Catherine Tremblay1, Teodor Grantcharov2, Marcelo L Urquia3, Abheha Satkunaratnam4. 1. Département d'obstétrique-gynécologie, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montréal QC. 2. Department of Surgery, University of Toronto, Toronto ON; Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto ON. 3. Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto ON. 4. Department of Obstetrics and Gynaecology, St. Michael's Hospital, Toronto ON.
Abstract
OBJECTIVE: To achieve consensus among experts on the essentials steps to include in an assessment tool for total laparoscopic hysterectomy. METHODS: Using a Delphi consensus process, an initial survey was created based on the current literature and local expertise in laparoscopic surgery and sent to international experts in laparoscopic gynaecology. Experts were selected according to specific criteria. A second survey was formulated based on the answers and comments from the first round and sent to all experts who participated in the first round. Consensus was defined as a Cronbach alpha ≥ 0.80. A rate of agreement ≥ 0.70 was used to define which substeps to keep in the final tool. RESULTS: From the 85 experts invited to participate, 53 (62%) agreed to participate, and 51 of these participated in both rounds. The final instrument to assess total laparoscopic hysterectomy was created using the items with a high level of agreement after two rounds. This final tool showed good internal consistency among the experts, with a Cronbach alpha of 0.90. CONCLUSION: Using a Delphi methodology, we achieved international consensus among experts in laparoscopic gynaecology within a short time frame and with minimal costs. The resulting evaluation tool for total laparoscopic hysterectomy may serve in the assessment of surgical skills in the future, and would be a valuable adjunct to postgraduate training and continuing medical education programs. This tool will now undergo a validation process, comparing the rating scores of novices and experts surgeons.
OBJECTIVE: To achieve consensus among experts on the essentials steps to include in an assessment tool for total laparoscopic hysterectomy. METHODS: Using a Delphi consensus process, an initial survey was created based on the current literature and local expertise in laparoscopic surgery and sent to international experts in laparoscopic gynaecology. Experts were selected according to specific criteria. A second survey was formulated based on the answers and comments from the first round and sent to all experts who participated in the first round. Consensus was defined as a Cronbach alpha ≥ 0.80. A rate of agreement ≥ 0.70 was used to define which substeps to keep in the final tool. RESULTS: From the 85 experts invited to participate, 53 (62%) agreed to participate, and 51 of these participated in both rounds. The final instrument to assess total laparoscopic hysterectomy was created using the items with a high level of agreement after two rounds. This final tool showed good internal consistency among the experts, with a Cronbach alpha of 0.90. CONCLUSION: Using a Delphi methodology, we achieved international consensus among experts in laparoscopic gynaecology within a short time frame and with minimal costs. The resulting evaluation tool for total laparoscopic hysterectomy may serve in the assessment of surgical skills in the future, and would be a valuable adjunct to postgraduate training and continuing medical education programs. This tool will now undergo a validation process, comparing the rating scores of novices and experts surgeons.
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Authors: P Rusch; T Ind; R Kimmig; A Maggioni; J Ponce; V Zanagnolo; P J Coronado; J Verguts; E Lambaudie; H Falconer; J W Collins; Rhm Verheijen Journal: Facts Views Vis Obgyn Date: 2019-03
Authors: Mathijs D Blikkendaal; Sara R C Driessen; Sharon P Rodrigues; Johann P T Rhemrev; Maddy J G H Smeets; Jenny Dankelman; John J van den Dobbelsteen; Frank Willem Jansen Journal: Surg Endosc Date: 2016-05-20 Impact factor: 4.584