Core sepsis-related competencies for medical students: an international consensus by Delphi technique

Gomersall, Elanor Lian Mary, Ling, Lowell, Reinhart, Konrad, Bion, Victoria, Ekesh, Abeselom, Adu-Takyi, Christiana, Azevedo, Luciano Cesar Pontes, Banguti, Paulin Ruhato, Cohen, Jonathan, Diaz, Janet Victoria, Du, Bin, Goldfarb, David M., Gorordo-Delsol, Luis Antonio, Graham, Colin Alexander, Iramain, Ricardo, Jacob, Shevin ORCID: https://orcid.org/0000-0003-2425-9394, Kecskes, Zsuzsoka, Kissoon, Niranjan, Lipman, Jeffrey, Lundeg, Ganbold, Maitland, Kathryn, Mergani, Kamal Osman, Moschides, Christopher, Nakalembe, Miriam, Ndu, Ikenna Kingsley, Oon, Jolene, Sale, Trina, Shresthra, Ashis, Stockley, Simon, Talmor, Daniel, Tse, Audrey Bree, Zachariah, Anand and Joynt, Gavin Matthew (2024) 'Core sepsis-related competencies for medical students: an international consensus by Delphi technique'. BMC Medical Education, Vol 24, Issue 1, e653.

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Abstract

Background: Sepsis is a life-threatening condition which may arise from infection in any organ system and requires early recognition and management. Healthcare professionals working in any specialty may need to manage patients with sepsis. Educating medical students about this condition may be an effective way to ensure all future doctors have sufficient ability to diagnose and treat septic patients. However, there is currently no consensus on what competencies medical students should achieve regarding sepsis recognition and treatment. This study aims to outline what sepsis-related competencies medical students should achieve by the end of their medical student training in both high or upper-middle incomes countries/regions and in low or lower-middle income countries/regions.

Methods: Two separate panels from high or upper-middle income and low or lower-middle income countries/regions participated in a Delphi method to suggest and rank sepsis competencies for medical students. Each panel consisted of 13–18 key stakeholders of medical education and doctors in specialties where sepsis is a common problem (both specialists and trainees). Panelists came from all continents, except Antarctica.

Results: The panels reached consensus on 38 essential sepsis competencies in low or lower-middle income countries/regions and 33 in high or upper-middle incomes countries/regions. These include competencies such as definition of sepsis and septic shock and urgency of antibiotic treatment. In the low or lower-middle income countries/regions group, consensus was also achieved for competencies ranked as very important, and was achieved in 4/5 competencies rated as moderately important. In the high or upper-middle incomes countries/regions group, consensus was achieved in 41/57 competencies rated as very important but only 6/11 competencies rated as moderately important.

Conclusion: Medical schools should consider developing curricula to address essential competencies, as a minimum, but also consider addressing competencies rated as very or moderately important.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 21 Medicine as a profession. WA Public Health > Health Administration and Organization > WA 530 International health administration WC Communicable Diseases > Infection. Bacterial Infections > Bacterial Infections > WC 240 Bacteremia. Sepsis. Toxemias
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1186/s12909-024-05525-9
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	20 Jun 2024 10:06
Last Modified:	20 Jun 2024 10:06
URI:	https://archive.lstmed.ac.uk/id/eprint/24741

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