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Competency-Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus.

Erynne A Faucett1,2, Nikolaus E Wolter3, Karthik Balakrishnan4

  • 1Division of Otolaryngology, Head and Neck Surgery, Phoenix Children's Hospital, Department of Child Health, University of Arizona, Tucson, Arizona, U.S.A.

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PubMed
Summary
This summary is machine-generated.

A modified Delphi consensus process successfully identified key competencies for pediatric esophagoscopy with foreign body removal. This competency-based assessment tool can standardize trainee evaluation in rigid esophagoscopy.

Keywords:
DelphiEsophagoscopyOSATassessmenteducationobjective structured assessment of technical skills

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Area of Science:

  • Pediatric Surgery
  • Medical Education
  • Otolaryngology

Background:

  • Pediatric esophagoscopy with foreign body removal is a common procedure.
  • Standardized assessment tools are needed to evaluate trainee competency.

Purpose of the Study:

  • To create a competency-based assessment tool for pediatric esophagoscopy with foreign body removal.
  • To establish consensus on essential procedural steps among expert surgeons.

Main Methods:

  • A blinded, modified Delphi consensus process was employed.
  • Sixty-six expert surgeons participated in two rounds of surveys using Research Electronic Data Capture.
  • Consensus was defined by specific criteria for item selection and importance rating.

Main Results:

  • High response rates were achieved in both survey rounds (59.4% and 82.8%).
  • Consensus was reached on 9 task-specific items and 6 previously validated global rating items.
  • Experts incorporated 172 comments, refining the assessment criteria.

Conclusions:

  • A modified Delphi technique can achieve consensus on critical steps for rigid esophagoscopy with foreign body removal.
  • The developed tool can guide trainee focus and standardize evaluation in pediatric esophagoscopy training programs.