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Consensus of Leaders in Plastic Surgery: Identifying Procedural Competencies for Canadian Plastic Surgery Residency
Aaron D C Knox1,2, Jessica G Shih1,2, Richard J Warren1,2
1Vancouver, British Columbia; Toronto, Ontario; and Montreal, Quebec, Canada.
Plastic and Reconstructive Surgery
|February 27, 2018
Summary
Plastic surgery experts identified essential "core" and less critical "noncore" procedures for resident training. This consensus guides curriculum development for graduating surgeons entering independent practice.
Area of Science:
- Medical Education
- Surgical Training
- Plastic Surgery
Background:
- Transitioning to competency-based surgical training requires defining the scope of plastic surgery.
- Expectations for graduating residents' operative abilities must be established.
- Identifying core vs. noncore procedures focuses instructional and assessment efforts.
Purpose of the Study:
- To achieve consensus on essential surgical procedures for plastic surgery residents.
- To differentiate between core and noncore procedures for independent practice readiness.
- To inform curriculum development and assessment in plastic surgery training.
Main Methods:
- A modified Delphi consensus exercise was conducted online.
- Canadian plastic surgery program directors and experts participated.
- 288 procedural competencies were sorted into core and noncore categories over three rounds with 80% agreement for consensus.
Main Results:
- Consensus was reached on 199 of 288 procedures (69%).
- 154 procedures were classified as core and essential.
- The 'burns' domain showed highest agreement, while 'lower extremity' had the lowest.
Conclusions:
- This study clarifies expert opinion on procedures crucial for independent plastic surgery practice.
- The findings provide a snapshot of the current training environment.
- The identified procedures require periodic review as the specialty evolves.
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