Effect of a Competence Based Medical Education Programme on Training Quality in Intensive Care Medicine.

Summary

This study evaluates whether the implementation of a competency-based medical education program called CoBaTrICE (Competency Based Training program in Intensive Care in Europe) provides higher levels of competency in comparison with the current official time-based program in Intensive Care Medicine (ICM) in Spain.

The hypothesis will be confirmed or rejected through a multicenter cluster randomized trial of 14 ICU Departments from 14 academic referral hospitals located in Spain. A total of 38 trainees on the 3rd year of the specialization period will be followed during the three years of their specific training period in Intensive Care Medicine. CoBaTrICE (seven hospitals) will be compared with the current official model of training in ICM in Spain (seven hospitals), which is based on exposure to experiences through clinical rotations. The implementation of CoBaTrICE will include the three following essential elements: 1) Training the trainers; 2) Workplace-based assessments; 3)The use of an electronic portfolio.

The level of competency achieved by each participant will be determined by a simulation-based Objective Structured Clinical Exam (OSCE) performed at the end of the third year of traning (baseline) and at the end of the 5th year of training period.

Conditions

• Competency-Based Education

Interventions

OTHER

Implementation of CoBaTrICE

The implemention of CoBaTrICE will include the three following essential elements: 1. Training the trainers. In order to provide high quality feedback to guide development of competence, tutors will receive a course in formative assessment, debriefing techniques, and effective feedback. 2. Workplace-based assessment (WbA) to promote learning and to guarantee that the predefined competences and skills are effectively acquired. Current Wb observation methods such as mini-clinical examination exercise, direct observation of procedural skills and multisource-feedback 360º will be used. 3. The use of an electronic portfolio specifically created as a personal collection of training documents that includes the record of formative assessments, activities, and the levels of competence achieved. The portfolio will help monitor progress of trainee's skills development and learning experiences contributing to an effective assessment, self-reflection and control of the learning process.

Sponsors & Collaborators

• European Society of Intensive Care Medicine

  collaborator OTHER

• Generalitat Valenciana

  collaborator OTHER

• Alvaro Castellanos Ortega

  lead OTHER

Principal Investigators

• ALVARO CASTELLANOS, PhD · Instituto de Investigación Sanitaria La Fe de Valencia (IIS La Fe)

• RAFAEL GARCIA ROS, PhD · Cátedra de psicología de la Educación. Universidad de Valencia

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2019-02-01

Primary Completion

2021-01-31

Completion

2021-01-31

Countries

• Spain

Study Locations