LO43: Simulation curricular content in postgraduate emergency medicine: a multicenter delphi study

OBJECTIVES: There is increasing evidence to support integration of simulation into medical training; however, no national emergency medicine (EM) simulation curriculum exists. Using Delphi methodology, we aimed to identify and establish content validity for adult EM curricular content best suited for simulation-based training, to inform national postgraduate EM training. METHODS: A national panel of experts in EM simulation iteratively rated potential curricular topics, on a 4-point scale, to determine those best suited for simulation-based training. After each round, responses were analyzed. Topics scoring <2/4 were removed and remaining topics were resent to the panel for further ratings until consensus was achieved, defined as Cronbach α ≥ 0.95. At conclusion of the Delphi process, topics rated ≥ 3.5/4 were considered "core" curricular topics, while those rated 3.0-3.5 were considered "extended" curricular topics. RESULTATS: Ont participe a l'exercice 45 experts provenant de 13 centres canadiens de formation. Une revue systematique de la documentation, un examen du materiel didactique pertinent et l'avis des experts en methode Delphi ont permis de degager 280 sujets d'interet, dans 29 domaines. Il y a eu atteinte d'un consensus apres trois tours d’evaluation, et les taux de reponse variaient de 93 a 100%. A la fin du processus, 28 sujets, dans 8 domaines, ont ete classes majeurs, et 35 autres, dans 14 domaines, mineurs. CONCLUSION: L’etude menee selon la methode Delphi a permis de valider, apres l'atteinte d'un consensus par les experts, le contenu du programme convenant le mieux a une formation axee sur la simulation en MU. Les resultats pourront servir d'assises a une meilleure integration de l'apprentissage par simulation dans la formation postdoctorale en MU et, par suite, a l’elaboration d'un programme national de simulation visant a enrichir la formation clinique et a maximiser l'apprentissage.