Machi, Anthony T
Mayo Clinic
Anesthesiology and Pain Management, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.
Citations 2
Development of entrustable professional activities for regional anesthesia and pain medicine fellowship training
Prendiville, Elaine, Booth, Gregory J , Boublik, Jan , Burnett, Garrett W. , Elkassabany, Nabil , Hausman, Jonathan, Klesius, Lisa L. , Le-Wendling, Linda , Machi, Anthony , Maniker, Robert B. , Parra, Michelle C. , Rosenquist, Richard W. , Spofford, Christina M., Tedore, Tiffany , Wilson, Elizabeth H., Zhou, Jon , Woodworth, Glenn E. , Porter, Steven B , Boublik, Jan , Burnett, Garrett W , Le-Wendling, Linda , Machi, Anthony T , Parra, Michelle , Tedore, Tiffany , Zhou, Jon Yan , Woodworth, Glenn , Porter, Steven B. , Allen, Brian F.S. , Suresh, Santhanam
Regional Anesthesia & Pain Medicine | July 25, 2022 | Volume: 47 | Issue: 11 | Pages: 672-677
Introduction The Accreditation Council for Graduate Medical Education (ACGME) offers descriptions of competencies and milestones but does not provide standardized assessments to track trainee competency. Entrustable professional activities (EPAs) and special assessments (SAs) are emerging methods to assess the level of competency obtained by regional anesthesiology and acute pain medicine (RAAPM) fellows. Methods A panel of RAAPM physicians with experience in education and competency assessment and one medical student were recruited to participate in a modified Delphi method with iterative rounds to reach consensus on: a list of EPAs, SAs, and procedural skills; detailed definitions for each EPA and SA; a mapping of the EPAs and SAs to the ACGME milestones; and a target level of entrustment for graduating US RAAPM fellows for each EPA and procedural skill. A gap analysis was performed and a heat map was created to cross-check the EPAs and SAs to the ACGME milestones. Results Participants in EPA and SA development included 19 physicians and 1 medical student from 18 different programs. The Delphi rounds yielded a final list of 23 EPAs, a defined entrustment scale, mapping of the EPAs to ACGME milestones, and graduation targets. A list of 73 procedural skills and 7 SAs were similarly developed. Discussion A list of 23 RAAPM EPAs, 73 procedural skills, and 7 SAs were created using a rigorous methodology to reach consensus. This framework can be utilized to help assess RAAPM fellows in the USA for competency and allow for meaningful performance feedback.
Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project
Lotfy, Ahmed , Atterton, B, Crowe, G, Barratta, Jaime L, Johnson, Mark , Viscusi, Eugene R. , Adhikary, Sanjib Das , Albrecht, Éric , Boretsky, Karen , Boublik, Jan , Breslin, Dara S., Ch’ng, Alan Swee Hock , Chuan, Alwin , Conroy, Patrick , Daniel, Craig O. , Daszkiewicz, Andrzej , Delbos, Alain, Dîrzu, Dan Sebastian , Dmytrіiev, Dmytro , Fennessy, Paul , Frizelle, Henry P., Gadsden, Jeff, Gautier, Philippe , Hardman, H. David , Harrop‐Griffiths, W., Hebbard, Peter , Hernandez, Nadia , Hlásny, Jakub , Iohom, Gabriella , Kalagara, Hari , Kinirons, B., Leng, Jody C. , Lim, Yean Chin , Lobo, Clara , Ludwin, Danielle, Macfarlane, Alan , Machi, Anthony , Mahon, Padraig, Mannion, Stephen , McLeod, David H., Merjavy, Peter , Miščuks, Aleksejs , Mitchell, Christopher H. , Μoka, Εleni , Moran, Peter, Ngui, Ann, Nin, Olga C. , OʼDonnell, Brian D. , Pawa, Amit , Perlas, Anahi , Pozek, John-Paul J., Rebelo, Humberto C, Roqués, V, Schroeder, Kristopher M. , Schwartz, Gary , Shorten, George , Stevens, Markus F. , Turbitt, Lloyd , Valdés-Vilches, Luis Fernando , Webster, Katrina, Wolmarans, Morné , Woodworth, Glenn E. , Worek, Andrew K, Moran, EML , Ahmed, Hassan M , Viscusi, Eugene , Adhikary, Sanjib , Byrne, Kelly , Chuan, Alwin , Dirzu, Dan Sebastian , Dmytriiev, Dmytro , Gupta, Rajnish K , Ip, Vivian H Y , Jeng, Christina L , Johnson, Rebecca L , Lim, Yean Chin , Macfarlane, Alan James Robert , Machi, Anthony T , Merjavy, Peter , Pawa, Amit , Perlas, Anahi , Porter, Steven B , Schwenk, Eric S , Sermeus, Luc , Srinivasan, Karthikeyan , Theodoraki, Kassiani , Volk, Thomas , Wilson, Sylvia H , Woodworth, Glenn , Moran, E M Louise , Kalagara, Hari , Lobo, Clara , Moka, Eleni , Albrecht, Eric , Crowe, Gillian-Genevieve , Ch'ng, Alan, Fischer, H. B. J. , Gupta, Rajnish K. , Gürkan, Yavuz , Ip, Vivian , Johnson, Rebecca L. , Lansdown, Andrew Kenneth, Porter, Steven B. , Schwenk, Eric S. , Volk, Thomas , Webster, Katrina, Wiesmann, Thomas
Regional Anesthesia & Pain Medicine | February 22, 2022 | Volume: 47 | Issue: 5 | Pages: 301-308
Background and objectives Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to establish recommendations for documentation in regional anesthesia. Methods Following the formation of the executive committee and a directed literature review, a long list of potential documentation components was created. A modified Delphi process was then employed to achieve consensus amongst a group of international experts in regional anesthesia. This consisted of 2 rounds of anonymous electronic voting and a final virtual round table discussion with live polling on items not yet excluded or accepted from previous rounds. Progression or exclusion of potential components through the rounds was based on the achievement of strong consensus. Strong consensus was defined as ≥75% agreement and weak consensus as 50%–74% agreement. Results Seventy-seven collaborators participated in both rounds 1 and 2, while 50 collaborators took part in round 3. In total, experts voted on 83 items and achieved a strong consensus on 51 items, weak consensus on 3 and rejected 29. Conclusion By means of a modified Delphi process, we have established expert consensus on documentation in regional anesthesia.