Posted Date: 02/06/2025
EXACT – ECMO eXperience Assessment & Competency Testing: A Delphi Study to Define Core Competencies and Assessment Criteria for Independent ECMO Practice (Step 3 of E-AEC)
Committee: Education
Mentor: Elizabeth Moore
Mentor Email: emoore@uiowa.edu
Admin Contact:
Affiliation: University of Iowa Healthcare (123)
Status: Open
Expiration Date: 07/31/2025
Description:
Aim: The aim of this study is to identify the essential components required to evaluate a practitioner’s knowledge, skills, and abilities for the effective and safe management of ECMO, ensuring proficiency in both routine and high-risk situations. The Position Paper on Global Extracorporeal Membrane Oxygenation Education highlights the necessity of a structured educational framework to enhance training outcomes and reduce variability in practice. By implementing standardized curricula and assessment methods, we can better equip practitioners to manage complex ECMO systems, lead multidisciplinary teams, and deliver high-quality patient care. Additionally, this initiative will foster collaboration across programs and address the growing nationwide demand for skilled ECMO professionals.
The E-AEC (Extracorporeal Life Support Organization – Adult ECMO Certification) process aligns with these goals by establishing a structured pathway to ensure practitioners possess the knowledge, skills, and abilities required for safe and effective ECMO management. This multi-step process includes foundational education, clinical experience, and assessments designed to validate proficiency.
Step 1 focuses on foundational knowledge through coursework and training modules, while Step 2 evaluates hands-on skills and clinical competence via simulation and bedside training. However, Step 3, which aims to validate comprehensive expertise for independent ECMO management, faces significant challenges due to the lack of validated data to support its criteria and assessment methodology. This gap raises concerns about consistency and reliability in evaluating practitioners’ ability to apply theoretical knowledge in real-world, high-stakes scenarios.
To address these challenges, further research and the development of standardized assessment tools are essential. Establishing validated benchmarks for Step 3 is critical to ensuring the E-AEC process consistently identifies competent practitioners, builds confidence in ECMO training programs, and ultimately improves patient care outcomes.
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