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Creation of a universal language for surgical procedures using the step-by-step framework.
T Nazari1,2, E J Vlieger1, M E W Dankbaar3
1Incision Academy Amsterdam The Netherlands.
BJS Open
|June 29, 2018
Summary
A new framework standardizes surgical procedure segmentation for better learning and communication. This consensus-based approach creates a universal language for surgical education worldwide.
Area of Science:
- Surgical Education
- Medical Procedure Standardization
- Surgical Workflow Analysis
Background:
- Traditional surgical learning relies on the master-apprentice model.
- Current methods for segmenting surgical procedures are not standardized, limiting their use across specialties.
- A need exists for a standardized framework to segment surgical procedures into steps.
Purpose of the Study:
- To establish consensus on a step-by-step framework for standardizing surgical procedure segmentation.
- To create a universal language for describing surgical steps.
- To improve surgical education, communication, and assessment.
Main Methods:
- A Delphi technique was employed with an international expert panel of surgeons.
- Experts rated statements on the framework's preciseness, novelty, usefulness, and applicability using a five-point Likert scale.
- Consensus was achieved when the lower confidence limit of ratings was 3.00 or higher.
Main Results:
- In round one, 18 out of 19 statements were accepted by 20 participating experts.
- Further clarification led to five new statements for round two, which were all accepted by 22 experts.
- The expert panel supported the framework's preciseness, usefulness, and applicability.
Conclusions:
- The developed step-by-step framework is precise, useful, and applicable for standardizing surgical procedure segmentation.
- This framework establishes a universal language based on anatomical structures for surgical descriptions.
- Standardized segmentation facilitates global surgical education, communication, and performance assessment.
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