Development of a Standardized Training Course for Laparoscopic Procedures Using Delphi Methodology

Bethlehem, M; Kramp, Kelvin H.; Det, Marc J. van; Hoedemaker, H. O. ten Cate; Veeger, Nic J. G. M.; Pierie, Jean-Pierre E. N.

doi:10.1016/j.jsurg.2014.04.009

Cited by 26 publications

(18 citation statements)

References 19 publications

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“…When the resident has assisted the surgeon several times, he will gradually be allowed to perform parts of the operation under the master's supervision until the apprentice can eventually perform it by himself. In this model the judgement of ''proficiency'' is solely based on the subjective opinion of the training surgeon [1]. With the opportunity of simulating MIS, we aim to start training outside of the operating room.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the need of well-trained and certified laparoscopic surgeons will increase [1,2]. Minimally invasive surgery (MIS) is technically more difficult than ordinary open surgery and several complications can happen at the beginning of experience [3].…”

Section: Introductionmentioning

confidence: 99%

“…At the moment in Europe there are a lot of training centers for MIS but a standardized pediatric MIS training program does not exist. A training center should be able to offer laparoscopic training in both a structured ''dry'' and ''wet'' laboratory facility [1]. Trainees at such center should be able to participate in complex laparoscopic surgery and undertake laboratory-based simulation practice on a daily basis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

European society of pediatric endoscopic surgeons (ESPES) guidelines for training program in pediatric minimally invasive surgery

Esposito

Escolino

Saxena³

et al. 2015

Pediatr Surg Int

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On the basis of our survey ESPES MIS training curriculum for pediatric surgeons must contain the following educational components: (1) theoretical knowledge; (2) practice-based learning and improvement in experimental setting; (3) stages in European centers of reference for MIS; (4) personal operative experience. At the end of the training program, ESPES will analyze the candidate training booklet and release for each applicant an ESPES certification after an exam.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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European society of pediatric endoscopic surgeons (ESPES) guidelines for training program in pediatric minimally invasive surgery

Esposito

Escolino

Saxena³

et al. 2015

Pediatr Surg Int

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“…The definitions used for the steps and other elements in the previous frameworks were unclear and ambiguous , decreasing the reproducibility and transferability of these frameworks. Other described procedure‐specific methods were time‐intensive, as the steps were derived from expert panels or after video‐recording and observing multiple operations. The segmentation of surgical procedures is lacking a unified and standardized approach.…”

Section: Introductionmentioning

confidence: 99%

Creation of a universal language for surgical procedures using the step-by-step framework

Nazari

Vlieger

Dankbaar³

et al. 2018

BJS Open

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BackgroundLearning of surgical procedures is traditionally based on a master–apprentice model. Segmenting procedures into steps is commonly used to achieve an efficient manner of learning. Existing methods of segmenting procedures into steps, however, are procedure‐specific and not standardized, hampering their application across different specialties and thus worldwide uptake. The aim of this study was to establish consensus on the step‐by‐step framework for standardizing the segmentation of surgical procedures into steps.MethodsAn international expert panel consisting of general, gastrointestinal and oncological surgeons was approached to establish consensus on the preciseness, novelty, usefulness and applicability of the proposed step‐by‐step framework through a Delphi technique. All statements were rated on a five‐point Likert scale. A statement was accepted when the lower confidence limit was 3·00 or more. Qualitative comments were requested when a score of 3 or less was given.ResultsIn round one, 20 of 49 experts participated. Eighteen of 19 statements were accepted; the ‘novelty’ statement needed further exploration (mean 3·05, 95 per cent c.i. 2·45 to 3·65). Based on the qualitative comments of round one, five clarifying statements were formulated for more specific statements in round two. Twenty‐two experts participated and accepted all statements.ConclusionThe international expert panel consisting of general, gastrointestinal and oncological surgeons supported the preciseness, usefulness and applicability of the step‐by‐step framework. This framework creates a universal language by standardizing the segmentation of surgical procedures into step‐by‐step descriptions based on anatomical structures, and may facilitate education, communication and assessment.

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“…The goal of this study was not to reinvent well-established guidelines, but to determine consensus on these guidelines within our teaching region. Bethlehem et al successfully determined consensus on the key steps in laparoscopic appendectomy and cholecystectomy within the same teaching region [4]. These key steps will form the basis for the INVEST video-assisted side-byside training curriculum.…”

Section: Introductionmentioning

confidence: 99%

Procedural key steps in laparoscopic colorectal surgery, consensus through Delphi methodology

et al. 2014

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Development of a Standardized Training Course for Laparoscopic Procedures Using Delphi Methodology

Cited by 26 publications

References 19 publications

European society of pediatric endoscopic surgeons (ESPES) guidelines for training program in pediatric minimally invasive surgery

European society of pediatric endoscopic surgeons (ESPES) guidelines for training program in pediatric minimally invasive surgery

Creation of a universal language for surgical procedures using the step-by-step framework

Procedural key steps in laparoscopic colorectal surgery, consensus through Delphi methodology

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