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Simulator Training for Endovascular Neurosurgery
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Defining quality assessment in vascular surgery training: an expert Delphi process.

H C Travers1,2, A J Beamish3, M McCarthy2,4

  • 1Russell's Hall Hospital, UK.

Annals of the Royal College of Surgeons of England
|February 13, 2023
PubMed
Summary

This study established key domains for assessing vascular surgical training quality using a Delphi consensus. These findings offer a standardized method to optimize surgical education programs globally.

Keywords:
DelphiMedical educationSurgical trainingVascular surgery

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Area of Science:

  • Medical Education
  • Surgical Training Assessment
  • Quality Improvement in Healthcare

Background:

  • Standardizing vascular surgical training is crucial for optimizing patient care.
  • Current methods for assessing training require robust and reproducible evaluation frameworks.
  • This study addresses the need for a standardized approach to quality assurance in UK vascular surgery training programs.

Purpose of the Study:

  • To identify and prioritize essential domains for assessing the quality of vascular surgery training programs.
  • To develop a methodology for regional quality assurance reports supporting the Vascular Surgery Specialty Advisory Committee.
  • To establish a consensus on key performance indicators for surgical training.

Main Methods:

  • A three-stage Delphi consensus exercise involving 54 stakeholders.
  • Participants included trainees, program directors, and members of specialty advisory and society committees.
  • The process spanned 15 weeks to achieve expert agreement on training assessment domains.

Main Results:

  • 39 stakeholders successfully completed the Delphi process.
  • Identified key domains include JCST survey results, clinical experience, education programs, radiology support, and trainee/trainer support.
  • Other critical domains encompass professional development, teaching quality, and trainee recommendations.

Conclusions:

  • A consensus-based methodology was developed to identify and prioritize domains for assessing vascular surgery training quality.
  • The identified domains are internationally transferable, offering a model for global application.
  • The Delphi methodology can be adapted by other training schemes to refine and enhance their quality assessment processes.