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A dignitary medicine curriculum developed using a modified Delphi methodology

  • Al Mulhim, Mobarak A.1, 2
  • Darling, Robert G.3
  • Sarin, Ritu1
  • Hart, Alex1
  • Kamal, Hetaf2
  • Al Hadhirah, Abdullah4
  • Voskanyan, Amalia1
  • Hofmann, Lewis5
  • Connor, Bradley A.6
  • Band, Roger A.7
  • Jones, James8
  • Tubb, Richard5
  • Jackson, Ronny9
  • Baez, Amado Alejandro10
  • Wasser, Edward11
  • Conley, Sean9
  • Lang, William9, 12
  • Ciottone, Gregory1
  • 1 Harvard Medical School, Boston, USA , Boston (United States)
  • 2 Royal Clinics, Riyadh, Saudi Arabia , Riyadh (Saudi Arabia)
  • 3 Patronus Medical, LLC, Mountain View, USA , Mountain View (United States)
  • 4 Johns Hopkins Aramco, Dhahran, Saudi Arabia , Dhahran (Saudi Arabia)
  • 5 White House Physician Emeritus, Shoreland, Washington, D.C., USA , Washington, D.C. (United States)
  • 6 The New York Presbyterian Hospital, Cornell Campus, New York, USA , New York (United States)
  • 7 Thomas Jefferson University, Philadelphia, USA , Philadelphia (United States)
  • 8 WHMU, Washington D.C., USA , Washington D.C. (United States)
  • 9 The White House Medical Unit (WHMU), Washington, D.C., USA , Washington, D.C. (United States)
  • 10 Augusta University, Augusta, USA , Augusta (United States)
  • 11 Canada Protective Detail (PMPD), Royal Canadian Mounted Police (RCMP), Ottawa, Canada , Ottawa (Canada)
  • 12 International Medicine, Inova Health System, Merrifield, USA , Merrifield (United States)
Published Article
International Journal of Emergency Medicine
Springer Berlin Heidelberg
Publication Date
Feb 21, 2020
DOI: 10.1186/s12245-020-00270-4
Springer Nature


BackgroundDignitary 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.MethodsA 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.ResultsOur 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.ConclusionsThe 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.

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