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A Delphi-based needs assessment to identify and prioritise procedural skills through consensus for simulation-based
Adam F Roche1, Dara O Kavanagh2, Darach Crimmins3
1RCSI SIM Centre for Simulation Education and Research, RCSI University of Medicine and Health Sciences, 26 York Street, Dublin 2, D02 P796, Ireland. adamfroche@rcsi.com.
BMC Medical Education
|March 2, 2025
Summary
Neurosurgical training faces challenges, so a prioritized list of 47 technical skills was developed using expert consensus. This framework guides simulation-based learning curricula for essential neurosurgical procedures.
Area of Science:
- Neurosurgery
- Medical Education
- Surgical Simulation
Background:
- Current neurosurgical training faces challenges, including reduced operative time.
- Simulation-based education (SBE) is proposed as a solution to address training deficits.
- Key opinion leaders (KOLs) are crucial for defining essential technical skills.
Purpose of the Study:
- To develop a prioritized list of technical skills for neurosurgical simulation-based learning.
- To establish a consensus-driven technical skills framework for neurosurgical curricula.
- To enhance understanding of essential procedures for training neurosurgeons.
Main Methods:
- Utilized a modified Delphi process and Needs Assessment Formula (NAF).
- Analyzed 71 procedures extracted from the Joint Committee on Surgical Training (JCST) curriculum and KOL input.
- A five-person steering group ensured methodological rigor.
Main Results:
- Achieved consensus from 30-32 KOLs across three Delphi rounds.
- Generated a prioritized list of 47 essential procedural skills.
- Top-ranked skills included patient positioning, flap design, intracranial pressure (ICP) probe insertion, and external ventricular drain (EVD) insertion.
Conclusions:
- A multi-jurisdiction needs assessment for neurosurgical simulation technical skills was conducted.
- The prioritized skill list will inform the design of future simulation-based learning curricula.
- This framework addresses critical training needs in neurosurgery.
