Procedural sedation competencies: a review and multidisciplinary international consensus statement on knowledge, skills, training, and credentialing
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Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Ltd
Abstract
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. © 2024 The Author(s)
Description
Keywords
competencies, credentialing, entrustable professional activity, medical education, privileging
Citation
Leroy, P.L., Krauss, B.S., Costa, L.R., Barbi, E., Irwin, M.G., Carlson, D.W., Absalom, A., Andolfatto, G., Roback, M.G., Babl, F.E. and Mason, K.P., 2024. Procedural sedation competencies: a review and multidisciplinary international consensus statement on knowledge, skills, training, and credentialing. British Journal of Anaesthesia.