Developing a national competency framework for pediatric hospital medicine in Canada using the Delphi method

Peter Vetere; Catharine M Walsh; Ali Al Maawali; Allan Puran; Tanya N Beran; Zia Bismilla; Suzette Cooke

doi:10.36834/cmej.80136

Auteurs-es

Peter Vetere University of Calgary
Catharine M Walsh University of Toronto
Ali Al Maawali University of Toronto
Allan Puran University of Toronto
Tanya N Beran University of Calgary
Zia Bismilla University of Toronto
Suzette Cooke University of Calgary

DOI :

https://doi.org/10.36834/cmej.80136

Résumé

Contexte : Au cours des trois dernières décennies, le domaine de la médecine hospitalière pédiatrique (MHP) s'est rapidement développé en Amérique du Nord en réponse à la complexité et à le niveau d’acuité croissants de la population pédiatrique hospitalisée. Alors qu'il existe 78 programmes de fellowship et un cadre de compétences de base en MHP publié aux États-Unis, les programmes de fellowship canadiens ne disposent pas d'un cadre national de compétences pour orienter les programmes d'études et la pratique. Cette absence crée une incertitude quant à la définition du champ d'exercice et des attentes en matière de formation pour la MHP au Canada. L'objectif de cette étude était de définir ce champ.

Méthodes : À l'aide de la méthodologie Delphi, un panel national d'experts en MHP a évalué de manière itérative les compétences potentielles, sur une échelle de 5 points, afin de déterminer leur priorité d'inclusion. Les réponses ont été analysées après chaque cycle. Les compétences qui ont reçu une note de trois ou moins par ≥ 80 % des membres du panel ont été retirées des cycles suivants. Les compétences restantes ont été renvoyées aux membres du panel pour être réévaluées jusqu'à ce qu'un consensus soit atteint, défini comme un α de Cronbach ≥ 0,95 et après au moins deux cycles d'enquête. À l'issue du processus Delphi, les compétences auxquelles ≥ 80 % des membres du panel ont attribué une note ≥ 4 ont été incluses.

Résultats : Deux cycles du processus Delphi ont été nécessaires pour parvenir à un consensus. Trente-cinq membres du panel ont répondu aux deux cycles d'enquête. Les membres du panel représentaient 13 centres de soins pédiatriques tertiaires canadiens et cinq hôpitaux communautaires. Sur les 176 compétences initiales, 109 compétences en MPH ont fait l'objet d'un consensus, couvrant les sept rôles CanMEDS.

Conclusion : Il s'agit de la première étude visant à définir les compétences en MPH au Canada. Les compétences identifiées fournissent un cadre aux directeurs de fellowship en MPH pour élaborer des programmes d'études locaux. Les résultats peuvent également être utilisés pour éclairer l'élaboration de programmes d'études nationaux complets en MPH.

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