Development of the "LAser Surgical skills Evaluation for Residents" (LASER) Scale Through a Modified Delphi Method
E Sédillot-Daniel1,2, A Melkane3, C Chiesa4
1Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Summary
A new LASER Scale was developed to assess resident skills in CO2 laser microlaryngeal surgery. This tool aims to improve training feedback for otolaryngology residents learning laser procedures.
Area of Science:
- Otolaryngology
- Surgical Education
- Laser Surgery
Background:
- CO2 laser microlaryngeal surgery (MLS) is crucial for treating laryngeal conditions.
- Training otolaryngology residents in laser safety and technique is essential.
- Assessing resident performance in laryngoscopy is challenging for supervisors.
Purpose of the Study:
- To develop the LAser Surgical skills Evaluation for Residents (LASER) Scale.
- To standardize the evaluation of resident performance in CO2 laser MLS.
- To facilitate constructive feedback for surgical trainees.
Main Methods:
- Literature review of CO2 laser laryngoscopy using Covidence software.
- Modified Delphi method involving 4 rounds of surveys.
- International collaboration of 15 otolaryngologists from diverse subspecialties.
Main Results:
- Consensus reached on assessment categories including anesthesia, laser safety, and surgical technique.
- The LASER Scale was developed through an international collaborative effort.
- The study involved 15 international otolaryngologists across 6 countries.
Conclusions:
- A novel LASER Scale was created to evaluate resident CO2 laser MLS skills.
- The scale was developed using a modified Delphi method and international collaboration.
- Further validation studies are recommended for this new assessment tool.


