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A framework for the identification of competencies required from Syrian pulmonologists during COVID-19 pandemic


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Essential basic competencies required for pulmonologists to face COVID-19

Domain Competency
Cognitive competencies 1. Identify symptoms and signs of respiratory diseases
2. Recognize respiratory drugs
3. Differentiate between upper / lower respiratory infections
4. Explain treatment modalities for upper / lower respiratory infections
5. Detect Respiratory failure
6. Recognize basics of arterial blood gases
7. Identify signs and symptoms of other body systems
8. Identify Respiratory disease/ immunosuppressive diseases
9. Detect immunosuppressive diseases that cause respiratory diseases
10. Describe mechanical ventilation mechanism
Skills competencies 11. Perform appropriate clinical examination
12. Provide Differential diagnosis
13. Recognize clinical signs of respiratory diseases
14. Follow up cases after diagnosis
15. Interpret radiographic diagnosis
16. Provide diagnosis of respiratory diseases
17. Provide care for patients with respiratory diseases
18. Handle patient’s file appropriately
19. Manage invasive and non-invasive ventilation
20. Provide Oxygen supply
21. Provide Arterial blood gas
Attitude competencies 22. Maintain Continuous learning and studying
23. Demonstrate commitment to the ethics of the profession
24. Maintain self-development
25. Deal with patients with calmness and patience
26. Dealing with patients and accommodate their medical complaints
27. Dealing with fellows respectfully
28. Deal with nursing staff professionally
29. communicate with administrative and managerial staff effectively
30. Develop the required communication skills
31. Show the ability to gain patient’s trust
32. Respect patient’s privacy
33. Work under pressure
34. Deal with colleagues with respect
35. Make a good impression on patients, and colleagues
36. Update training patiently in his field of specialization
37. work in a team
38. Show ability to break bad news effectively
39. Demonstrate Self-criticism and criticism from others
40. Show Awareness of personal limitations and seek medical aid from colleagues in controversial cases
41. Alleviate patient’s pain and show empathy
42. Demonstrate commitment to work during the residency period
43. Share success with others and appreciate their efforts
44. Apply scientific evidence in clinical practice
45. Deal privately with elderly patients, children and vulnerable patients with special needs

List of competencies after 3rd cycle of Delphi technique

Cognitive competencies
Knowledge Mean SD Answer
1. Identify symptoms and signs of respiratory diseases 4.84 .373 very important
2. Recognize respiratory drugs 4.82 .424 very important
3. Differentiate between upper / lower respiratory infections 4.82 .386 very important
4. Explain treatment modalities for upper / lower respiratory infections 4.82 386 very important
5. Detect Respiratory failure 4.75 .438 very important
6. Recognize basics of arterial blood gases 4.54 .682 very important
7. Identify signs and symptoms of other body systems 4.45 .501 very important
8. Identify Respiratory disease/ immunosuppressive diseases 4.22 .813 very important
9. Detect immunosuppressive diseases that cause respiratory diseases 4.21 .729 very important
10. Describe mechanical ventilation mechanism 4.10 .699 Important
11. Recognize fungal respiratory infections* 4.06 .886 Important
Skills competencies
Skills Mean SD Answer
12. Perform appropriate clinical examination 4.90 .308 very important
13. Provide Differential diagnosis 4.82 .575 very important
14. Recognize clinical signs of respiratory diseases 4.78 .517 very important
15. Follow up cases after diagnosis 4.76 .430 very important
16. Interpret radiographic diagnosis 4.72 .623 very important
17. Provide diagnosis of respiratory diseases 4.57 .583 very important
18. Provide care for patients with respiratory diseases 4.67 .533 very important
19. Handle patient’s file appropriately 4.52 .725 very important
20. Manage invasive and non-invasive ventilation 4.43 .722 very important
21. Provide Oxygen supply 4.39 .758 very important
22. Provide Arterial blood gas 4.30 .779 very important
23. Manage critical lung cases in the ICU* 4.01 .826 important
24. Manage elderly and children with respiratory diseases* 3.93 .990 important
25. Provide endotracheal intubation* 3.87 .936 important
26. Apply chest drainage* 3.64 1.040 important
27. Take oral and pharyngeal swabs* 3.39 1.205 Neutral
Attitude competencies
Attitude Mean SD Answer
28. Maintain Continuous learning and studying 4.72 .454 very important
29. Demonstrate commitment to the ethics of the profession 4.72 .454 very important
30. Maintain self-development 4.72 .454 very important
31. Deal with patients with calmness and patience 4.61 .491 very important
32. Deal with patients and accommodate their medical complaints 4.57 .783 very important
33. Deal with fellows respectfully 4.57 .679 very important
34. Deal with nursing staff professionally 4.40 .494 very important
35. communicate with administrative and managerial staff effectively 4.55 .658 very important
36. Develop the required communication skills 4.54 .502 very important
37. Show the ability to gain patient’s trust 4.52 .660 very important
38. Respect patient’s privacy 4.52 .682 very important
39. Work under pressure 4.49 .504 very important
40. Deal with colleagues with respect 4.48 .503 very important
41. Make a good impression on patients, and colleagues 4.48 .660 very important
42. Update training patiently in his field of specialization 4.46 .804 very important
43. work in a team 4.46 .725 very important
44. Show ability to break bad news effectively 4.40 .889 very important
45. Demonstrate Self-criticism and criticism from others 4.40 .579 very important
46. Show Awareness of personal limitations and seek medical aid from colleagues in controversial cases 4.40 .524 very important
47. Alleviate patient’s pain and show empathy 4.39 .650 very important
48. Demonstrate commitment to work during the residency period 4.37 .671 very important
49. Share success with others and appreciate their efforts 4.36 .620 very important
50. Apply scientific evidence in clinical practice 4.33 .683 very important
51. Deal privately with elderly patients, children, vulnerable patients with special needs 4.27 .827 very important
eISSN:
2247-059X
Language:
English
Publication timeframe:
Volume Open
Journal Subjects:
Medicine, Clinical Medicine, Internal Medicine, Pneumology, other