Consensus views on the optimum training curriculum for advanced minimally invasive surgery: A delphi study

Area of Science:

• Surgical Education
• Minimally Invasive Surgery (MIS)

Background:

• Minimal Invasive Surgery (MIS) is widely adopted globally.
• A lack of consensus exists on a comprehensive training curriculum framework for advanced MIS.
• Optimal assessment methods for advanced MIS training are not clearly defined.

Purpose of the Study:

• To achieve consensus on the essential elements of an advanced MIS training curriculum.
• To define entry criteria, trainer qualifications, training center requirements, curriculum content, and assessment methods.

Main Methods:

• A three-round Delphi study was conducted with 57 international experts in advanced MIS.
• Consensus was sought on essential curriculum domains, including learners, trainers, training centers, content, and assessment.
• Experts represented various surgical specialties utilizing advanced MIS.

Main Results:

• Unanimous agreement that basic laparoscopic training is a prerequisite for advanced MIS training.
• Advanced MIS trainers must be competent and complete a 'Train the trainer' course.
• The curriculum should feature modular, multimodal learning with structured clinical proctorship and objective, competency-based assessments (e.g., Global Assessment Scale forms, video analysis).

Conclusions:

• A consensus framework for advanced MIS training curriculum has been established.
• Key elements include defined entry criteria, trainer/training unit selection, and curriculum content.
• Multimodal learning, clinical proctorship, and competency-based assessment are crucial components.