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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva
Minerva Anestesiologica 2009 March;75(3):117-24
The Competency-Based Training in Intensive Care Medicine in Europe (CoBaTrICE) Italian collaborative: national results from the Picker survey
Rubulotta F. 1, Gullo A. 1, Iapichino G. 2, Pezzi A. 2, Bion J. 3, Barret H. 4
1 Department of Anesthesiology and Intensive Care, University Hospital Polyclinic, Catania, Italy;
2 Unit of Anesthesiology and Intensive Care, S. Paolo Hospital, University of Milan, Milan, Italy;
3 Deputy Director UoB/UHB Research Academy, University Department of Anesthesia and ICM, Edgbaston, Birmingham, UK;
4 Research Coordinator, Movement Disorders Clinic, Toronto Western Hospital, Toronto, ON, Canada
Background. The aim of the Competency-Based Training in Intensive Care medicine in Europe (CoBaTrICE) project is to create an internationally acceptable competency-based training program for specialists in intensive care medicine. The CoBaTrICE project has performed a survey, in collaboration with the Picker institute, United Kingdom, to identify desirable characteristics of Intensive Care Unit (ICU) specialists, as expressed by patients and their relatives.
Methods. A questionnaire was developed to assess 21 elements of professional competence. Each element was assigned to one of four categories of a Likert scale: 1=essential; 2=very important; 3=not too important; 4=does not matter. The results were dichotomized into essential (score: 1) and not essential (scores: 2-4) categories. Further, the elements were related to three key concepts: “medical skills and competencies”, “communication with patients”, and “communication with relatives”. Questionnaire statements grouped by theme were also ranked for each item using a number: 1=highest rank; 21=lowest rank. Free text responses were also invited.
Results. Ten Italian ICUs were enrolled in the study. There were 249 questionnaires completed (18% total return rate).
Conclusion. Priority in Italy was given to medical skills and competence. Involvement of patients and relatives in decision-making processes were among the items considered least important. Italian families preferred a paternalist approach to the end of life decision-making process.