Paving a Path for Pediatric Hospital Medicine in Canada: Defining National Competencies Using Delphi Methodology

Vetere, Peter Joseph

Paving a Path for Pediatric Hospital Medicine in Canada: Defining National Competencies Using Delphi Methodology

dc.contributor.advisor	Cooke, Suzette
dc.contributor.advisor	Beran, Tanya
dc.contributor.author	Vetere, Peter Joseph
dc.contributor.committeemember	Millar, Kelly
dc.contributor.committeemember	Kassam, Aliya
dc.contributor.committeemember	Lorenzetti, Diane
dc.date	2024-11
dc.date.accessioned	2024-07-02T21:05:02Z
dc.date.available	2024-07-02T21:05:02Z
dc.date.issued	2024-07-01
dc.description.abstract	Background: The field of Pediatric Hospital Medicine (PHM) has grown considerably in North America over the last three decades in response to the increasing complexity and acuity of the pediatric in-patient population. Although PHM fellowship programs have been developed in Canada, no national competencies framework currently exists to guide curricular content. This study aimed to identify competencies required for the practice of PHM in Canada. Methods: Using Delphi methodology, a national panel of experts in PHM iteratively rated potential competencies, on a 5-point scale, to determine their priority for inclusion. Responses were analyzed after each round. Competencies that were assigned a rating of three or less by 80% or more of panelists were removed from subsequent rounds. The remaining competencies were re-sent to panelists for further ratings until consensus was reached, defined as Cronbach’s α ≥0.95 and after a minimum of two survey rounds. At the conclusion of the Delphi process, competencies where 80% or more of the panelists assigned a rating or four or higher were included. Results: Two rounds of the Delphi process were required to reach consensus. Thirty-five participants completed both survey rounds. The participants represented 13 Canadian pediatric tertiary care centers and five community hospitals. Of 176 initial competencies, 109 PHM competencies achieved consensus. Conclusion: This is the first study to define national competencies for PHM in Canada. The competencies identified provide a framework for PHM fellowship program directors to shape local curricula. The results may also be used to inform the development of comprehensive national PHM fellowship curricula.
dc.identifier.citation	Vetere, P. J. (2024). Paving a path for pediatric hospital medicine in Canada: defining national competencies using Delphi methodology (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.uri	https://hdl.handle.net/1880/119096
dc.language.iso	en
dc.publisher.faculty	Graduate Studies
dc.publisher.institution	University of Calgary
dc.rights	University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subject	Pediatric Hospital Medicine
dc.subject	Delphi Methodology
dc.subject	Competencies
dc.subject	Post-Graduate Medical Education
dc.subject	Canada
dc.subject.classification	Medicine and Surgery
dc.title	Paving a Path for Pediatric Hospital Medicine in Canada: Defining National Competencies Using Delphi Methodology
dc.type	master thesis
thesis.degree.discipline	Medicine – Community Health Sciences
thesis.degree.grantor	University of Calgary
thesis.degree.name	Master of Science (MSc)
ucalgary.thesis.accesssetbystudent	I do not require a thesis withhold – my thesis will have open access and can be viewed and downloaded publicly as soon as possible.