Dataset Information

Academic global surgical competencies: A modified Delphi consensus study.

ABSTRACT: Academic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential competencies that will lead to standardization in this field. A task force was set up using snowball sampling to recruit a broad group of content and context experts in global surgical and perioperative care. A draft set of competencies was revised through the modified Delphi process with two rounds of anonymous input. A threshold of 80% consensus was used to determine whether a competency or sub-competency learning objective was relevant to the skillset needed within academic global surgery and perioperative care. A diverse task force recruited experts from 22 countries to participate in both rounds of the Delphi process. Of the n = 59 respondents completing both rounds of iterative polling, 63% were from low- or middle-income countries. After two rounds of anonymous feedback, participants reached consensus on nine core competencies and 31 sub-competency objectives. The greatest consensus pertained to competency in ethics and professionalism in global surgery (100%) with emphasis on justice, equity, and decolonization across multiple competencies. This Delphi process, with input from experts worldwide, identified nine competencies which can be used to develop standardized academic global surgery and perioperative care curricula worldwide. Further work needs to be done to validate these competencies and establish assessments to ensure that they are taught effectively.

SUBMITTER: Pawlak N

PROVIDER: S-EPMC10348592 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Academic global surgical competencies: A modified Delphi consensus study.

Pawlak Natalie N Dart Christine C Aguilar Hernan Sacoto HS Ameh Emmanuel E Bekele Abebe A Jimenez Maria F MF Lakhoo Kokila K Ozgediz Doruk D Roy Nobhojit N Terfera Girma G Ademuyiwa Adesoji O AO Alayande Barnabas Tobi BT Alonso Nivaldo N Anderson Geoffrey A GA Anyanwu Stanley N C SNC Aregawi Alazar Berhe AB Bandyopadhyay Soham S Banu Tahmina T Bedada Alemayehu Ginbo AG Belachew Anteneh Gadisa AG Botelho Fabio F Bua Emmanuel E Campos Leticia Nunes LN Dodgion Chris C Drejza Michalina M Durieux Marcel E ME Dutta Rohini R Erdene Sarnai S Ferreira Rodrigo Vaz RV Gathuya Zipporah Z Ghosh Dhruva D Jawa Randeep Singh RS Johnson Walter D WD Khan Fauzia Anis FA Leon Fanny Jamileth Navas FJN Long Kristin L KL Macleod Jana B. A. JBA Mahajan Anshul A Maine Rebecca G RG Malolos Grace Zurielle C GZC McClain Craig D CD Nabukenya Mary T MT Nthumba Peter M PM Nwomeh Benedict C BC Ojuka Daniel Kinyuru DK Penny Norgrove N Quiodettis Martha A MA Rickard Jennifer J Roa Lina L Salgado Lucas Sousa LS Samad Lubna L Seyi-Olajide Justina Onyioza JO Smith Martin M Starr Nichole N Stewart Richard J RJ Tarpley John L JL Trostchansky Julio L JL Trostchansky Ivan I Weiser Thomas G TG Wobenjo Adili A Wollner Elliot E Jayaraman Sudha S

PLOS global public health 20230714 7

Academic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential competencies that will lead to standardization in this field. A task force was set up using snowball sampling to recruit a broad group of content and context experts in global surgical and perioperat ...[more]

PMID: 37450426

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Project description:BackgroundMost oncology trainees are not taught about the needs of older patients, who make up the majority of patients with cancer. Training of health care providers is critical to improve the care of older adults with cancer. There is no consensus about which geriatric oncology (GO) competencies are important for medical oncology trainees. Our objective was to identify GO competencies medical oncology trainees should acquire during training.Materials and methodsA modified Delphi consensus of experts in oncology medical education and GO was conducted. Experts categorized at what training stage proposed competencies should be attained: internal medicine, oncology, or GO training. Consensus was obtained if two thirds of experts agreed on the training stage at which the competency should be attained.ResultsA total of 78 potential competencies were identified, of which 35 (44.9%) proposed competencies were felt to be appropriate to be acquired during oncology training. The majority of the identified competencies pertained to prescribing of systemic therapy (n = 12) and psychosocial and supportive care (n = 13). No competencies related to geriatric assessment were identified for acquisition during oncology training.ConclusionExperts in oncology education and geriatric oncology agreed upon a set of GO competencies appropriate for oncology trainees. These results provide the foundation for developing a GO curriculum for medical oncology trainees and will hopefully lead to better care of older adults with cancer.Implications for practiceThe aging population will drive the projected rise in cancer incidence. Although aging patients make up the majority of patients diagnosed with cancer, oncologists rarely receive training on how to care for them. Training of health care providers is critical to improving the care of older adults with cancer. The results of this study will help form the foundation of developing a geriatric oncology curriculum for medical oncology trainees.

Project description:BackgroundTelehealth is becoming more prevalent in physical therapy, involving a whole host of clinical services. These services are often provided without structured training in telehealth, and no formal curricula currently exist for this purpose.ObjectiveTo develop a set of educational competencies (ECs) to guide instruction of telehealth-related skills in entry-level programs (i.e., Doctor of Physical Therapy), existing programs (i.e., residencies and fellowships), and potential future post-graduate programs specific to telehealth physical therapy.MethodsPhysical therapists and physical therapist assistants from diverse geographic locations and practice areas were invited to participate on an expert panel. A modified Delphi process was then used to evaluate the acceptability of draft ECs gathered from the extant literature by a steering group. Draft ECs were presented to the expert panel on a questionnaire, which asked expert participants to rate each draft EC according to applicability and clarity. Draft ECs were accepted if they met a priori established criteria for acceptability and clarity. Unendorsed ECs were revised by the steering group according to open-ended comments from respondents and presented during a subsequent round. Three rounds of surveys were undertaken.ResultsThirty-eight participants formed the expert panel; 38 participants completed the Round 1 survey, 28 participants completed the Round 2 survey, and 24 participants completed the Round 3 survey. Delphi group members approved 48 ECs in the first round, 23 ECs in the second round, and 2 ECs in the third round. There were 4 ECs that remained unendorsed after the modified Delphi process. Endorsed ECs spanned 7 conceptual areas. Distinct sets of ECs characterized expected end points of first professional degree, existing residency and fellowship, and potential future telehealth physical therapy post-graduate program.ConclusionsConsensus-based ECs identified in this study may guide instruction in knowledge and skills relevant to physical therapy telehealth.

Dataset Information

Academic global surgical competencies: A modified Delphi consensus study.

Publications

Academic global surgical competencies: A modified Delphi consensus study.

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