Evidence map›Paper›PMID 16240145›Full record

ArticleIntensive care medicine2005

The Acute Care Undergraduate TEaching (ACUTE) Initiative: consensus development of core competencies in acute care for undergraduates in the United Kingdom.

Gavin D Perkins, Hannah Barrett, Ian Bullock, David A Gabbott, Jerry P Nolan, Sarah Mitchell, Alasdair Short, Christopher M Smith, Gary B Smith, Susan Todd and 1 more

Abstract read
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In one paragraph

Article in Intensive care medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
29.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Core competencies in critical care for general medical practitioners in South Africa: A Delphi study.The Southern African journal of critical care : the official journal of the Critical Care Society · 2023
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  12. IMPLSE course: a near-peer simulation course.BMJ simulation & technology enhanced learning · 2018
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  14. Observational
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  19. DR WHO: a workshop for house officer preparation.Postgraduate medical journal · 2007
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 1 country.

Gavin D PerkinsDivision of Medical Sciences, University of Birmingham, Birmingham, UK. g.d.perkins@bham.ac.uk
Hannah Barrett
Ian Bullock
David A Gabbott
Jerry P Nolan
Sarah Mitchell
Alasdair Short
Christopher M Smith
Gary B Smith
Susan Todd
Julian F Bion
University of Birmingham · GBBroomfield Hospital · GBGloucestershire Royal Hospital · GBPortsmouth Hospitals NHS Trust · GBResuscitation Council · GBRoyal College of Nursing · GBRoyal United Hospital Bath NHS Trust · GBUniversity of Reading · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe care of the acutely ill patient in hospital is often sub-optimal. Poor recognition of critical illness combined with a lack of knowledge, failure to appreciate the clinical urgency of a situation, a lack of supervision, failure to seek advice and poor communication have been identified as contributory factors. At present the training of medical students in these important skills is fragmented. The aim of this study was to use consensus techniques to identify the core competencies in the care of acutely ill or arrested adult patients that medical students should possess at the point of graduation.

designHealthcare professionals were invited to contribute suggestions for competencies to a website as part of a modified Delphi survey. The competency proposals were grouped into themes and rated by a nominal group comprised of physicians, nurses and students from the UK. The nominal group rated the importance of each competency using a 5-point Likert scale.

resultsA total of 359 healthcare professionals contributed 2,629 competency suggestions during the Delphi survey. These were reduced to 88 representative themes covering: airway and oxygenation; breathing and ventilation; circulation; confusion and coma; drugs, therapeutics and protocols; clinical examination; monitoring and investigations; team-working, organisation and communication; patient and societal needs; trauma; equipment; pre-hospital care; infection and inflammation. The nominal group identified 71 essential and 16 optional competencies which students should possess at the point of graduation.

conclusionsWe propose these competencies form a core set for undergraduate training in resuscitation and acute care.

Indexed as

Clinical CompetenceCritical CareEducation, Medical, UndergraduateAcute DiseaseCardiopulmonary ResuscitationCurriculumDelphi TechniqueEducational MeasurementFemaleHumansMaleUnited Kingdom

Identifiers

PMID16240145
OpenAlexW2106768473

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.