Defining the key clinician skills and attributes for competency in managing patients with osteoporosis and fragility fractures
Authors' conclusion
We developed a numeric additive decision rule to define clinicians across multiple specialties as having adequate competency in managing bone health/osteoporosis.
Study context
- Population
- Clinicians with expertise in treating osteoporosis and representatives of patient advocacy groups focused on bone health
- Outcome
- Threshold for competency: total weighted score at which ≥70% of participants agreed a clinician had adequate bone health competency
Methodological detailsmodified-Delphi method, ranking of 20 hypothetical clinicians, a priori threshold (≥70% agreement)
- modified-Delphi method
- Ranking of 20 hypothetical clinicians
- A priori threshold (≥70% agreement)
Recommendations
As reported in the abstract
Decision rule for adequate bone health competency
- Characteristics generated by modified-Delphi exercise
- 108
- Categories (attributes) after reduction
- 8
- Levels with associated points
- 20
- Maximum possible score
- 25 points
- Summed threshold score classifying adequate bone health competency
- >12 points
Further findings
Participation
- Participants generating lists of desirable characteristics
- 13
- Participants ranking hypothetical scenarios and in the discrete choice experiment (DCE)
- 30
Original publication
Defining the key clinician skills and attributes for competency in managing patients with osteoporosis and fragility fractures. J Bone Miner Res. Published 2 February 2024. doi:10.
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