Catharine M Walsh1, Simon C Ling, Thomas D Walters, Petar Mamula, Jenifer R Lightdale, Heather Carnahan. 1. *Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada †Division of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA ‡Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA §School of Human Kinetics and Recreation, Memorial University of Newfoundland, Newfoundland and Labrador, Canada.
Abstract
OBJECTIVES: Many aspects of pediatric colonoscopy differ from adult practice. To date, there is no validated measure of endoscopic competence for use in pediatrics. Using Delphi methodology, we aimed to determine expert consensus regarding items required on a checklist and global rating scale designed to assess the competence of clinicians performing colonoscopy on pediatric patients. METHODS: A total of 41 North American pediatric endoscopy experts rated potential checklist and global rating items for their importance as indicators of the competence of trainees learning to perform pediatric colonoscopy. Responses were analyzed and re-sent to the panel for further ratings until consensus was reached. Items that ≥ 80% of experts rated as ≥ 4 out of 5 were included in the final instrument. Consensus items were compared with those items deemed by adult endoscopy experts as fundamental to assessing the performance of adult colonoscopy. RESULTS: Five rounds of surveys were completed with response rates ranging from 76% to 100%. Seventy-five checklist and 38 global rating items were reduced to 18 checklist and 7 global rating items that reached consensus. Three pediatric checklist items differed from those considered to be critical adult indicators, whereas 4 items on the latter did not reach consensus among pediatric experts. CONCLUSIONS: Delphi methodology allowed for achievement of expert consensus regarding essential items to be included in the Gastrointestinal Endoscopy Competency Assessment Tool for Pediatric Colonoscopy (GiECATKIDS), a measure of endoscopic competence specific to performing pediatric colonoscopy. Key differences in the checklist items, compared with items reaching consensus during a separate adult Delphi process using the same indicators, emphasize the need for a pediatric-specific tool.
OBJECTIVES: Many aspects of pediatric colonoscopy differ from adult practice. To date, there is no validated measure of endoscopic competence for use in pediatrics. Using Delphi methodology, we aimed to determine expert consensus regarding items required on a checklist and global rating scale designed to assess the competence of clinicians performing colonoscopy on pediatric patients. METHODS: A total of 41 North American pediatric endoscopy experts rated potential checklist and global rating items for their importance as indicators of the competence of trainees learning to perform pediatric colonoscopy. Responses were analyzed and re-sent to the panel for further ratings until consensus was reached. Items that ≥ 80% of experts rated as ≥ 4 out of 5 were included in the final instrument. Consensus items were compared with those items deemed by adult endoscopy experts as fundamental to assessing the performance of adult colonoscopy. RESULTS: Five rounds of surveys were completed with response rates ranging from 76% to 100%. Seventy-five checklist and 38 global rating items were reduced to 18 checklist and 7 global rating items that reached consensus. Three pediatric checklist items differed from those considered to be critical adult indicators, whereas 4 items on the latter did not reach consensus among pediatric experts. CONCLUSIONS: Delphi methodology allowed for achievement of expert consensus regarding essential items to be included in the Gastrointestinal Endoscopy Competency Assessment Tool for Pediatric Colonoscopy (GiECATKIDS), a measure of endoscopic competence specific to performing pediatric colonoscopy. Key differences in the checklist items, compared with items reaching consensus during a separate adult Delphi process using the same indicators, emphasize the need for a pediatric-specific tool.
Authors: Alexandra Papadopoulou; Carmen Ribes-Koninckx; Alastair Baker; Maria Noni; Eleni Koutri; Maria-Vasiliki Karagianni; Sue Protheroe; Alfredo Guarino; Emmanuel Mas; Michael Wilschanski; Enriqueta Roman; Johanna Escher; Raoul I Furlano; Carsten Posovszky; Ilse Hoffman; Jiri Bronsky; Almuthe Christine Hauer; Duska Tjesic-Drinkovic; Maria Fotoulaki; Rok Orel; Vaidotas Urbonas; Aydan Kansu; Miglena Georgieva; Mike Thomson Journal: Endosc Int Open Date: 2022-10-17
Authors: Christine M Zupanc; Robin Burgess-Limerick; Andrew Hill; Stephan Riek; Guy M Wallis; Annaliese M Plooy; Mark S Horswill; Marcus O Watson; David G Hewett Journal: BMC Med Educ Date: 2015-12-01 Impact factor: 2.463
Authors: Michael A Scaffidi; Catharine M Walsh; Rishad Khan; Colleen H Parker; Ahmed Al-Mazroui; Michael Abunassar; Alexander W Grindal; Peter Lin; Christopher Wang; Robert Bechara; Samir C Grover Journal: Endosc Int Open Date: 2019-05-03