Core competencies in critical care for general medical practitioners in South Africa: A Delphi study

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Published: Dec 13, 2023
DOI: https://doi.org/10.7196/SAJCC.2023.v39i3.1261
Keywords:
core competencies, critical care, general medical practitioners, delphi study

Main Article Content

S D Maasdorp
Division of Pulmonology and Critical Care, Department of Internal Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
F Paruk
Department of Critical Care, Faculty of Health Sciences, University of Pretoria, South Africa
K de Vasconcellos
Discipline of Anaesthesiology and Critical Care, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
C Grion
Department of Clinical Medical, Hospital Universitári, Universidade Estadual de Londrina, Brazil
I Joubert
Division of Critical Care, Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, South Africa
G Joynt
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, China
N Kalafatis
Discipline of Anaesthesiology and Critical Care, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
S E Lapinsky
Department of Critical Care, Faculty of Medicine, University of Toronto, Canada
J Lipman
Jamieson Trauma Institute, Royal Brisbane and Women’s Hospital, University of Queensland, Brisbane, Australia; and Nimes University Hospital, University of Montpellier, Nimes, France
M L N G Malbrain
First Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Lublin, Poland
B Mrara
Department of Anaesthesia, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa
G A Richards
Department of Critical Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
M Spruyt
Division of Critical Care, Department of Surgery, University of the Free State, Bloemfontein, South Africa
E Van der Merwe
Department of Critical Care, Livingstone Hospital, Gqeberha, South Africa
J-L Vincent
Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Belgium
L J Van der Merwe
Division of Health Sciences Education, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa

Abstract





Background. Despite a high burden of disease that requires critical care services, there are a limited number of intensivists in South Africa (SA). Medical practitioners at district and regional public sector hospitals frequently manage critically ill patients in the absence of intensivists, despite these medical practitioners having had minimal exposure to critical care during their undergraduate training.
Objectives. To identify core competencies in critical care for medical practitioners who provide critical care services at public sector hospitals in SA where intensivists are not available to direct patient management.


Methods. A preliminary list of core competencies in critical care was compiled. Thereafter, 13 national and international experts were requested to achieve consensus on a final list of core competencies that are required for critical care by medical practitioners, using a modified Delphi process.


Results. A final list of 153 core competencies in critical care was identified.


Conclusion. The core competencies identified by this study could assist in developing training programmes for medical practitioners to improve the quality of critical care services provided at district and regional hospitals in SA.





Article Details

How to Cite
Core competencies in critical care for general medical practitioners in South Africa: A Delphi study. (2023). Southern African Journal of Critical Care, 39(3), e1261. https://doi.org/10.7196/SAJCC.2023.v39i3.1261
Issue
SAJCC Vol. 39 No. 3
Section
Research Articles
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Author Biographies

F Paruk, Department of Critical Care, Faculty of Health Sciences, University of Pretoria, South Africa

Head of Department of Critical Care, University of Pretoria, South Africa

K de Vasconcellos, Discipline of Anaesthesiology and Critical Care, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Department of Anaesthesiology and Critical Care, University of KwaZulu-Natal, South Africa

C Grion, Department of Clinical Medical, Hospital Universitári, Universidade Estadual de Londrina, Brazil

Department of Clinical Medical - Hospital Universitário - Universidade Estadual de Londrina, Brazil

I Joubert, Division of Critical Care, Department of Anaesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, South Africa

Head of Division of Critical Care, Department of Anaesthesia and Perioperative Medicine, University of Cape Town, South Africa

G Joynt, Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, China

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, China

N Kalafatis, Discipline of Anaesthesiology and Critical Care, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Discipline of Anaesthesiology and Critical Care, University of KwaZulu-Natal, South Africa

S E Lapinsky, Department of Critical Care, Faculty of Medicine, University of Toronto, Canada

Division of Critical Care, University of Toronto, Canada

J Lipman, Jamieson Trauma Institute, Royal Brisbane and Women’s Hospital, University of Queensland, Brisbane, Australia; and Nimes University Hospital, University of Montpellier, Nimes, France

Jamieson Trauma Institute, Royal Brisbane and Women’s Hospital; The University of Queensland; Nimes University Hospital, University of Montpellier, Nimes, France

How to Cite

Core competencies in critical care for general medical practitioners in South Africa: A Delphi study. (2023). Southern African Journal of Critical Care, 39(3), e1261. https://doi.org/10.7196/SAJCC.2023.v39i3.1261

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