Table 3.
Final list of knowledge competencies (Round 3, N = 38 competencies)
| Code | Knowledge Competency | Mean (SD) |
Median (IQR) | Agreement (%) |
|---|---|---|---|---|
| K-1 | Recall principles of advanced resuscitation physiology in neonates. | 4.72 (0.45) | 5 (1) | 100.0 |
| K-3 | Recall principles and goals of palliative care in neonates. | 4.11 (0.76) | 4 (1) | 86.7 |
| K-5 | Recognize pathophysiology and treatments of pulmonary hemorrhage in neonates. | 4.39 (0.62) | 4 (1) | 97.0 |
| K-6 | Describe classification, pathophysiology, prognosis, and outcomes of chronic lung disease in neonates. | 4.11 (0.85) | 4 (1) | 88.9 |
| K-7 | List evidence-based indications for respiratory syncytial virus prophylaxis in neonates. | 3.99 (0.79) | 4 (0) | 86.7 |
| K-9 | Recognize importance of echocardiography to diagnose congenital heart disease in neonates. | 4.06 (0.87) | 4 (1) | 85.9 |
| K-10 | Discuss rationale and principles for managing duct-dependent cardiac lesions in neonates. | 4.00 (0.97) | 4 (1) | 80.0 |
| K-13 | Recall causes, grading, and consequences of intraventricular hemorrhage in neonates. | 4.32 (0.70) | 4 (1) | 94.1 |
| K-14 | Describe pathophysiology and implications of periventricular leukomalacia in preterm neonates. | 3.81 (0.98) | 4 (0) | 77.8 |
| K-15 | Comprehend principles guiding management and long–term implications of hypoxic-ischemic encephalopathy in neonates. | 4.27 (0.72) | 4 (1) | 92.6 |
| K-16 | Distinguish long term neurological outcomes in high risk neonates. | 4.16 (0.56) | 4 (0) | 94.1 |
| K-17 | Recognize importance of newborn hearing screening for at-risk infants. | 4.36 (0.66) | 4 (1) | 92.6 |
| K-18 | Describe common antenatal diagnosed renal disorders in neonates. | 3.90 (0.81) | 4 (0) | 83.0 |
| K-19 | Identify red flags that indicate the need for urgent nephrology referral in neonatal patients. | 3.93 (0.78) | 4 (0) | 82.2 |
| K-20 | Identify characteristic signs, symptoms, and principles of managing common chromosomal disorders presenting in neonates e.g. Trisomy 13, 18, and 21. | 4.13 (0.80) | 4 (1) | 88.9 |
| K-21 | Recall causes and principles of managing neonatal thrombocytopenia. | 4.27 (0.73) | 4 (1) | 92.6 |
| K-22 | Recognize the indications and adverse reactions of blood transfusion for neonates. | 4.53 (0.58) | 5 (1) | 97.0 |
| K-23 | Describe principles and process of phototherapy for treating neonatal jaundice. | 4.64 (0.51) | 5 (1) | 98.5 |
| K-24 | Describe common inherited metabolic disorders manifesting in neonates. | 3.99 (0.82) | 4 (0) | 83.7 |
| K-25 | Recall fundamentals of managing newborns with ambiguous genitalia. | 4.00 (0.88) | 4 (1) | 84.4 |
| K-26 | Identify common nosocomial infections and catheter-related sepsis in neonates. | 4.49 (0.60) | 5 (1) | 94.8 |
| 2 K-1 | Identify differences in physiology between term and preterm infants. | 4.14 (0.98) | 4 (1) | 79.1 |
| 2 K-2 | Describe impact of physiologic differences on pharmacology, therapies, and oxygen usage in preterm infants. | 4.27 (0.92) | 4.5 (1) | 83.7 |
| 2 K-3 | List various forms of mechanical ventilation used in neonates. | 4.57 (0.58) | 5 (1) | 95.3 |
| 2 K-4 | Recall indications and potential complications of different mechanical ventilation forms in neonates. | 4.16 (0.79) | 4 (1) | 83.7 |
| 2 K-5 | List compositions and varieties of therapeutic formulas for neonates. | 4.37 (0.72) | 4 (1) | 90.7 |
| 2 K-6 | Recall indications for use of therapeutic formulas in neonates. | 4.33 (0.71) | 4 (1) | 90.7 |
| 2 K-7 | Explain indications and potential complications of parenteral feeding in neonates. | 4.17 (0.73) | 4 (1) | 84.9 |
| 2 K-8 | Describe indications and potential complications of enteral feeding in neonates. | 4.02 (0.86) | 4 (1) | 80.2 |
| 2 K-9 | Recognize significance of mortality review conferences in enhancing neonatal care quality and safety. | 3.99 (0.72) | 4 (0) | 80.2 |
| 2 K-10 | Describe principles and process of developing evidence-based clinical guidelines. | 4.05 (0.79) | 4 (1) | 77.9 |
| 2 K-11 | Demonstrate understanding of basics of ECG interpretation in neonates. | 4.05 (0.83) | 4 (1) | 76.7 |
| 2 K-12 | Define concepts of root cause analysis and critical incident management as applied in neonatology. | 3.97 (0.86) | 4 (1) | 76.7 |
| 2 K-14 | Demonstrates in-depth knowledge of newborn vaccinations, including dosage, scheduling, and indications. | 4.33 (0.72) | 4 (1) | 89.5 |
| 2 K-15 | Demonstrates expertise in the proper operation and troubleshooting of neonatal incubators and other equipment used in caring for sick or premature newborns. | 4.21 (0.73) | 4 (1) | 89.5 |
| 2 K-16 | Explain in detail medications contraindicated in pregnancy and lactation and their possible negative impacts on the fetus and newborn. | 4.43 (0.67) | 5 (1) | 91.9 |
| 2 K-17 | Possess in-depth knowledge of management approaches for common neonatal injuries such as cephalohematoma, caput succedaneum, and Erb’s palsy. | 4.31 (0.77) | 4 (1) | 86.0 |
| 2 K-18 | Comprehend the necessity of administering audiometric screenings for high-risk neonates. | 4.05 (0.78) | 4 (1) | 82.6 |
* Note: Competencies with a mean score of 4.2 or higher are considered essential