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A Template for Curriculum Development to Teach Complex Surgical or Endoscopic Techniques With Logistical Challenges.

Karen J Dickinson1, Brian J Dunkin1, Barbara L Bass2

  • 1Houston Methodist Institute for Technology, Innovation and Education (MITIE), Houston, Texas; Department of Surgery, Houston Methodist Hospital, Houston, Texas.

Journal of Surgical Education
|July 26, 2020
PubMed
Summary

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This study outlines a framework for training healthcare professionals in complex endoscopic procedures like colonic endoscopic submucosal dissection (cESD). The developed curriculum aims to improve the safe and effective dissemination of new surgical techniques.

Area of Science:

  • Medical Education
  • Surgical Training
  • Gastroenterology

Background:

  • The rapid advancement in medical techniques necessitates updated training paradigms.
  • Disseminating complex surgical and endoscopic procedures poses significant logistical challenges.

Purpose of the Study:

  • To develop a curricular framework for complex, logistically challenging techniques.
  • To enhance the safe and effective adoption of new procedures, using colonic endoscopic submucosal dissection (cESD) as a model.

Main Methods:

  • A multistep curriculum development process was employed, including Clinical Needs Assessment and Training Needs Analysis.
  • A modified Delphi process defined learner criteria and procedural tasks, with a pilot simulation program for feedback.
  • A Behavioral Observation Scale was created as a tool for assessing procedural performance.
Keywords:
ColonoscopyCurriculumEducationEndoscopySimulationTraining

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Main Results:

  • Learner criteria were established (e.g., >2 years experience, ≥25 cases/year).
  • Lesion suitability for cESD and trainee experience levels were classified.
  • A comprehensive cESD task list and an assessment tool were developed.

Conclusions:

  • A framework for developing educational curricula for complex endoscopic techniques was established.
  • The framework aims to improve training and patient outcomes.
  • Further national implementation and evaluation are planned.