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The Acute Care Undergraduate TEaching (ACUTE) Initiative : consensus development of core competencies in acute care for undergraduates in the United Kingdom

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Perkins, Gavin D., Barrett, Hannah, Bullock, Ian, Gabbott, David A., Nolan, Jerry P., Mitchell, Sarah, Short, Alasdair, Smith, Christopher M., Smith, Gary B., Todd, Susan and Bion, Julian F. (2005) The Acute Care Undergraduate TEaching (ACUTE) Initiative : consensus development of core competencies in acute care for undergraduates in the United Kingdom. Intensive Care Medicine, 31 (12). pp. 1627-1633. doi:10.1007/s00134-005-2837-4 ISSN 0342-4642.

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Official URL: http://dx.doi.org/10.1007/s00134-005-2837-4

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Abstract

Background: The care of the acutely ill patient in hospital is often sub-optimal. Poor recognition of critical illness combined with a lack of knowledge, failure to appreciate the clinical urgency of a situation, a lack of supervision, failure to seek advice and poor communication have been identified as contributory factors. At present the training of medical students in these important skills is fragmented. The aim of this study was to use consensus techniques to identify the core competencies in the care of acutely ill or arrested adult patients that medical students should possess at the point of graduation. Design: Healthcare professionals were invited to contribute suggestions for competencies to a website as part of a modified Delphi survey. The competency proposals were grouped into themes and rated by a nominal group comprised of physicians, nurses and students from the UK. The nominal group rated the importance of each competency using a 5-point Likert scale. Results: A total of 359 healthcare professionals contributed 2,629 competency suggestions during the Delphi survey. These were reduced to 88 representative themes covering: airway and oxygenation; breathing and ventilation; circulation; confusion and coma; drugs, therapeutics and protocols; clinical examination; monitoring and investigations; team-working, organisation and communication; patient and societal needs; trauma; equipment; pre-hospital care; infection and inflammation. The nominal group identified 71 essential and 16 optional competencies which students should possess at the point of graduation. Conclusions: We propose these competencies form a core set for undergraduate training in resuscitation and acute care. © Springer-Verlag 2005.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Intensive Care Medicine
Publisher: Springer International Publishing
ISSN: 0342-4642
Official Date: 21 October 2005
Dates:
DateEvent
21 October 2005Published
Volume: 31
Number: 12
Page Range: pp. 1627-1633
DOI: 10.1007/s00134-005-2837-4
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: Springer-Verlag
Funder: Resuscitation Council (UK)

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