header

Design of an Entrustable Professional Activity for Adult Extracorporeal Membrane Oxygenation

22 Pages Posted: 11 Jun 2019 Publication Status: Review Complete

See all articles by W. Christian Crannell

W. Christian Crannell

Oregon Health and Science University

Bishoy Zakhary

Oregon Health and Science University - Department of Pulmonary and Critical Care Medicine

Heather Hamilton

Oregon Health and Science University

Karen Brasel

Oregon Health and Science University

David Zonies

Oregon Health and Science University

Abstract

Background: Extracorporeal membrane oxygenation (ECMO) supports severe cardiac or pulmonary failure. There are currently no competency-based standards for ECMO training.

Methods: ECMO experts were interviewed using a structured interview. Responses were audio recorded,transcribed, and validated by respondents. Interviews were coded using grounded theory with a constant comparison method. Themes were developed and used to construct the entrustable professional activity (EPA), which was reviewed by the ECMO-experts.

Results: Nine experts were interviewed; all had experience with trainees. Interview themes identified include: patient selection; circuit and medical management; multidisciplinary communication; problem based learning and simulation; and entrustment decisions. Essential functions of the EPA were: patient selection; circuit management; cannula selection; responding to circuit emergencies/complications; anticoagulation management; weaning; and family/team communication.

Conclusions: Essential functions of an ECMO EPA were defined using data from structured interviews.The resultant EPA could be implemented by critical-care programs as a scaffolding for competency based fellow training.

Keywords: ECMO, EPA, Competency, Medical education, Structured interview

Suggested Citation

Crannell, W. Christian and Zakhary, Bishoy and Hamilton, Heather and Brasel, Karen and Zonies, David, Design of an Entrustable Professional Activity for Adult Extracorporeal Membrane Oxygenation (June 10, 2019). Available at SSRN: https://ssrn.com/abstract=3402090 or http://dx.doi.org/10.2139/ssrn.3402090

W. Christian Crannell

Oregon Health and Science University ( email )

3181 S.W. Sam Jackson Park Rd.
Portland, OR 97201
United States

Bishoy Zakhary

Oregon Health and Science University - Department of Pulmonary and Critical Care Medicine ( email )

Heather Hamilton

Oregon Health and Science University ( email )

3181 S.W. Sam Jackson Park Rd.
Portland, OR 97201
United States

Karen Brasel

Oregon Health and Science University ( email )

3181 S.W. Sam Jackson Park Rd.
Portland, OR 97201
United States

David Zonies (Contact Author)

Oregon Health and Science University ( email )

3181 S.W. Sam Jackson Park Rd.
Portland, OR 97201
United States