TY - JOUR

T1 - Designing a Standardized Laparoscopy Curriculum for Gynecology Residents

T2 - A Delphi Approach

AU - Shore, Eliane M

AU - Lefebvre, Guylaine G

AU - Husslein, Heinrich

AU - Bjerrum, Flemming

AU - Sørensen, Jette Led

AU - Grantcharov, Teodor P

PY - 2015/6

Y1 - 2015/6

N2 - BACKGROUND: Evidence suggests that simulation leads to improved operative skill, shorter operating room time, and better patient outcomes. Currently, no standardized laparoscopy curriculum exists for gynecology residents.OBJECTIVE: To design a structured laparoscopy curriculum for gynecology residents using Delphi consensus methodology.METHODS: This study began with Delphi methodology to determine expert consensus on the components of a gynecology laparoscopic skills curriculum. We generated a list of cognitive content, technical skills, and nontechnical skills for training in laparoscopic surgery, and asked 39 experts in gynecologic education to rate the items on a Likert scale (1-5) for inclusion in the curriculum. Consensus was predefined as Cronbach α of ≥0.80. We then conducted another Delphi survey with 9 experienced users of laparoscopic virtual reality simulators to delineate relevant curricular tasks. Finally, a cross-sectional design defined benchmark scores for all identified tasks, with 10 experienced gynecologic surgeons performing the identified tasks at basic, intermediate, and advanced levels.RESULTS: Consensus (Cronbach α=0.85) was achieved in the first round of the curriculum Delphi, and after 2 rounds (Cronbach α=0.80) in the virtual reality curriculum Delphi. Consensus was reached for cognitive, technical, and nontechnical skills as well as for 6 virtual reality tasks. Median time and economy of movement scores defined benchmarks for all tasks.CONCLUSIONS: This study used Delphi consensus to develop a comprehensive curriculum for teaching gynecologic laparoscopy. The curriculum conforms to current educational standards of proficiency-based training, and is suggested as a standard in residency programs.

AB - BACKGROUND: Evidence suggests that simulation leads to improved operative skill, shorter operating room time, and better patient outcomes. Currently, no standardized laparoscopy curriculum exists for gynecology residents.OBJECTIVE: To design a structured laparoscopy curriculum for gynecology residents using Delphi consensus methodology.METHODS: This study began with Delphi methodology to determine expert consensus on the components of a gynecology laparoscopic skills curriculum. We generated a list of cognitive content, technical skills, and nontechnical skills for training in laparoscopic surgery, and asked 39 experts in gynecologic education to rate the items on a Likert scale (1-5) for inclusion in the curriculum. Consensus was predefined as Cronbach α of ≥0.80. We then conducted another Delphi survey with 9 experienced users of laparoscopic virtual reality simulators to delineate relevant curricular tasks. Finally, a cross-sectional design defined benchmark scores for all identified tasks, with 10 experienced gynecologic surgeons performing the identified tasks at basic, intermediate, and advanced levels.RESULTS: Consensus (Cronbach α=0.85) was achieved in the first round of the curriculum Delphi, and after 2 rounds (Cronbach α=0.80) in the virtual reality curriculum Delphi. Consensus was reached for cognitive, technical, and nontechnical skills as well as for 6 virtual reality tasks. Median time and economy of movement scores defined benchmarks for all tasks.CONCLUSIONS: This study used Delphi consensus to develop a comprehensive curriculum for teaching gynecologic laparoscopy. The curriculum conforms to current educational standards of proficiency-based training, and is suggested as a standard in residency programs.

KW - Clinical Competence

KW - Computer Simulation

KW - Cross-Sectional Studies

KW - Curriculum

KW - Delphi Technique

KW - Gynecology

KW - Humans

KW - Internship and Residency

KW - Laparoscopy

KW - User-Computer Interface

U2 - 10.4300/JGME-D-14-00548.1

DO - 10.4300/JGME-D-14-00548.1

M3 - Journal article

C2 - 26221434

VL - 7

SP - 197

EP - 202

JO - Journal of graduate medical education

JF - Journal of graduate medical education

SN - 1949-8357

IS - 2

ER -