge
• Skills
• Attitudes and Behaviours
• Existing Guidelines

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Methodology
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Methodology

• 10 online surveys
• Invitation to participate to the following
  groups
• Task Force members
• ERS School Committee Members
• Trainees
• ERS members

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Methodology

• Participants were given the possibility to choose
  among groups of topics to assess

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Methodology

• Respondent Categories
• Expert Category
• Task Force
• ERS School
• National Respondents
• Trainee Category
• ERS Member/Non ERS member

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Response rates
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Response Rates
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Respondents profile
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Country Representation
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Respondent Groups
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Current Positions

• Majority of respondents in all surveys are
  Respiratory Physicians in Clinical Practice

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Subspecialty Preferences
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Main outcomes knowledge
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Non-consensual Items

• 35 non consensual items

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Non-consensual Items

• General characteristics
• Basic science knowledge (e.g. Genetics)
• Theory behind skill (e.g. Preparation of Home
  care package)
• Existence of other allied specialists (e.g.
  physiotherapy)
• Existence of technicians for specific procedure
  (e.g. equipment in pulmonary exercise testing)

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Comments

• Suggestion of additional items
• Country-specific situations
• Expressions of opinion on appropriateness and
  specificity of knowledge item for the respiratory
  medicine specialist

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Main outcomes skills
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Non-consensual items

• 50 non-consensual items
• General Characteristics
• Highly specialised (e.g. right heart
  catheterisation)
• Existence of other specialists who are required
  to have the same skills (e.g. tracheostomy)

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Nonconsensual Items

• Repeating non-consensual items
• Bronchoscopy
• Ultrasound
• Right Heart Catheterisation

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Comments

• Suggestion of items for inclusion including new
  modalities
• Country Specific Situations
• Varied opinions on appropriateness of skill item
  for respiratory medicine specialist

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Main outcomes attitudes and behaviour
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Non-consensual items

• 5 non consensual items
• Minimal disagreement
• Repeating item
• Non-judgmental

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Comments

• Minimal comments elicited
• Expressed opinion on the need for adding other
  items more than multidisciplinary approach

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Main outcomes existing guidelines
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Non-Consensual Items

• 24 non-consensual items
• General Characteristics
• Not applicable to Europe
• Updated versions available

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Comments

• Basically addition of existing guidelines
• Sometimes pertain to specific guideline listed
  and expresses opinion on it

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Conclusions
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Conclusions

• Highest response rates and country representation
  for survey on Asthma,etc
• Lowest response rates and country representation
  for survey on Patient-Oriented Approach,etc

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Conclusions

• Poor participation from expert respondent
  category
• Respondents are mostly respiratory physicians in
  clinical practice

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Conclusions

• Subspecialty of preference is respiratory
  infections
• Skills have the most non-consensual items

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Thank you for your attention