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Development of a list of minimum procedures for certifying competence in gastrointestinal endoscopy by the Delphi
Leandro Esteban Di Paola1, Manuel Mahler1, Ariana Sala Lozano1
1Secretaría de Formación y Acreditación, Asociación Endoscopistas Digestivos de Buenos Aires , Argentina.
Background:
within the frame of reference of any medical specialty, having a consensus list of the type and number of practices characterizing its professional work is key. Thus, the goal of this study was to define a list of minimum procedures to ensure competence in gastrointestinal endoscopy based on a structured consensus process, and to explore the views of leading experts in gastrointestinal endoscopy regarding endoscopist training in Argentina and the need for competence certification.
Materials And Methods:
this research entailed a mixed-methods prospective study including using the Delphi method as focus group qualitative research technique, followed by a structured survey.
Results:
the final consolidated list included 17 procedures deemed essential for competence certification in gastrointestinal endoscopy. Given the dispersion found in the range of minimum numbers required for competence a decision was made to use the median value. For upper gastrointestinal endoscopy the minimum number of procedures was set at 200, whereas 150 was established for videocolonoscopy.
Conclusion:
this list is a key item in the development of a gastrointestinal endoscopy training framework and competence certification program.
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