BACKGROUND: Evidence suggests that simulation leads to improved operative skill, shorter operating room time, and better patient outcomes. Currently, no standardized laparoscopy curriculum exists for gynecology residents. OBJECTIVE: To design a structured laparoscopy curriculum for gynecology residents using Delphi consensus methodology. METHODS: This study began with Delphi methodology to determine expert consensus on the components of a gynecology laparoscopic skills curriculum. We generated a list of cognitive content, technical skills, and nontechnical skills for training in laparoscopic surgery, and asked 39 experts in gynecologic education to rate the items on a Likert scale (1-5) for inclusion in the curriculum. Consensus was predefined as Cronbach α of ≥0.80. We then conducted another Delphi survey with 9 experienced users of laparoscopic virtual reality simulators to delineate relevant curricular tasks. Finally, a cross-sectional design defined benchmark scores for all identified tasks, with 10 experienced gynecologic surgeons performing the identified tasks at basic, intermediate, and advanced levels. RESULTS: Consensus (Cronbach α=0.85) was achieved in the first round of the curriculum Delphi, and after 2 rounds (Cronbach α=0.80) in the virtual reality curriculum Delphi. Consensus was reached for cognitive, technical, and nontechnical skills as well as for 6 virtual reality tasks. Median time and economy of movement scores defined benchmarks for all tasks. CONCLUSIONS: This study used Delphi consensus to develop a comprehensive curriculum for teaching gynecologic laparoscopy. The curriculum conforms to current educational standards of proficiency-based training, and is suggested as a standard in residency programs.
BACKGROUND: Evidence suggests that simulation leads to improved operative skill, shorter operating room time, and better patient outcomes. Currently, no standardized laparoscopy curriculum exists for gynecology residents. OBJECTIVE: To design a structured laparoscopy curriculum for gynecology residents using Delphi consensus methodology. METHODS: This study began with Delphi methodology to determine expert consensus on the components of a gynecology laparoscopic skills curriculum. We generated a list of cognitive content, technical skills, and nontechnical skills for training in laparoscopic surgery, and asked 39 experts in gynecologic education to rate the items on a Likert scale (1-5) for inclusion in the curriculum. Consensus was predefined as Cronbach α of ≥0.80. We then conducted another Delphi survey with 9 experienced users of laparoscopic virtual reality simulators to delineate relevant curricular tasks. Finally, a cross-sectional design defined benchmark scores for all identified tasks, with 10 experienced gynecologic surgeons performing the identified tasks at basic, intermediate, and advanced levels. RESULTS: Consensus (Cronbach α=0.85) was achieved in the first round of the curriculum Delphi, and after 2 rounds (Cronbach α=0.80) in the virtual reality curriculum Delphi. Consensus was reached for cognitive, technical, and nontechnical skills as well as for 6 virtual reality tasks. Median time and economy of movement scores defined benchmarks for all tasks. CONCLUSIONS: This study used Delphi consensus to develop a comprehensive curriculum for teaching gynecologic laparoscopy. The curriculum conforms to current educational standards of proficiency-based training, and is suggested as a standard in residency programs.
Authors: Rajesh Aggarwal; Teodor P Grantcharov; Jens R Eriksen; Dorthe Blirup; Viggo B Kristiansen; Peter Funch-Jensen; Ara Darzi Journal: Ann Surg Date: 2006-08 Impact factor: 12.969
Authors: Jeanett Strandbygaard; Flemming Bjerrum; Mathilde Maagaard; Per Winkel; Christian Rifbjerg Larsen; Charlotte Ringsted; Christian Gluud; Teodor Grantcharov; Bent Ottesen; Jette Led Sorensen Journal: Ann Surg Date: 2013-05 Impact factor: 12.969
Authors: L Gabriel; E Solomayer; S Schott; A von Heesen; J Radosa; D Wallwiener; S Rimbach; I Juhasz-Böss Journal: Geburtshilfe Frauenheilkd Date: 2016-12 Impact factor: 2.915
Authors: S Baum; M Sillem; J T Ney; A Baum; M Friedrich; J Radosa; K M Kramer; B Gronwald; S Gottschling; E F Solomayer; A Rody; R Joukhadar Journal: Geburtshilfe Frauenheilkd Date: 2017-01 Impact factor: 2.915
Authors: Samantha S Mooney; Richard J Hiscock; Lauren Hicks; Shagun Narula; Peter J Maher; Emma Readman; Adam Pendlebury; Lenore Ellett Journal: Aust N Z J Obstet Gynaecol Date: 2022-04-08 Impact factor: 1.884