Delphi Analysis: Optimizing Anatomy Teaching and Ultrasound Training for Botulinum Neurotoxin Type A Injection in...

Area of Science:

• Medical Education
• Neurology
• Rehabilitation Medicine

Background:

• Ultrasound-guided botulinum neurotoxin type A (BoNT-A) injections are crucial for treating spasticity and dystonia.
• Standardized, effective training is needed for specialists administering these injections.

Purpose of the Study:

• To establish expert consensus on best practices for anatomy teaching and ultrasound-guided BoNT-A injection training.
• To identify key principles for developing effective and standardized training programs.

Main Methods:

• A modified Delphi process involving nine experts (neurologists and physical medicine and rehabilitation physicians).
• Three rounds of expert review and consensus-building on training best practices.

Main Results:

• Consensus was achieved on 15 out of 16 statements regarding anatomy and BoNT-A injection training.
• Experts agreed on the importance of understanding the target audience's needs and competency.
• Key principles include instructor alignment, program simplicity, adaptability, and hands-on learning.

Conclusions:

• Identified best-practice principles can guide the development of standardized anatomy and BoNT-A injection training.
• Effective training enhances knowledge exchange among global experts.
• Improved training ultimately leads to better management of movement disorders and patient outcomes.