Training in neonatal neurocritical care: a proposal for a hybrid model of competence by design and time-based methods
Training in neonatal neurocritical care: a proposal for a hybrid model of competence by design and time-based methods
Background: Neonatal neurocritical care (NNCC) is a rapidly advancing field with limited fellowship training available in locally developed, non-accredited programs. A standardized survey aimed to understand the training backgrounds of individuals practicing NNCC, the structure of existing clinical NNCC services/training programs, and suggested clinical competencies for new graduates.
Methods: We developed an anonymous survey electronically sent to members of societies related to NNCC. Using the survey results as a guide, we discuss a competence by design (CBD) curriculum as a complementary approach to traditional time-based training.
Results: There were 82 responses to the survey from 30 countries; 95% of respondents were physicians. Thirty-one (42%) institutions reported having an NNCC service, 24 (29%) individuals reported formal NNCC training, 81% reported "significant variability" across NNCC training programs, and 88% were both in favor of standardizing training programs and pursuing formal accreditation for NNCC in the next 5 years.
Conclusions: The survey results demonstrate international interest in standardizing NNCC training and development of an accreditation or certification process. We propose consideration of a CBD-type curriculum as a training approach to focus on the development of specific NNCC competencies, rather than assuming the acquisition of these competencies based on time as a surrogate.
Impact: Continued growth and development in the field of NNCC has led to increasing need for training programs suited to meet the diverse needs of trainees from varied backgrounds. We present the results of an international survey that assessed the structure of existing training programs and the priority areas in which graduates must demonstrate competence, highlighting the combination of CBD and time-based training as one approach to address these recommendations. The survey results support interest in translating published training competencies, existing expertise, and infrastructure across centers into a standardized curriculum for NNCC including certification opportunities.
Vollmer, Brigitte
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Mohammad, Khorshid
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Craig, Alexa K.
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Chang, Taeun
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Tam, Emily W. T.
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Ayed, Mariam
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de Vries, Linda S.
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El-Dib, Mohamed A.
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Esser, Michael J.
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Ferriero, Donna M.
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Hellström-Westas, Lena
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Miller, Steven P.
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Soul, Janet S.
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Vollmer, Brigitte
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Glass, Hannah C.
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Smyser, Christopher D.
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18 September 2021
Vollmer, Brigitte
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Mohammad, Khorshid
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Craig, Alexa K.
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Chang, Taeun
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Tam, Emily W. T.
608cedc4-4b47-4ce6-82b7-92b548941a72
Ayed, Mariam
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de Vries, Linda S.
702c4bbc-515c-48d3-9cfd-e3f5b93d26be
El-Dib, Mohamed A.
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Esser, Michael J.
eecd2b02-1a7f-4441-a34d-b0e10aeebe05
Ferriero, Donna M.
a0b2d996-fe15-4a8b-8ad3-2fa025ca3d3c
Hellström-Westas, Lena
ead3e383-6208-4e37-8b9f-213795531c43
Miller, Steven P.
a45e37ff-8ddb-4895-93c0-b190c721ef02
Soul, Janet S.
d7ec9f22-136a-4d98-81a5-5f43ca2b59ee
Vollmer, Brigitte
0a22038a-35cb-49b9-b343-4ec16e162be5
Glass, Hannah C.
afebe595-1e13-4c18-84f6-02f455f47084
Smyser, Christopher D.
e4294db2-8fb5-4464-8ab9-57e21cfd4451
Vollmer, Brigitte, Mohammad, Khorshid, Craig, Alexa K., Chang, Taeun, Tam, Emily W. T., Ayed, Mariam, de Vries, Linda S., El-Dib, Mohamed A., Esser, Michael J., Ferriero, Donna M., Hellström-Westas, Lena, Miller, Steven P., Soul, Janet S., Vollmer, Brigitte, Glass, Hannah C. and Smyser, Christopher D.
(2021)
Training in neonatal neurocritical care: a proposal for a hybrid model of competence by design and time-based methods.
Pediatric Research.
(doi:10.1038/s41390-021-01727-9).
Abstract
Background: Neonatal neurocritical care (NNCC) is a rapidly advancing field with limited fellowship training available in locally developed, non-accredited programs. A standardized survey aimed to understand the training backgrounds of individuals practicing NNCC, the structure of existing clinical NNCC services/training programs, and suggested clinical competencies for new graduates.
Methods: We developed an anonymous survey electronically sent to members of societies related to NNCC. Using the survey results as a guide, we discuss a competence by design (CBD) curriculum as a complementary approach to traditional time-based training.
Results: There were 82 responses to the survey from 30 countries; 95% of respondents were physicians. Thirty-one (42%) institutions reported having an NNCC service, 24 (29%) individuals reported formal NNCC training, 81% reported "significant variability" across NNCC training programs, and 88% were both in favor of standardizing training programs and pursuing formal accreditation for NNCC in the next 5 years.
Conclusions: The survey results demonstrate international interest in standardizing NNCC training and development of an accreditation or certification process. We propose consideration of a CBD-type curriculum as a training approach to focus on the development of specific NNCC competencies, rather than assuming the acquisition of these competencies based on time as a surrogate.
Impact: Continued growth and development in the field of NNCC has led to increasing need for training programs suited to meet the diverse needs of trainees from varied backgrounds. We present the results of an international survey that assessed the structure of existing training programs and the priority areas in which graduates must demonstrate competence, highlighting the combination of CBD and time-based training as one approach to address these recommendations. The survey results support interest in translating published training competencies, existing expertise, and infrastructure across centers into a standardized curriculum for NNCC including certification opportunities.
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Accepted/In Press date: 17 August 2021
e-pub ahead of print date: 18 September 2021
Published date: 18 September 2021
Additional Information:
Funding Information:
Only 14 (17%) of the 82 respondents reported having an NNCC training program. These responses reflected nine individual programs in four countries. Five (56%) of these programs have existed for <5 years, with the other four (44%) existing for >5 years. These programs are funded by a variety of mechanisms, including research monies, philanthropy, grants, endowments or foundation funds, transport funds, or were “self-funded” by the applicant. Amongst the respondents with formalized programs, they had trained a median of four trainees (IQR 2, 6) since the start of their programs, and most programs (n = 6) offer 1 year of training with a few supporting additional optional years. Scholarly activity was required by five programs (56%), with abstracts and manuscripts most often cited as the expected product. Trainees were split between Neonatology and Child Neurology backgrounds. Three programs (33%) provide a traditional time-based approach to training, while six (66%) tailor training based on trainee goals while maintaining core requirements.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
Identifiers
Local EPrints ID: 451570
URI: http://eprints.soton.ac.uk/id/eprint/451570
ISSN: 0031-3998
PURE UUID: 0544b5fc-8433-49ab-b2f2-5d50c036fcac
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Date deposited: 11 Oct 2021 16:32
Last modified: 17 Mar 2024 03:21
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Contributors
Author:
Khorshid Mohammad
Author:
Alexa K. Craig
Author:
Taeun Chang
Author:
Emily W. T. Tam
Author:
Mariam Ayed
Author:
Linda S. de Vries
Author:
Mohamed A. El-Dib
Author:
Michael J. Esser
Author:
Donna M. Ferriero
Author:
Lena Hellström-Westas
Author:
Steven P. Miller
Author:
Janet S. Soul
Author:
Brigitte Vollmer
Author:
Hannah C. Glass
Author:
Christopher D. Smyser
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