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Competency-Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus
Evan J Propst1, Nikolaus E Wolter1, Stacey L Ishman2
1Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
The Laryngoscope
|December 11, 2019
Summary
A modified Delphi consensus process successfully identified key steps for a competency-based assessment tool in pediatric tracheotomy. This process helps standardize trainee evaluation in this critical surgical procedure.
Area of Science:
- Pediatric Surgery
- Medical Education
- Surgical Assessment
Background:
- Pediatric tracheotomy is a complex procedure requiring standardized evaluation.
- Existing assessment tools may not adequately capture essential competencies.
- Developing a reliable assessment is crucial for surgical training.
Purpose of the Study:
- To create a competency-based assessment tool for pediatric tracheotomy.
- To identify and reach consensus on critical steps of the procedure.
- To establish a foundation for standardized trainee evaluation.
Main Methods:
- A modified Delphi consensus process involving 65 expert surgeons.
- Two rounds of surveys using REDCap to rate and refine potential assessment items.
- Consensus criteria were pre-defined to determine final items for the tool.
Main Results:
- High response rates in both Delphi rounds (60.0% and 67.7%).
- Consensus was reached on 13 task-specific items and 5 global rating items.
- The process demonstrated feasibility in identifying key procedural elements.
Conclusions:
- A modified Delphi process is effective for achieving consensus on pediatric tracheotomy competencies.
- The identified items provide a basis for developing a competency-based assessment tool.
- This tool can standardize training and evaluation for pediatric tracheotomy procedures.
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