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Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus
Author(s) -
Faucett Erynne A.,
Wolter Nikolaus E.,
Balakrishnan Karthik,
Ishman Stacey L.,
Mehta Deepak,
Parikh Sanjay,
Nguyen Lily H. P.,
Preciado Diego,
Rutter Michael J.,
Prager Jeremy D.,
Green Glenn E.,
Pransky Seth M.,
Elluru Ravi,
Husein Murad,
Roy Soham,
Johnson Kaalan E.,
Friedberg Jacob,
Johnson Romaine F.,
Bauman Nancy M.,
Myer Charles M.,
Deutsch Ellen S.,
Gantwerker Eric A.,
Willging J. Paul,
Hart Catherine K.,
Chun Robert H.,
Lam Derek J.,
Ida Jonathan B.,
Manoukian John J.,
White David R.,
Sidell Douglas R.,
Wootten Christopher T.,
Inglis Andrew F.,
Derkay Craig S.,
Zalzal George,
Molter David W.,
Ludemann Jeffrey P.,
Choi Sukgi,
Schraff Scott,
Myer Charles M.,
Cotton Robin T.,
Vijayasekaran Shyan,
Zdanski Carlton J.,
ElHakim Hamdy,
Shah Udayan K.,
Soma Marlene A.,
Smith Marshall E.,
Thompson Dana M.,
Javia Luv Ram,
Zur Karen B.,
Sobol Steven E.,
Hartnick Christopher J.,
Rahbar Reza,
Vaccani JeanPhilippe,
Hartley Benjamin,
Daniel Sam J.,
Jacobs Ian N.,
Richter Gresham T.,
Alarcon Alessandro,
Bromwich Matthew A.,
Propst Evan J.
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29126
Subject(s) - likert scale , delphi method , delphi , task (project management) , rating scale , medicine , medical physics , medical education , psychology , computer science , artificial intelligence , developmental psychology , management , economics , operating system
Objectives/Hypothesis Create a competency‐based assessment tool for pediatric esophagoscopy with foreign body removal. Study Design Blinded modified Delphi consensus process. Setting Tertiary care center. Methods A list of 25 potential items was sent via the Research Electronic Data Capture database to 66 expert surgeons who perform pediatric esophagoscopy. In the first round, items were rated as “keep” or “remove” and comments were incorporated. In the second round, experts rated the importance of each item on a seven‐point Likert scale. Consensus was determined with a goal of 7 to 25 final items. Results The response rate was 38/64 (59.4%) in the first round and returned questionnaires were 100% complete. Experts wanted to “keep” all items and 172 comments were incorporated. Twenty‐four task‐specific and 7 previously‐validated global rating items were distributed in the second round, and the response rate was 53/64 (82.8%) with questionnaires returned 97.5% complete. Of the task‐specific items, 9 reached consensus, 7 were near consensus, and 8 did not achieve consensus. For global rating items that were previously validated, 6 reached consensus and 1 was near consensus. Conclusions It is possible to reach consensus about the important steps involved in rigid esophagoscopy with foreign body removal using a modified Delphi consensus technique. These items can now be considered when evaluating trainees during this procedure. This tool may allow trainees to focus on important steps of the procedure and help training programs standardize how trainees are evaluated. Level of Evidence 5. Laryngoscope , 131:1168–1174, 2021