Developing an Emergency Medicine assessment tool for medical interns
within the South African context – A Modified Delphi Study
Dublin Core
Title
Developing an Emergency Medicine assessment tool for medical interns
within the South African context – A Modified Delphi Study
within the South African context – A Modified Delphi Study
Subject
Modified Delphi study
Emergency medicine
Assessment tool
South Africa
Medical intern
Junior doctors
Emergency medicine
Assessment tool
South Africa
Medical intern
Junior doctors
Description
Introduction: Emergency Medicine is a relatively new specialty in South Africa. Limited data is available
regarding junior doctors’ competence in managing emergencies, however previous surveys have identified
limited teaching and supervision of junior doctors in Emergency Medicine. Currently there is no formal standardised assessment tool to assess an intern’s Emergency Medicine competence. The aim of the study was to,
through expert opinion and consensus, develop an Emergency Medicine assessment tool to identify a level of
appropriate Emergency Medicine knowledge at the end of internship.
Methods: The Modified Delphi Methodology was used to create an assessment tool via interaction with a panel of
experts and took place over 4 rounds via an online survey platform. The initial round identified the high-priority
topics within each intern domain. A questionnaire was created based on these topics and was presented to the
panel for consensus during the following round/s. Rounds continued until each question met consensus of 75 %.
Results: A total of 35 panellists consented to participate, representing 6 provinces. The majority were Emergency
Medicine specialists. High-priority topics included acute respiratory distress, polytrauma, dehydration and shock
in children, airway management, and the agitated patient. A 40-question, multiple choice questionnaire was
created with all questions reaching consensus.
Conclusion: This study highlighted the core high-priority Emergency Medicine topics that interns should be
exposed to during their internship and created a questionnaire aimed at evaluating them. The study findings
provide a novel contribution to identifying gaps in Emergency Medicine knowledge during intern training,
allowing for potential interventions to be implemented to improve intern EM training. The addition of a clinical
skills component and increasing the question database is suggested to further develop this tool. Larger iterative
studies involving the HPCSA, and health education experts provide avenues for future research.
regarding junior doctors’ competence in managing emergencies, however previous surveys have identified
limited teaching and supervision of junior doctors in Emergency Medicine. Currently there is no formal standardised assessment tool to assess an intern’s Emergency Medicine competence. The aim of the study was to,
through expert opinion and consensus, develop an Emergency Medicine assessment tool to identify a level of
appropriate Emergency Medicine knowledge at the end of internship.
Methods: The Modified Delphi Methodology was used to create an assessment tool via interaction with a panel of
experts and took place over 4 rounds via an online survey platform. The initial round identified the high-priority
topics within each intern domain. A questionnaire was created based on these topics and was presented to the
panel for consensus during the following round/s. Rounds continued until each question met consensus of 75 %.
Results: A total of 35 panellists consented to participate, representing 6 provinces. The majority were Emergency
Medicine specialists. High-priority topics included acute respiratory distress, polytrauma, dehydration and shock
in children, airway management, and the agitated patient. A 40-question, multiple choice questionnaire was
created with all questions reaching consensus.
Conclusion: This study highlighted the core high-priority Emergency Medicine topics that interns should be
exposed to during their internship and created a questionnaire aimed at evaluating them. The study findings
provide a novel contribution to identifying gaps in Emergency Medicine knowledge during intern training,
allowing for potential interventions to be implemented to improve intern EM training. The addition of a clinical
skills component and increasing the question database is suggested to further develop this tool. Larger iterative
studies involving the HPCSA, and health education experts provide avenues for future research.
Creator
Laurryn Ah Yui a,*
, Luan Taljaard a
, Sian Geraty b
, Roshen Maharaj c
, Luan Taljaard a
, Sian Geraty b
, Roshen Maharaj c
Source
https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X23X00056/1-s2.0-S2211419X23000629/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEKD%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIHoZQVSm2k4j7Wxqt0%2FPUYmGy0f22gQ%2BGIXeLiHh6hjhAiEAq5RKxWallV8QUhrpA0Dj2VSOXTmqwO%2FUtlSpfNtCTz4qvAUIif%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDJZI4AtWX%2B5F1QmPwSqQBRMymlEpC%2B6CciBp6xHn9R5276kkC99FPiDIc4TNyJPUSbIXQzeOG7N39s7x53K3d1mTofsmRW9TzyAO4T%2F2lHhZ1pCcJunciUb0oM7CZI1LzmXsJBujbq1sK3zN6kGOGmZ54VDrasao1Pc%2BY3m0Yv6rKJa9w832z6vs96W2xHj%2F%2F3qeVg%2BxdBznA9Glk8n0k8sBPKMBqRtFT%2BpSFUq8FA%2Bo6av2TCJPIxGzRBESvvObYCtTSAoS8WkkSpWdL2gyXYtSZvS7w1MgSitZR%2FRmarbwqPyf9pmx9ngFmIsr3TBsqbOx0O54BU64vz6Ao%2BjrUo1wkMwVtjtejmPFtTDM0My%2B8BlvYCSqHmOGOmIl1hMTDaFzTMajMqygGRf9I9MwIbjk1S2keF64zskmsU%2FXVn6wUJ%2Be5XZ3ZWZ90mlsZtXEmRwuvydE5exmN%2FwMc3DCrLtEbSNHVTIBsRS%2FhsYpbh2P4bC65jTt%2BtuUGdV1lEAorKf1YJ60ifOzCzmXbZTgCMMsbWqVKsrnhT4dYDDB0nqSWev6OUvmKEX4NSLiGOS%2F44%2FjZwSADENwxF3OmN1Y0%2BnVRCKyXncxUvJvbNqlZUnThgIguyAhehjRRaovLLPNl8RStKRA8%2B2YIEHtTKi1PeS%2FIyJPx3624txYpt1NWhkvFIlUKnPravWSc1Jf3UYKGd%2FWrSG3AWvDClCZT2hDPK6dp0LgtMrBsPFlFF%2FGvahKEDXiCgfrLiolzrpzlf29NpAJxm6nJJmoAkEoeeE%2FJkscG1EcxXE6PjdwlHww94LGwv2UOPLfIgCi5iRDQ75c2fJSvidYk9%2B0IJEgTWxV%2BIOKg9nYLpU0CAmcvw3tl2Mo2gtlXugFXHxWOBPlPJn4MMXVycIGOrEBgULu9bYdTI7KzIyiXrZlkAUr%2FU28nT4anrKyMBy%2FIIca0PtCxrpZAEaLaejZ4vdBlJLqMi3BoJv7was0CopE8pvGmizraNjAT2ZHfkGZEy2qd09xWxxe%2FHZeY6Cs%2FEO3BxDKxNHzzgVk9Sc7hZ3OVEaG8MVZKjrTtyfSFj0ika7A2MijGaqVWshNBBoYWYZ99LULhntrT5veXZmbJZX%2FMOYys0vfWZxrGr3UP68QvOhN&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250618T081020Z&X-Amz-SignedHeaders=host&X-Amz-Expires=299&X-Amz-Credential=ASIAQ3PHCVTY36H5CYDE%2F20250618%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=bb10099d61f865a7e509f24d4e2448ebaed7103623e1b06b1c1cb8270b8474f9&hash=fcee2e4e3afef32b43af435fc9ba8669b36e867707a2a9fed33811377822995c&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X23000629&tid=spdf-03c9d422-b50b-4f1d-8dcd-ebd340a5e6f6&sid=14b8a1eb7498d34787591540b87a02ee8336gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5355595302565007&rr=95194f40dd91ea7a&cc=id
Publisher
Department of Emergency Medicine, Frere Hospital, East London, South Africa b Department of Emergency Medicine, Livingstone Hospital, Gqeberha, South Africa c Department of Emergency Medicine, Mount Gambier Hospital, Limestone Coast Local Health Network, South Australia, Australia
Date
28 november 2023
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Files
Citation
Laurryn Ah Yui a,*
, Luan Taljaard a
, Sian Geraty b
, Roshen Maharaj c
, “Developing an Emergency Medicine assessment tool for medical interns
within the South African context – A Modified Delphi Study,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9551.
within the South African context – A Modified Delphi Study,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9551.