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Academic global surgical competencies: A modified Delphi consensus study.

Natalie Pawlak1, Christine Dart2, Hernan Sacoto Aguilar3

  • 1Tufts University, Boston, Massachusetts, United States of America.

PLOS Global Public Health
|July 14, 2023
PubMed
Summary
This summary is machine-generated.

Academic global surgery needs standardized competencies. A Delphi process involving global experts identified nine core competencies and 31 sub-competencies for curriculum development worldwide.

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Area of Science:

  • Global Health
  • Surgical Education
  • Medical Competencies

Background:

  • Academic global surgery aims to enhance worldwide access to safe surgical care.
  • The field currently lacks universally accepted competency standards.
  • Standardization is crucial for developing this rapidly growing area.

Purpose of the Study:

  • To establish a consensus-based set of essential competencies for academic global surgery.
  • To inform the development of standardized global surgical and perioperative care curricula.
  • To address the need for a defined skillset in the field.

Main Methods:

  • A task force of global surgical and perioperative care experts was recruited using snowball sampling.
  • A modified Delphi process with two rounds of anonymous input was employed.
  • An 80% consensus threshold determined the relevance of competencies and sub-competency learning objectives.

Main Results:

  • Fifty-nine experts from 22 countries participated, with 63% from low- and middle-income countries.
  • Consensus was reached on nine core competencies and 31 sub-competency objectives.
  • Ethics and professionalism in global surgery achieved 100% consensus, emphasizing justice, equity, and decolonization.

Conclusions:

  • The Delphi process successfully identified nine core competencies for academic global surgery and perioperative care.
  • These competencies provide a foundation for developing standardized curricula globally.
  • Further validation and assessment development are necessary to ensure effective teaching of these competencies.