Academic global surgical competencies: A modified Delphi consensus study.
Academic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0002102 |
| _version_ | 1797693855080906752 |
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| author | Natalie Pawlak Christine Dart Hernan Sacoto Aguilar Emmanuel Ameh Abebe Bekele Maria F Jimenez Kokila Lakhoo Doruk Ozgediz Nobhojit Roy Girma Terfera Adesoji O Ademuyiwa Barnabas Tobi Alayande Nivaldo Alonso Geoffrey A Anderson Stanley N C Anyanwu Alazar Berhe Aregawi Soham Bandyopadhyay Tahmina Banu Alemayehu Ginbo Bedada Anteneh Gadisa Belachew Fabio Botelho Emmanuel Bua Leticia Nunes Campos Chris Dodgion Michalina Drejza Marcel E Durieux Rohini Dutta Sarnai Erdene Rodrigo Vaz Ferreira Zipporah Gathuya Dhruva Ghosh Randeep Singh Jawa Walter D Johnson Fauzia Anis Khan Fanny Jamileth Navas Leon Kristin L Long Jana B. A. Macleod Anshul Mahajan Rebecca G Maine Grace Zurielle C Malolos Craig D McClain Mary T Nabukenya Peter M Nthumba Benedict C Nwomeh Daniel Kinyuru Ojuka Norgrove Penny Martha A Quiodettis Jennifer Rickard Lina Roa Lucas Sousa Salgado Lubna Samad Justina Onyioza Seyi-Olajide Martin Smith Nichole Starr Richard J Stewart John L Tarpley Julio L Trostchansky Ivan Trostchansky Thomas G Weiser Adili Wobenjo Elliot Wollner Sudha Jayaraman |
| author_facet | Natalie Pawlak Christine Dart Hernan Sacoto Aguilar Emmanuel Ameh Abebe Bekele Maria F Jimenez Kokila Lakhoo Doruk Ozgediz Nobhojit Roy Girma Terfera Adesoji O Ademuyiwa Barnabas Tobi Alayande Nivaldo Alonso Geoffrey A Anderson Stanley N C Anyanwu Alazar Berhe Aregawi Soham Bandyopadhyay Tahmina Banu Alemayehu Ginbo Bedada Anteneh Gadisa Belachew Fabio Botelho Emmanuel Bua Leticia Nunes Campos Chris Dodgion Michalina Drejza Marcel E Durieux Rohini Dutta Sarnai Erdene Rodrigo Vaz Ferreira Zipporah Gathuya Dhruva Ghosh Randeep Singh Jawa Walter D Johnson Fauzia Anis Khan Fanny Jamileth Navas Leon Kristin L Long Jana B. A. Macleod Anshul Mahajan Rebecca G Maine Grace Zurielle C Malolos Craig D McClain Mary T Nabukenya Peter M Nthumba Benedict C Nwomeh Daniel Kinyuru Ojuka Norgrove Penny Martha A Quiodettis Jennifer Rickard Lina Roa Lucas Sousa Salgado Lubna Samad Justina Onyioza Seyi-Olajide Martin Smith Nichole Starr Richard J Stewart John L Tarpley Julio L Trostchansky Ivan Trostchansky Thomas G Weiser Adili Wobenjo Elliot Wollner Sudha Jayaraman |
| author_sort | Natalie Pawlak |
| collection | DOAJ |
| description | Academic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential competencies that will lead to standardization in this field. A task force was set up using snowball sampling to recruit a broad group of content and context experts in global surgical and perioperative care. A draft set of competencies was revised through the modified Delphi process with two rounds of anonymous input. A threshold of 80% consensus was used to determine whether a competency or sub-competency learning objective was relevant to the skillset needed within academic global surgery and perioperative care. A diverse task force recruited experts from 22 countries to participate in both rounds of the Delphi process. Of the n = 59 respondents completing both rounds of iterative polling, 63% were from low- or middle-income countries. After two rounds of anonymous feedback, participants reached consensus on nine core competencies and 31 sub-competency objectives. The greatest consensus pertained to competency in ethics and professionalism in global surgery (100%) with emphasis on justice, equity, and decolonization across multiple competencies. This Delphi process, with input from experts worldwide, identified nine competencies which can be used to develop standardized academic global surgery and perioperative care curricula worldwide. Further work needs to be done to validate these competencies and establish assessments to ensure that they are taught effectively. |
| first_indexed | 2024-03-12T02:48:37Z |
| format | Article |
| id | doaj.art-d09cbec867214bf5b1aeca3ce1321819 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T02:48:37Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-d09cbec867214bf5b1aeca3ce13218192023-09-04T06:17:25ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0137e000210210.1371/journal.pgph.0002102Academic global surgical competencies: A modified Delphi consensus study.Natalie PawlakChristine DartHernan Sacoto AguilarEmmanuel AmehAbebe BekeleMaria F JimenezKokila LakhooDoruk OzgedizNobhojit RoyGirma TerferaAdesoji O AdemuyiwaBarnabas Tobi AlayandeNivaldo AlonsoGeoffrey A AndersonStanley N C AnyanwuAlazar Berhe AregawiSoham BandyopadhyayTahmina BanuAlemayehu Ginbo BedadaAnteneh Gadisa BelachewFabio BotelhoEmmanuel BuaLeticia Nunes CamposChris DodgionMichalina DrejzaMarcel E DurieuxRohini DuttaSarnai ErdeneRodrigo Vaz FerreiraZipporah GathuyaDhruva GhoshRandeep Singh JawaWalter D JohnsonFauzia Anis KhanFanny Jamileth Navas LeonKristin L LongJana B. A. MacleodAnshul MahajanRebecca G MaineGrace Zurielle C MalolosCraig D McClainMary T NabukenyaPeter M NthumbaBenedict C NwomehDaniel Kinyuru OjukaNorgrove PennyMartha A QuiodettisJennifer RickardLina RoaLucas Sousa SalgadoLubna SamadJustina Onyioza Seyi-OlajideMartin SmithNichole StarrRichard J StewartJohn L TarpleyJulio L TrostchanskyIvan TrostchanskyThomas G WeiserAdili WobenjoElliot WollnerSudha JayaramanAcademic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential competencies that will lead to standardization in this field. A task force was set up using snowball sampling to recruit a broad group of content and context experts in global surgical and perioperative care. A draft set of competencies was revised through the modified Delphi process with two rounds of anonymous input. A threshold of 80% consensus was used to determine whether a competency or sub-competency learning objective was relevant to the skillset needed within academic global surgery and perioperative care. A diverse task force recruited experts from 22 countries to participate in both rounds of the Delphi process. Of the n = 59 respondents completing both rounds of iterative polling, 63% were from low- or middle-income countries. After two rounds of anonymous feedback, participants reached consensus on nine core competencies and 31 sub-competency objectives. The greatest consensus pertained to competency in ethics and professionalism in global surgery (100%) with emphasis on justice, equity, and decolonization across multiple competencies. This Delphi process, with input from experts worldwide, identified nine competencies which can be used to develop standardized academic global surgery and perioperative care curricula worldwide. Further work needs to be done to validate these competencies and establish assessments to ensure that they are taught effectively.https://doi.org/10.1371/journal.pgph.0002102 |
| spellingShingle | Natalie Pawlak Christine Dart Hernan Sacoto Aguilar Emmanuel Ameh Abebe Bekele Maria F Jimenez Kokila Lakhoo Doruk Ozgediz Nobhojit Roy Girma Terfera Adesoji O Ademuyiwa Barnabas Tobi Alayande Nivaldo Alonso Geoffrey A Anderson Stanley N C Anyanwu Alazar Berhe Aregawi Soham Bandyopadhyay Tahmina Banu Alemayehu Ginbo Bedada Anteneh Gadisa Belachew Fabio Botelho Emmanuel Bua Leticia Nunes Campos Chris Dodgion Michalina Drejza Marcel E Durieux Rohini Dutta Sarnai Erdene Rodrigo Vaz Ferreira Zipporah Gathuya Dhruva Ghosh Randeep Singh Jawa Walter D Johnson Fauzia Anis Khan Fanny Jamileth Navas Leon Kristin L Long Jana B. A. Macleod Anshul Mahajan Rebecca G Maine Grace Zurielle C Malolos Craig D McClain Mary T Nabukenya Peter M Nthumba Benedict C Nwomeh Daniel Kinyuru Ojuka Norgrove Penny Martha A Quiodettis Jennifer Rickard Lina Roa Lucas Sousa Salgado Lubna Samad Justina Onyioza Seyi-Olajide Martin Smith Nichole Starr Richard J Stewart John L Tarpley Julio L Trostchansky Ivan Trostchansky Thomas G Weiser Adili Wobenjo Elliot Wollner Sudha Jayaraman Academic global surgical competencies: A modified Delphi consensus study. PLOS Global Public Health |
| title | Academic global surgical competencies: A modified Delphi consensus study. |
| title_full | Academic global surgical competencies: A modified Delphi consensus study. |
| title_fullStr | Academic global surgical competencies: A modified Delphi consensus study. |
| title_full_unstemmed | Academic global surgical competencies: A modified Delphi consensus study. |
| title_short | Academic global surgical competencies: A modified Delphi consensus study. |
| title_sort | academic global surgical competencies a modified delphi consensus study |
| url | https://doi.org/10.1371/journal.pgph.0002102 |
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