Evidence map›Paper›PMID 36959745›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2023

Competencies for Repetitive Transcranial Magnetic Stimulation in Postgraduate Medical Education: Expert Consensus Using a Modified Delphi Process.

Ka Sing Paris Lai, Robyn Waxman, Daniel M Blumberger, Peter Giacobbe, Gary Hasey, Lisa McMurray, Roumen Milev, Lena Palaniyappan, Rajamannar Ramasubbu, Yuri E Rybak and 3 more

Open access · greenAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 1 country.

Ka Sing Paris LaiDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-7650-6356
Robyn WaxmanDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Daniel M BlumbergerDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-8422-5818
Peter GiacobbeDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6642-6221
Gary HaseyDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Lisa McMurrayDepartment of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada.
Roumen MilevDepartment of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Lena PalaniyappanDepartment of Psychiatry, McGill University, Montreal, Canada.
Rajamannar RamasubbuDepartment of Psychiatry, University of Calgary, Calgary, Alberta, Canada.
Yuri E RybakDepartment of Psychiatry, Western University, London, Ontario, Canada.
Tegan SacevichClinical Sciences Division, Northern Ontario School of Medicine, Thunder Bay, Ontario, Canada.
Fidel Vila-RodriguezDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Amer M BurhanDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
University of Toronto · CACentre for Addiction and Mental Health · CAMcGill University · CAMcMaster University · CANOSM University · CAQueen's University · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Ottawa · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepetitive transcranial magnetic stimulation (rTMS) is recommended in Canadian guidelines as a first-line treatment for major depressive disorder. With the shift towards competency-based medical education, it remains unclear how to determine when a resident is considered competent in applying knowledge of rTMS to patient care. Given inconsistencies between postgraduate training programmes with regards to training requirements, defining competencies will improve the standard of care in rTMS delivery.

objectiveThe goal of this study was to develop competencies for rTMS that can be implemented into a competency-based training curriculum in postgraduate training programmes.

methodsA working group drafted competencies for postgraduate psychiatry trainees. Fourteen rTMS experts from across Canada were invited to participate in the modified Delphi process.

resultsTen experts participated in all three rounds of the modified Delphi process. A total of 20 items reached a consensus. There was improvement in the Cronbach's alpha over the rounds of modified Delphi process (Cronbach's alpha increased from 0.554 to 0.824) suggesting improvement in internal consistency. The intraclass correlation coefficient (ICC) increased from 0.543 to 0.805 suggesting improved interrater agreement.

conclusionsThis modified Delphi process resulted in expert consensus on competencies to be acquired during postgraduate medical education programmes where a learner is training to become competent as a consultant and/or practitioner in rTMS treatment. This is a field that still requires development, and it is expected that as more evidence emerges the competencies will be further refined. These results will help the development of other curricula in interventional psychiatry.

Indexed as

Education, MedicalMajor Depressive DisorderCanadaClinical CompetenceConsensusCurriculumHumansTranscranial Magnetic Stimulationcompetency by designDelphimedical educationpsychiatrytranscranial magnetic stimulation

Identifiers

PMID36959745
PMCPMC10657584
OpenAlexW4360813081

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.