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Updated: Sep 11, 2025

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[Entrustable professional activities in spine surgery. Delphi validation].

Juan José María Mezzadri1,2, Emiliano López3, María Inés Manrique3

  • 1Subcomisión de Educación, Asociación Argentina de Neurocirugía, Buenos Aires, Argentina.

Medicina
|August 12, 2025
PubMed
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This summary is machine-generated.

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[Development of entrustable professional activities for 39 residency programs].

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This study defined essential entrustable professional activities (EPA) for neurosurgery spine surgery training. Delphi methodology ensured expert consensus, establishing a quality standard for homogeneous surgical education nationwide.

Area of Science:

  • Neurosurgery Education
  • Surgical Training Standards

Background:

  • Heterogeneity in neurosurgery residency resources hinders standardized training.
  • Acquisition of spinal neurosurgery skills requires a homogeneous approach across all training sites.

Purpose of the Study:

  • To define the minimum number of entrustable professional activities (EPA) for spine surgery.
  • To validate these EPA using the Delphi methodology for neurosurgery residency programs.

Main Methods:

  • Eleven proposed EPA were validated using the Delphi methodology.
  • Twenty-one national experts participated in a two-round anonymous survey.

Main Results:

  • Ten of eleven EPA achieved >80% agreement in the first round.
Keywords:
Delphi validationentrustable professional activitiesmedical residencyneurosurgeryspine surgery

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  • Expert feedback led to modifications and the proposal of three new EPA.
  • A high level of agreement was reached after revisions in the second round.

    • Conclusions:

    • Delphi validation established a consensus on minimum essential EPA for spine surgery.
    • Validated EPA are crucial for homogeneous neurosurgery residency training.
    • This process sets a quality standard for neurosurgeons nationwide.