n the public sector, the anesthetic workforce in these hospitals consists mainly of nonspecialist (general practitioner) junior doctors with limited supervision. The Essential Steps in Managing Obstetric Emergencies (ESMOE) training program for interns was introduced in 2008 to reduce maternal deaths in SA. Training is not consistently offered at all intern-training institutions and it has not been recently revised. This study sought expert suggestions to guide a revision of the regulation, pedagogy, and content of the ESMOE anesthetic module. METHODS: A 3-round consensus-seeking modified Delphi technique was used whereby experts rated current and suggested learning outcomes as well as pedagogical- and regulatory aspects of the ESMOE anesthetic module in an anonymous, online, Likert-scale questionnaire. Consensus was defined as ≥70% agreement. Open-ended questions sought motivations for decisions and further suggestions for program improvement. RESULTS: Between March 4, 2021 and August 18, 2021, a total of 17/24 (71%), 16/17 (94%), and 15/16 (94%) consenting experts completed the first, second, and third rounds, respectively. During the 3 rounds, the panel achieved consensus on all but 2 questionnaire items. The panel agreed that ESMOE anesthesia training should be mandatory and that it should be offered through a blended learning model. They further concurred that the current learning outcomes should be retained, and suggested additional outcomes based on the most common causes of maternal mortality in SA. CONCLUSIONS: Attendance of the ESMOE anesthesia module should be mandatory. Its pedagogy should be updated to a blended learning style to benefit the current digital native intern generation. The content should be updated to address the main causes of maternal mortality in SA in line with SDG3. A national obstetric anesthesia guideline should be considered, and lea-dership and collaboration are required to improve the alignment of undergraduate, internship, and junior doctor anesthesia training in SA. The content, process, and stakeholder engagement suggestions in this study can assist short-course-based anesthesia workforce training in similar global contexts....

中文翻译：

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南非管理产科紧急情况的基本步骤 （ESMOE） 麻醉学培训模块的课程开发：Delphi 研究


在公共部门，这些医院的麻醉工作人员主要由监督有限的非专科（全科医生）初级医生组成。2008 年推出了针对实习生的产科紧急情况管理基本步骤 （ESMOE） 培训计划，以减少南澳的孕产妇死亡。并非所有实习生培训机构都始终提供培训，而且最近也没有对其进行修订。本研究寻求专家建议，以指导修订 ESMOE 麻醉模块的法规、教学法和内容。方法： 使用一种 3 轮寻求共识的改良 Delphi 技术，专家在匿名、在线、李克特量表问卷中对 ESMOE 麻醉模块的当前和建议的学习成果以及教学和监管方面进行评分。共识定义为 ≥70% 的一致性。开放式问题寻求决策的动机和对程序改进的进一步建议。结果： 在 2021 年 3 月 4 日至 2021 年 8 月 18 日期间，共有 17/24 （71%） 、16/17 （94%） 和 15/16 （94%） 同意的专家分别完成了第一轮、第二轮和第三轮。在 3 轮调查中，小组对除 2 个问卷项目外的所有问卷项目都达成了共识。小组同意 ESMOE 麻醉培训应该是强制性的，并且应该通过混合学习模式提供。他们进一步同意应保留当前的学习成果，并根据南澳孕产妇死亡的最常见原因建议其他成果。结论： 参加 ESMOE 麻醉模块应该是强制性的。它的教学法应该更新为混合学习方式，以使当前的数字原生实习生一代受益。 应根据 SDG3 更新内容，以解决南澳孕产妇死亡的主要原因。应考虑制定国家产科麻醉指南，并且需要指导和合作以改善 SA 本科、实习和初级医生麻醉培训的一致性。本研究中的内容、过程和利益相关者参与建议可以帮助在类似的全球背景下进行基于短期课程的麻醉劳动力培训。