APPENDIX 3: Survey proforma [Electronic Supplementary Material]
Dear CoBaTrICE National Coordinator,
The CoBaTrICE steering committee would appreciate your help in completing this new survey for the second phase of the project, ‘CoBaTrICE-Innovation Transfer’, or CoBa-IT for short. The background to the CoBaTrICE project is described on the website:
The aims of this survey are to:
1. Identify changes to national training programmes in ICM since the first survey in 2004, including planned developments which may occur in the next 5 years.
2. Document current standards for accrediting programmes of training in ICM in different countries, and to seek your views about whether the standards that apply in your country are adequate or require improvement.
3. Identify the major challenges experienced by trainers and trainees in delivering high quality training in ICM.
You will receive a summary of the responses to this survey, which will, with your help, be used to develop a common set of standards for accreditation of training programmes in ICM.
Thank you for helping with this important process on behalf of the intensive care community worldwide.
Julian Bion & Alison Bullock
GENERAL INSTRUCTIONS FOR COMPLETION OF THIS SURVEY
Please note that we are asking you to give information which is representative of your national situation – not just how training is arranged in your own hospital.
Where we ask you to provide details or further information you may find it easier to refer us to a website which has the information or send us an email with a pdf document attached.
1. IDENTIFICATION:
Country; Respondent; Contact details of National Training Organisation (NTO),
Official written endorsement of NTO? Y/N
2. STRUCTURES:
2.1) Changes: Has ICM training changed in your country since the first CoBa survey in 2004? Y/N
If yes please describe changes.
2.2) Structures and representation, standard setting and monitoring: Which of your national or state organisations are responsible for setting?
i.) Monitoring standards of postgraduate medical training in general?
ii.) Training in ICM?
iii.) Representing the political & professional interests of doctors practicing ICM (if different from the previous question)?
2.3) Model(s) of and access to postgraduate training in ICM: Which of the following models best describe ICM training in your country?
i.) Supraspeciality,
ii.) Multiple sub-speciality,
iii.) Single speciality,
iv.)Primary speciality.
(Answer ii or iii requires identification of access speciality)
3. EDUCATIONAL PROCESSES:
3.1) Training delivery: Which of the following best describes the usual method for delivering ICM training?
i.) ICM training is delivered in a single continuous block,
ii.) ICM training is taken in modules,
iii.) ICM and base speciality training is taken concurrently.
Please give duration of ICM training in months (base speciality training time not included)
3.2) Representation:Does your national or state organisation for ICM training formally appoint a local representative in each hospital which participates in ICM training? Y/N
If No, how does your national ICM training organisation support training locally? Free Text
3.3) ICM Training: Where does ICM training take place?
i.) Only in University hospitals,
ii.) Both in University and Community hospitals.
3.4) Undergraduate training: Do your universities provide teaching and training in intensive care medicine, and in resuscitation, to undergraduates as a formal component in the curriculum?
i.) Intensive Care Medicine: Yes, all universities/ In some but not formalised / No
ii.) Basic life support: Yes, all universities/ In some but not formalised / No
iii.) Immediate/ Advanced life support: Yes, all universities/ In Some but not formalised/ No
3.5) Educational Support and Facilities in Hospitals: Which of the following describe the structures and resources usually available locally for teaching and training in ICM? (Mark all that apply)
i.) A named specialist responsible for ICM training coordination,
ii.) Each trainee has a nominated mentor (ICM specialist),
iii.) Trainees receive protected formal teaching,
iv.) Teaching takes place during scheduled working hours,
v.) Teaching can take place outside working hours
vi.) Library facilities are available and usually adequate,
vii.) Internet facilities are available and usually adequate.
3.6) Supervision and In-training Assessment:Please indicate which statement best describes methods you normally employ to monitor the progress of trainees in ICM.
3.6.1) At the start of the programme/module, trainee educational do you use:-
i.) Informal planning of the trainees’ educational needs?
ii.) Formal planning of trainees’ educational needs using educational contracts or similar documents?
3.6.2) Progress of trainees during training: Do you use?
i.) Informal assessment of progress during routine clinical work, no formal documentation,
ii.) Formal structured assessment & formal documentation of competence (knowledge, skills, and attitudes) during routine clinical activities
3.6.3) Do nursing staffcontribute to the assessment of trainees’ attitudes and behaviour?
i.) No, only doctors assess trainees
ii.) Nurses may contribute informally to the assessment of trainees
iii.) Nurses contribute formally using multi-source feedback (360o appraisal)
3.6.4) CoBaTrICE competencies: Are you using the CoBaTrICE programme to document competencies formally? Y/N (If yes go to question 4)
If you are not yet using the CoBaTrICE programme, please explain why (mark all that apply):-
i.) Prefer to use existing training programme(s),
ii.) NTO has not yet considered using CoBa,
iii.) Uncertainty how to implement competency assessment,
iv.) Inadequate resources or time,
v.) Needs translation,
vi.) Other.
3.6.5) Variabilities in standardisation across Europe: Please describe the variabilities in standardisation across your country: free text responses.
4. QUALITY ASSURANCE:
4.1) System for accreditation/ approval of ICUs as teaching centres:-
i.) Must ICUs be formally approved as training centres by your national training organisation? Y/N
ii.) Is approval obtained through formal external visiting programmes? Who visits? How often? Who pays expenses?
iii.) Are there national written minimum standards which must be met before an ICU can be approved for training?
iv.) Is there a minimum size (e.g.: number of beds or annual admissions) before an ICU can be accredited as a training centre?
v.) Are specialist trainers paid for this work (ie: time identified in work planor contract)?
vi.) Do you have a system for identifying failing trainees?
vii.) Do you have a method for identifying excellent trainees – e.g. in competence assessment, or exams?
5. CURRENT CHALLENGES OR PROBLEMS
5.1) Teaching and training:Are any of the following, significant national problems for teaching & training? Please mark all that apply
i.) Insufficient time,
ii.) Insufficient number of trainers,
iii.) Insufficient number of trainees,
iv.) Inadequate access to educational resources,
v.) Limited hours of work or shift work,
vi.) Other.
6. OUTCOMES OF TRAINING
6.1 Examinations and Dissertations:
6.1 Examinations and Dissertations: Which one of the following options best describes your current arrangements for national exams in intensive care medicine?
i.) No national examination,
ii.) Optional national examination,
iii.) Mandatory national examination ( pass required),
iv.) European Diploma of Intensive Care (EDIC) as the National Examination,
If EDIC is used is a pass required to obtain specialist certification? Y/N
If you have a national examination, which of the following components does it use?
i.) Multiple choice questions,
ii.) Written essays,
iii.) Dissertation,
iv.) Clinical exam involving patients
v.) Oral exam,
vi.) Skill stations,
vii.) Simulators,
viii.) Other, please describe.
6.2 Certification of Specialist Training in ICM:How do you certify that a trainee has satisfactorily completed the programme of training in ICM?
i.) A certificate of specialist training in ICM can be awarded alone (ICM as anindependent speciality)
ii.) A certificate of specialist training in ICM is awarded together with a certificate in the base speciality (dual certification)
iii.) The base speciality certificate also includes ICM certification (jointcertification - the two are always awarded together),
iv.) There is no single, dual or joint certificate in ICM; only the base speciality certificate is awarded
6.3 Appointment to a specialist (consultant / attending) ICM post: Do you have national minimum essential requirements for appointment to a hospital specialist post in ICM?If yes please give details.