Leizl J Nayahangan1, Isabelle Van Herzeele2, Lars Konge3, Igor Koncar4, Enrico Cieri5, Armando Mansilha6, Sebastian Debus7, Jonas P Eiberg8. 1. Copenhagen Academy for Medical Education and Simulation, The University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark. Electronic address: leizl.joy.nayahangan@regionh.dk. 2. Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium. 3. Copenhagen Academy for Medical Education and Simulation, The University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark. 4. Clinic for Vascular and Endovascular Surgery, Serbian Clinical Centre, Belgrade, Serbia. 5. Vascular and Endovascular Surgery Unit, University of Perugia, Perugia, Italy. 6. Departamento de Cirurgia e Fisiologia da Faculdade de Medicina da Universidade do Porto (FMUP), Porto, Portugal. 7. University Heart Centre, Department of Vascular Medicine, Vascular Surgery - Endovascular Interventions - Angiology, German Aortic Centre Hamburg, Hamburg, Germany. 8. Copenhagen Academy for Medical Education and Simulation, The University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark; Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.
Abstract
OBJECTIVE: To gather consensus among European educators about technical procedures that should be included in a future simulation based curriculum in vascular surgery. METHODS: A three round modified Delphi survey was initiated among 189 key opinion leaders (KOL) from 34 countries across Europe who were identified according to their positions in the European Society for Vascular Surgery, the European Journal of Vascular and Endovascular Surgery, and Union Européenne des Médecins Spécialistes Section and Board of Vascular Surgery. The first round was a brainstorming phase to identify technical procedures that a newly qualified vascular surgeon should be able to perform. The answers were analysed qualitatively. The second round investigated how often the identified procedures are performed, the number of vascular surgeons that should be able to perform these procedures, whether the procedures pose a risk to the patients, and whether simulation based education (SBE) is feasible. In the third round, elimination and re-ranking of procedures were performed. Only procedures that gained more than 70% support were included. An international steering group consisting of open and endovascular surgeons and medical educators governed the process. RESULTS: Response rates in the three rounds were 75% (142/189), 89% (126/142), and 85% (107/126), respectively. In the final prioritised list of 30 technical procedures for SBE, the top five procedures focus on basic open vascular skills, basic endovascular skills, vascular imaging interpretation, femoral endarterectomy, and open peripheral bypass. Twenty-six procedures were eliminated, including peripheral pressure measurement, wound management, open management of complications, major amputations, and highly advanced endovascular skills. CONCLUSION: The prioritised list of technical procedures from this ESVS supported project could be used to guide planning and development of future SBE programs to meet the needs of vascular surgeons across Europe.
OBJECTIVE: To gather consensus among European educators about technical procedures that should be included in a future simulation based curriculum in vascular surgery. METHODS: A three round modified Delphi survey was initiated among 189 key opinion leaders (KOL) from 34 countries across Europe who were identified according to their positions in the European Society for Vascular Surgery, the European Journal of Vascular and Endovascular Surgery, and Union Européenne des Médecins Spécialistes Section and Board of Vascular Surgery. The first round was a brainstorming phase to identify technical procedures that a newly qualified vascular surgeon should be able to perform. The answers were analysed qualitatively. The second round investigated how often the identified procedures are performed, the number of vascular surgeons that should be able to perform these procedures, whether the procedures pose a risk to the patients, and whether simulation based education (SBE) is feasible. In the third round, elimination and re-ranking of procedures were performed. Only procedures that gained more than 70% support were included. An international steering group consisting of open and endovascular surgeons and medical educators governed the process. RESULTS: Response rates in the three rounds were 75% (142/189), 89% (126/142), and 85% (107/126), respectively. In the final prioritised list of 30 technical procedures for SBE, the top five procedures focus on basic open vascular skills, basic endovascular skills, vascular imaging interpretation, femoral endarterectomy, and open peripheral bypass. Twenty-six procedures were eliminated, including peripheral pressure measurement, wound management, open management of complications, major amputations, and highly advanced endovascular skills. CONCLUSION: The prioritised list of technical procedures from this ESVS supported project could be used to guide planning and development of future SBE programs to meet the needs of vascular surgeons across Europe.
Authors: Peter Hertz; Kim Houlind; Jan Jepsen; Lars Bundgaard; Pernille Jensen; Mikkel Friis; Lars Konge; Flemming Bjerrum Journal: Surg Endosc Date: 2021-10-27 Impact factor: 3.453