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Defining competencies for safe thyroidectomy: An international Delphi consensus.

Amin Madani1, Yusuke Watanabe2, Melina Vassiliou1

  • 1Department of Surgery, McGill University, Montreal, Quebec, Canada; Centre for Minimally Invasive Surgery and Innovation, McGill University, Montreal, Quebec, Canada.

Surgery
|October 6, 2015
PubMed
Summary

This study defined essential competencies for safe thyroidectomy using expert consensus. The findings establish a blueprint for training and assessing surgical performance in thyroidectomies.

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Area of Science:

  • Surgical Education
  • Competency-Based Assessment
  • Thyroid Surgery

Background:

  • Current methods for assessing surgical skills are inconsistent and subjective.
  • Standardized assessment of intraoperative performance is lacking.
  • Expert consensus is needed to define critical competencies for safe thyroidectomy.

Purpose of the Study:

  • To define and establish expert consensus on key competencies for safe thyroidectomy.
  • To develop a standardized framework for evaluating thyroidectomy performance.
  • To improve the quality and consistency of surgical training and assessment.

Main Methods:

  • Cognitive task analysis with expert interviews to identify key surgical items.
  • Two-round online Delphi surveys with 26 thyroid surgery experts to rank competencies.
  • Consensus defined by Cronbach's alpha (α) ≥ 0.80.

Main Results:

  • Sixty competencies were synthesized and categorized into 8 sections.
  • Consensus (Cronbach's α = 0.95) was achieved among 18 participating experts.
  • Superior Pole Dissection and Posterolateral Dissection were identified as critical areas.

Conclusions:

  • Expert consensus was reached on defining essential competencies for safe thyroidectomy.
  • The developed blueprint provides a foundation for creating instructional designs.
  • This framework supports the development of objective assessment tools for surgical performance evaluation.