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CoBaTrICE-IT. C ompetency- B ased T raining in I ntensive C are M edicin E ‘I nformation T ransfer’ Part-Funded by the Leonardo Programme 2008-2009. CURRICULUM MAP. Collaboration EU grant 85 NCs 42 countries National orgs. ESICM Div Prof Dev. Educational Resources
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CoBaTrICE-IT Competency-Based Training in Intensive Care MedicinE ‘Information Transfer’ Part-Funded by the Leonardo Programme 2008-2009
CURRICULUM MAP Collaboration EU grant 85 NCs 42 countries National orgs ESICM Div Prof Dev Educational Resources Learning & teaching European Board ICM Assessment Descriptors of how competencies are assessed in workplace Survey Diversity ++ 54 ICM training programmes EDIC Syllabus Knowledge, skills & attitudes for each competence Delphi iteration Competency statements on website • Web-based Delphi • 5,241 suggestions • 535 contributors • >50 countries Competencies Final set of 102 Nominal Group 12 members 169 competency statements Rating level & importance • Questionnaire (patients, relatives) • 70 ICUs • 8 EU countries Overview of CoBaTrICE 3 year project, Sept 2003 to Sept 2006
UEMS SECTIONS National Speciality Organisations UEMS EUROPEAN BOARD ICM Programme evaluation & harmonisation CURRICULUM MAP Educational Resources Learning & teaching Assessment Descriptors of how competencies are assessed in workplace • ESICM • Div Prof Dev • Subcoms: • Comps • Syllabus • Assessment • Ed Res COBA-FORUM NATIONAL TRAINING BOARDS & SOCIETIES Syllabus Knowledge, skills & attitudes for each competence Competencies Final set of 102 EDIC Practitioner evaluation TRAINEES & TRAINERS Patients & relatives A proposed structure for the CoBaTrICE programme, 2006 onwards JB Sept 30th 2006
The CoBaTrICE Programme • Management by the ESICM’s Division of Professional Development • Oversight (governance) by the European Board of Intensive Care Medicine • Engagement and ownership by all national training organisations through the proposed CoBaForum, with transdisciplinary links • Social Sciences & Educational research evaluation over whole professional lifetimes
How do we evaluate a (transnational) training programme? • What impact would you expect an effective training programme to have? • Process or outcome measures, or both? • Uptake of CoBaTrICE by national programmes • Mobility of professionals using CoBa • Better doctors • Knowledge, skills, behaviours • Continuing professional development • Safer patients • More reliable care
CoBaTrICE-IT 2007-2009 • Establish a European Forum for national ICM training organisations • Function as expert group, and acquire ownership over future developments • Link via ESICM Div Prof Dev to European Board of ICM • Survey current education and training provision & needs in ICM at national level. • identify current challenges for trainers and trainees • develop a database for benchmarking & accreditation (objective 3). • Develop minimum programme standards for quality assurance (monitoring & accreditation) for programmes of training in ICM, using consensus techniques • Aim: harmonise minimum accreditation standards across the EU. • Review workplace-based methods of assessment of individual competence • Including case-based discussion, simulation techniques, multi-source feedback • Link assessment methods to competencies • Identify quality indicators within these measures • Web-based tools for E&T support & life-long learning for trainers and trainees • Translate materials into national languages • Develop learning tools and resources (video clips, case histories, clinical scenarios, laboratory data) linked to competencies • E-portfolio • Link materials to other acute care disciplines • Evaluation of impact • Surveys of uptake and utility
Triangulating best practice knowledge, delivery, & life-long learning across the healthcare system