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A framework for role allocation in education, research and leadership services in Canadian academic divisions of
Morgann Reid1, Alex Lee1, Ken Leslie1
1From the Telfer School of Management, University of Ottawa, Ottawa, Ont. (Reid); the Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Lee, Pagliarello, Balaa); the Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (Leslie); the Department of Surgery, McGill University, Montréal, Que. (Feldman); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed); the Division of Clinical Sciences, Northern Ontario School of Medicine, Laurentian University, Sudbury, and Lakehead University, Thunder Bay, Ont. (Kirkpatrick); the Division of Surgery, McMaster University, Hamilton, Ont. (Lovrics); the Department of Surgery, Queen's University, Kingston, Ont. (MacDonald); the Department of Surgery, Memorial University of Newfoundland, St. John's, Nfld. (Pace, Mathieson); the College of Medicine, University of Saskatchewan, Saskatoon, Sask. (Shaw); the Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ont. (Swallow); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Bigam, Porter); the Division of General Surgery, Department of Surgery, Université de Sherbrooke, Sherbrooke, Que. (McFadden); the Division of General Surgery, Department of Surgery, Université de Montréal, Montréal, Que. (Lapointe); the Department of Surgery, Foothills Medical Centre, University of Calgary, Calgary, Alta. (MacLean); and the Office of Research Services and School of Business, MacEwan University, Edmonton, Alta. (Kuziemsky).
Background:
Moving toward a funding standard similar to that for clinical services for roles essential to the functioning of education, research and leadership services within divisions of general surgery is necessary to strengthen divisional resilience. We aimed to identify roles and underlying tasks in these services central to sustainable functioning of Canadian academic divisions of general surgery.
Methods:
Between June 2018 and October 2020, we used a 4-step modified Delphi method (online survey, face-to-face nominal group technique [n = 12], semistructured telephone interview [n = 8] and nominal group technique [n = 12]) to achieve national consensus from an expert panel of all 17 heads of academic divisions of general surgery in Canada on the roles and accompanying tasks essential to education, research and leadership services within an academic division of general surgery. We used 70% agreement to determine consensus.
Results:
The expert panel agreed that a framework for role allocation in education, research and leadership services was relevant and necessary. Consensus was reached for 7 roles within the educational service, 3 roles within the research service and 5 roles within the leadership service.
Conclusion:
Our framework represents a national consensus that defines role standards for education, research and leadership services in Canadian academic divisions of general surgery. The framework can help divisions build resiliency, and enable sustained and deliberate advances in these services.
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