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      Faculty Development Approaches for Life Support Courses: A Scoping Review

      review-article
      , MD 1 , , MD, PhD 1 , , , MD 2 , , MD, PhD 3 , 4 , 5 , , DO, Med 6 , 7 , , MD, MSc(Ed) 8 , , MD, MME 9 , 10 , the International Liaison Committee on Resuscitation Education, Implementation, Teams (EIT) Task Force
      Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
      John Wiley and Sons Inc.
      cardiac arrest, faculty development, instructor training, Cardiopulmonary Arrest, Quality and Outcomes

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          Abstract

          The aim of this scoping review initiated by the Education, Implementation and Teams Task Force of the International Liaison Committee on Resuscitation was to identify faculty development approaches to improve instructional competence in accredited life support courses. We searched PubMed, Ovid Embase, Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Central Register of Controlled Trials to identify studies published from January 1, 1966 to December 31, 2021 on approaches to improve faculty development for life support courses. Data on participant characteristics, interventions, design, and outcomes of included studies were extracted. Of the initially identified 10 310 studies, we included 20 studies (5 conference abstracts, 1 short communication, 14 full‐length articles). Among them, 12 studies aimed to improve instructors/candidates’ teaching ability in basic life support courses. A wide variety of interventions were identified. The interventions were categorized into 4 themes: instructor qualification/training (n=9), assessment tools (n=3), teaching skills enhancement (n=3), and additional courses for instructors (n=5). Most studies showed that these interventions improved specific teaching ability or confidence of the instructors and learning outcomes in different kinds of life support courses. However, no studies addressed clinical outcomes of patients. In conclusion, the faculty development approaches for instructors are generally associated with improved learning outcomes for participants, and also improved teaching ability and self‐confidence of the instructors. It is encouraged that local organizations implement faculty development programs for their teaching staff of their accredited resuscitation courses. Further studies should explore the best ways to strengthen and maintain instructor competency, and define the cost‐effectiveness of various different faculty development strategies.

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          Most cited references54

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Accuracy of physician self-assessment compared with observed measures of competence: a systematic review.

            Core physician activities of lifelong learning, continuing medical education credit, relicensure, specialty recertification, and clinical competence are linked to the abilities of physicians to assess their own learning needs and choose educational activities that meet these needs. To determine how accurately physicians self-assess compared with external observations of their competence. The electronic databases MEDLINE (1966-July 2006), EMBASE (1980-July 2006), CINAHL (1982-July 2006), PsycINFO (1967-July 2006), the Research and Development Resource Base in CME (1978-July 2006), and proprietary search engines were searched using terms related to self-directed learning, self-assessment, and self-reflection. Studies were included if they compared physicians' self-rated assessments with external observations, used quantifiable and replicable measures, included a study population of at least 50% practicing physicians, residents, or similar health professionals, and were conducted in the United Kingdom, Canada, United States, Australia, or New Zealand. Studies were excluded if they were comparisons of self-reports, studies of medical students, assessed physician beliefs about patient status, described the development of self-assessment measures, or were self-assessment programs of specialty societies. Studies conducted in the context of an educational or quality improvement intervention were included only if comparative data were obtained before the intervention. Study population, content area and self-assessment domain of the study, methods used to measure the self-assessment of study participants and those used to measure their competence or performance, existence and use of statistical tests, study outcomes, and explanatory comparative data were extracted. The search yielded 725 articles, of which 17 met all inclusion criteria. The studies included a wide range of domains, comparisons, measures, and methodological rigor. Of the 20 comparisons between self- and external assessment, 13 demonstrated little, no, or an inverse relationship and 7 demonstrated positive associations. A number of studies found the worst accuracy in self-assessment among physicians who were the least skilled and those who were the most confident. These results are consistent with those found in other professions. While suboptimal in quality, the preponderance of evidence suggests that physicians have a limited ability to accurately self-assess. The processes currently used to undertake professional development and evaluate competence may need to focus more on external assessment.
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              European Resuscitation Council Guidelines 2021: Education for resuscitation

              These European Resuscitation Council education guidelines, are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. This section provides guidance to citizens and healthcare professionals with regard to teaching and learning the knowledge, skills and attitudes of resuscitation with the ultimate aim of improving patient survival after cardiac arrest.
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                Author and article information

                Contributors
                erdrmjhsieh@gmail.com
                Journal
                J Am Heart Assoc
                J Am Heart Assoc
                10.1002/(ISSN)2047-9980
                JAH3
                ahaoa
                Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
                John Wiley and Sons Inc. (Hoboken )
                2047-9980
                03 June 2022
                07 June 2022
                : 11
                : 11 ( doiID: 10.1002/jah3.v11.11 )
                : e025661
                Affiliations
                [ 1 ] Department of Emergency Medicine National Taiwan University Hospital Taipei Taiwan
                [ 2 ] Departments of Pediatrics and Emergency Medicine University of Calgary Alberta Canada
                [ 3 ] Research Center for Emergency Medicine Aarhus University Hospital Aarhus Denmark
                [ 4 ] Emergency Department Randers Regional Hospital Randers Denmark
                [ 5 ] Department of Anesthesiology and Critical Care Medicine Children's Hospital of Philadelphia Philadelphia PA
                [ 6 ] University of Washington School of Medicine Seattle WA
                [ 7 ] Seattle Children’s Hospital Seattle WA
                [ 8 ] Department of Pediatrics McGill University Montreal Canada
                [ 9 ] Department of Anaesthesiology and Pain Medicine Bern University Hospital University of Bern Bern Switzerland
                [ 10 ] School of Medicine Sigmund Freud University Vienna Vienna Austria
                Author notes
                [*] [* ] Correspondence to: Ming‐Ju Hsieh, MD, PhD, Department of Emergency Medicine, National Taiwan University Hospital, No. 7 Chung Shan South Rd., Taipei 100, Taiwan. Email: erdrmjhsieh@ 123456gmail.com

                [*]

                A complete list of the International Liaison Committee on Resuscitation Education, Implementation and Teams (EIT) Task Force members can be found in the Appendix at the end of the article.

                Author information
                https://orcid.org/0000-0003-3636-6250
                https://orcid.org/0000-0003-0160-2073
                Article
                JAH37472
                10.1161/JAHA.122.025661
                9238697
                35656992
                f9852832-d7ae-4815-8d51-66133b6ebafa
                © 2022 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 05 February 2022
                : 04 April 2022
                Page count
                Figures: 1, Tables: 2, Pages: 15, Words: 9299
                Funding
                Funded by: Taiwan Ministry of Science and Technology
                Award ID: MOST 109‐2314‐B‐002‐155
                Funded by: National Taiwan University Hospital , doi 10.13039/501100005762;
                Award ID: 111‐X0031
                Categories
                Contemporary Review
                Contemporary Review
                Custom metadata
                2.0
                June 7, 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:14.06.2022

                Cardiovascular Medicine
                cardiac arrest,faculty development,instructor training,cardiopulmonary arrest,quality and outcomes

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