Procedural sedation is practised by a heterogeneous group of practitioners working in a wide array of settings. However, there are currently no accepted standards for the competencies a sedation practitioner should have, the content of sedation training programmes, and guidelines for credentialing. The multidisciplinary International Committee for the Advancement of Procedural Sedation sought to develop a consensus statement on the following: which competencies should medical or dental practitioners have for procedural sedation and how are they obtained, assessed, maintained, and privileged. Using the framework of Competency-Based Medical Education, the practice of procedural sedation was defined as a complex professional task requiring demonstrable integration of different competencies. For each question, the results of a literature review were synthetised into preliminary statements. Following an iterative Delphi review method, final consensus was reached. Using multispeciality consensus, we defined procedural sedation competence by identifying a set of core competencies in the domains of knowledge, skills, and attitudes across physical safety, effectiveness, psychological safety, and deliberate practice. In addition, we present a standardised framework for competency-based training and credentialing of procedural sedation practitioners.

中文翻译：

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程序镇静能力：关于知识、技能、培训和资格认证的审查和多学科国际共识声明。


程序镇静由在各种环境中工作的不同类型的从业者实施。然而，目前对于镇静从业者应具备的能力、镇静培训计划的内容以及认证指南尚无公认的标准。多学科国际程序性镇静促进委员会力求就以下问题达成共识：医生或牙医应具备哪些程序性镇静能力，以及如何获得、评估、维持和特权这些能力。使用基于能力的医学教育框架，程序镇静实践被定义为一项复杂的专业任务，需要不同能力的明显整合。对于每个问题，文献综述的结果都被综合成初步陈述。经过迭代德尔菲评审方法，达成最终共识。利用多专业共识，我们通过确定知识、技能和态度领域的一系列核心能力来定义程序镇静能力，涉及身体安全、有效性、心理安全和刻意练习。此外，我们还提出了一个标准化框架，用于程序镇静从业人员的基于能力的培训和资格认证。