Objectives: 

To describe the practice analysis undertaken by a task force convened by the American Board of Pediatrics Pediatric Critical Care Medicine Sub-board to create a comprehensive document to guide learning and assessment within Pediatric Critical Care Medicine.

Design: 

An in-depth practice analysis with a mixed-methods design involving a descriptive review of practice, a modified Delphi process, and a survey.

Setting: 

Not applicable.

Subjects: 

Seventy-five Pediatric Critical Care Medicine program directors and 2,535 American Board of Pediatrics Pediatric Critical Care Medicine diplomates.

Interventions: 

A practice analysis document, which identifies the full breadth of knowledge and skill required for the practice of Pediatric Critical Care Medicine, was developed by a task force made up of seven pediatric intensivists and a psychometrician. The document was circulated to all 75 Pediatric Critical Care Medicine fellowship program directors for review and comment and their feedback informed modifications to the draft document. Concurrently, data from creation of the practice analysis draft document were also used to update the Pediatric Critical Care Medicine, was developed by a task force made up of seven pediatric intensivists and a psychometrician. The document was circulated to all 75 Pediatrics Pediatric Critical Care Medicine fellowship program directors for review and comment and their feedback informed modifications to the draft document. Concurrently, data from creation of the practice analysis draft document were also used to update the Pediatric Critical Care Medicine content outline, which was sent to all 2,535 American Board of Pediatrics Pediatric Critical Care Medicine diplomates for review during an open-comment period between January 2019 and February 2019, and diplomate feedback was used to make updates to both the content outline and the practice analysis document.

Measurements and Main Results: 

After review and comment by 25 Pediatric Critical Care Medicine program directors (33.3%) and 619 board-certified diplomates (24.4%), a comprehensive practice analysis document was created through a two-stage process. The final practice analysis includes 10 performance domains which parallel previously published Entrustable Professional Activities in Pediatric Critical Care Medicine. These performance domains are made up of between three and eight specific tasks, with each task including the critical knowledge and skills that are necessary for successful completion. The final practice analysis document was also used by the American Board of Pediatrics Pediatric Critical Care Medicine Sub-board to update the Pediatric Critical Care Medicine content outline.

Conclusions: 

A systematic approach to practice analysis, with stakeholder engagement, is essential for an accurate definition of Pediatric Critical Care Medicine practice in its totality. This collaborative process resulted in a dynamic document useful in guiding curriculum development for training programs, maintenance of certification, and lifetime professional development to enable safe and efficient patient care.

中文翻译：

---

建立儿科重症监护医学所需的知识和技能：实践分析的系统方法。

目标： 

描述由美国儿科学会儿科重症监护医学分委员会召集的一个工作组进行的实践分析，以创建一份综合文件来指导儿科重症监护医学的学习和评估。

设计： 

采用混合方法设计的深入实践分析，包括对实践的描述性回顾、修改后的 Delphi 过程和调查。

环境： 

不适用。

主题： 

75 名儿科重症监护医学项目主任和 2,535 名美国儿科委员会儿科重症监护医学文凭。

干预： 

由七名儿科重症医师和一名心理测量师组成的工作组制定了一份实践分析文件，该文件确定了儿科重症监护医学实践所需的全部知识和技能。该文件已分发给所有 75 名儿科重症监护医学奖学金项目负责人，以供审查和评论，他们的反馈为对文件草案的修改提供了依据。同时，实践分析草案文件的创建数据也被用于更新儿科重症监护医学，该医学由由七名儿科重症监护医生和一名心理测量师组成的工作组开发。该文件已分发给所有 75 名儿科医师儿科重症监护医学奖学金项目负责人进行审查和评论，他们的反馈为文件草案的修改提供了依据。同时，实践分析草案文件的创建数据也被用于更新儿科重症监护医学内容大纲，该大纲在 2019 年 1 月期间的公开评论期内发送给所有 2,535 名美国儿科委员会儿科重症监护医学外交官进行审查和 2019 年 2 月，外交官的反馈被用来更新内容大纲和实践分析文件。

测量和主要结果： 

经过 25 名儿科重症医学项目主任 (33.3%) 和 619 名董事会认证的外交官 (24.4%) 审查和评论后，通过两个阶段的过程创建了一份全面的实践分析文件。最终的实践分析包括 10 个性能领域，这些领域与之前发布的儿科重症监护医学中的可信赖专业活动平行。这些绩效领域由三到八项具体任务组成，每项任务都包括成功完成所必需的关键知识和技能。美国儿科学会儿科重症监护也使用了最终实践分析文件医学分板更新儿科重症监护医学内容大纲。

结论： 

在利益相关者参与的情况下，系统的实践分析方法对于准确定义儿科重症监护医学实践的整体而言至关重要。这种协作过程产生了一份动态文档，可用于指导培训计划的课程开发、认证的维护和终身专业发展，以实现安全和高效的患者护理。