Madoka Takao1,2, Elif Bilgic1, Kevin Waschke3, Pepa Kaneva1, Satoshi Endo1, Yoshiko Nakano2, Shinwa Tanaka2, Yoshinori Morita2, Takashi Toyonaga4, Eiji Umegaki2, Yuzo Kodama2, Gerald M Fried5. 1. Department of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada. 2. Division of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan. 3. Division of Gastroenterology, McGill University, Montreal, QC, Canada. 4. Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo, Japan. 5. Department of Surgery and Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, D6-136, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada. gerald.fried@mcgill.ca.
Abstract
BACKGROUND: Current methods for teaching and assessing competencies for endoscopic submucosal dissection (ESD) are highly variable, non-systematic, and are inefficient for the learner to acquire adequate skills. The present study aims to define and establish expert consensus regarding competencies required to perform ESD for gastric neoplasms. METHODS: Fourteen ESD experts from 12 institutions in Japan were invited to complete an online survey to rate potential items for their importance in performing ESD proficiently. By using methodology based on the Delphi principles, the results of each round were analyzed and re-sent to the experts until consensus was established. Items were included if ranked 8 out of a 10-point Likert scale, by ≥ 80% of the respondents. RESULTS: A list of 29 potential items was generated through a review of the literature, textbooks, and experience of the steering group members. Ten new items were added through the survey. Consensus was reached after three rounds. Response rate ranged from 93 to 100%. Thirty-four items achieved consensus as important surrogates of competency in performing ESD. CONCLUSIONS: Essential competencies for performing ESD were identified through expert consensus. These competencies can serve as the foundation for structured training and for development of objective assessment tools to evaluate trainee performance in ESD.
BACKGROUND: Current methods for teaching and assessing competencies for endoscopic submucosal dissection (ESD) are highly variable, non-systematic, and are inefficient for the learner to acquire adequate skills. The present study aims to define and establish expert consensus regarding competencies required to perform ESD for gastric neoplasms. METHODS: Fourteen ESD experts from 12 institutions in Japan were invited to complete an online survey to rate potential items for their importance in performing ESD proficiently. By using methodology based on the Delphi principles, the results of each round were analyzed and re-sent to the experts until consensus was established. Items were included if ranked 8 out of a 10-point Likert scale, by ≥ 80% of the respondents. RESULTS: A list of 29 potential items was generated through a review of the literature, textbooks, and experience of the steering group members. Ten new items were added through the survey. Consensus was reached after three rounds. Response rate ranged from 93 to 100%. Thirty-four items achieved consensus as important surrogates of competency in performing ESD. CONCLUSIONS: Essential competencies for performing ESD were identified through expert consensus. These competencies can serve as the foundation for structured training and for development of objective assessment tools to evaluate trainee performance in ESD.
Authors: Melina C Vassiliou; Pepa A Kaneva; Benjamin K Poulose; Brian J Dunkin; Jeffrey M Marks; Riadh Sadik; Gideon Sroka; Mehran Anvari; Klaus Thaler; Gina L Adrales; Jeffrey W Hazey; Jenifer R Lightdale; Vic Velanovich; Lee L Swanstrom; John D Mellinger; Gerald M Fried Journal: Surg Endosc Date: 2010-01-29 Impact factor: 4.584
Authors: Sachin Gupta; John Anderson; Pradeep Bhandari; Brian McKaig; Pullan Rupert; Bjorn Rembacken; Stuart Riley; Matt Rutter; Roland Valori; Margaret Vance; Cees P M van der Vleuten; Brian P Saunders; Siwan Thomas-Gibson Journal: Gastrointest Endosc Date: 2011-06 Impact factor: 9.427
Authors: Ii-Kwun Chung; Jun Haeng Lee; Suck-Ho Lee; Sun-Joo Kim; Joo Young Cho; Won Young Cho; Young Hwangbo; Bo Ra Keum; Jong Jae Park; Hoon-Jai Chun; Hoi Jin Kim; Jae J Kim; Sam-Ryong Ji; Sang Young Seol Journal: Gastrointest Endosc Date: 2009-02-27 Impact factor: 9.427