A dignitary medicine curriculum developed using a modified Delphi methodology

Abstract

Background: Dignitary medicine is an emerging field of training that involves the specialized care of diplomats, heads of state, and other high-ranking officials. In an effort to provide guidance on training in this nascent field, we convened a panel of experts in dignitary medicine and using the Delphi methodology, created a consensus curriculum for training in dignitary medicine. Methods: A three-round Delphi consensus process was performed with 42 experts in the field of dignitary medicine. Predetermined scores were required for an aspect of the curriculum to advance to the next round. The scores on the final round were used to determine the components of the curriculum. Scores below the threshold to advance were dropped in the subsequent round. Results: Our panel had a high degree of agreement on the required skills needed to practice dignitary medicine, with active practice in a provider's baseline specialty, current board certification, and skills in emergency care and resuscitation being the highest rated skills dignitary medicine physicians need. Skills related to vascular and emergency ultrasound and quality improvement were rated the lowest in the Delphi analysis. No skills were dropped from consideration. Conclusions: The results of our work can form the basis of formal fellowship training, continuing medical education, and publications in the field of dignitary medicine. It is clear that active medical practice and knowledge of resuscitation and emergency care are critical skills in this field, making emergency medicine physicians well suited to practicing dignitary medicine.

Integrating Disaster and Dignitary Medicine Principles into a Medical Framework for Organizational Travel Health and Security Planning

“…In recent years, Dignitary Protective Medicine has emerged as a Disaster Medicine subspecialty, driven by the imperative to mitigate personal risk, preserve workforce efficiency, and guarantee the safe travel of business executives and other prominent figures. 2 Deriving from a diverse array of policies and protocols originating from travel planning and the experiences of dignitaries, this field integrates insights from varied medical disciplines including tactical medicine, travel medicine, and prehospital medical care.…”

Developing Telemedicine Curriculum Competencies for Graduate Medical Education: Outcomes of a Modified Delphi Process

“…20 This established approach has been used to create curricula for other educational programs including geriatric medicine and dignitary medicine. 21,22 It is thus well suited to the development of a consensus curriculum in the field of telemedicine and was employed in this study using a predetermined protocol.…”

Establishing consensus‐based high‐acuity low‐occurrence skills forEMSphysicians: A pilot survey ofEMSfellowship faculty

“…9 This methodology has been used to develop lists of operational and clinical knowledge gaps to help prioritize future emphasis. [10][11][12][13] For this pilot study we sought the expertise of EMS fellowship faculty due to their combined knowledge of EMS medicine and EMS medicine education. The objectives were to determine a consensusbased definition for a HALO skill and then to subsequently identify a list of HALO skills specific to the practice of EMS medicine to help prioritize the future development of educational objectives and skill maintenance.…”

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