A competency-based framework for preventing blood-borne pathogen occupational exposures in medical students: literature review and Delphi study

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Detalles Bibliográficos
Publicado en:	BMC Medical Education vol. 25 (2025), p. 1-16
Autor principal:	Wang, Pingping
Otros Autores:	Cai, Minhong, Yu, Lv, Qian Xiang
Publicado:	Springer Nature B.V.
Materias:	Internships Pathogens Medical education Questionnaires Occupational safety Medical students Hepatitis C Hepatitis B Human immunodeficiency virus > HIV Inclusion Prevention Nosocomial infections Hospitals Public health Needlestick injuries Literature reviews Delphi method Guidelines Competence Validity Researchers Internship Programs Medical Evaluation Occupational Safety and Health Vocational Followup Injuries Feedback (Response) Search Strategies Scientific Research Information Seeking Delphi Technique Data Analysis Evidence Based Practice Outcomes of Education Content Validity
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Descripción
Resumen:	Section BackgroundBlood-borne pathogen occupational exposures pose significant hazard to medical students during clinical internships, with needlestick injuries being the primary transmission vector for blood-borne pathogens (hepatitis B virus, hepatitis C virus, human immunodeficiency virus). Current prevention guidelines lack tailored frameworks for this vulnerable population.AbstractSection MethodsA two-phase method was conducted: literature review and Delphi method. Phase one conducted a literature review across PubMed, Web of Science, Embase, and Cochrane Library (2000–2024). Data were extracted to form an initial framework. During phase two, a modified Delphi method was employed with a multidisciplinary expert panel across two rounds to refine the initial framework developed from the literature review. Consensus thresholds required ≥ 70% agreement on 5-point Likert scale.AbstractSection ResultsThe literature review initially identified 1,477 records, with 200 articles retained after search and selection process. During the modified Delphi process, a multidisciplinary panel of 25 experts (71.4% initial response rate; 65.7% retention) iteratively refined prevention strategies. The finalized framework comprises 13 actionable elements, stratified across prevention tiers: primary prevention (7 items), secondary prevention (4 items), and tertiary prevention (2 items).AbstractSection ConclusionThis study provides the first competency-based framework for medical students to prevent blood-borne pathogen occupational exposures during clinical internships. The framework, informed by evidence-based strategies in conjunction with expert consensus, is a significant step forward in ensuring the occupational safety of medical students.
ISSN:	1472-6920
DOI:	10.1186/s12909-025-07620-x
Fuente:	Healthcare Administration Database