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Abstract：
Transcatheter cardiac procedures have generated increasing interest in trainees and training programs alike. Using the modified Delphi method, we sought to clarify the transcatheter competencies that cardiac surgery residents should be expected to attain by the completion of training.
Individuals with expertise in transcatheter structural heart and aortic procedures were recruited across Canada. A questionnaire was prepared using a 5-point Likert scale. During 2 rounds, participants rated the competencies that they thought cardiac surgery residents should be required to achieve to perform transcatheter procedures. Data were analyzed and presented to participants between rounds. Competencies rated 4 or higher by at least 80% of respondents after the second round were considered fundamental to transcatheter cardiac surgical training.
A total of 46 individuals participated in the study, including 23 cardiac surgeons, 17 interventional cardiologists, and 6 vascular surgeons. Participants with relevant experience performed a median of 75 (interquartile range, 40-100) transcatheter aortic valve implantations in the prior year as primary or secondary operator and 15 (interquartile range, 11-35) thoracic endovascular aortic repairs in the prior 2 years as primary operator. Median clinical and teaching experience consisted of 13 (interquartile range, 7-19.5) years in practice and 8.5 (interquartile range, 5-15) residents taught per year, respectively. Of the included competencies, 53 were considered fundamental to transcatheter cardiac surgical training.
The identified fundamental competencies can be used to develop educational strategies during transcatheter cardiac surgery training. Future efforts should focus on collecting evidence for their validity.
Individuals with expertise in transcatheter structural heart and aortic procedures were recruited across Canada. A questionnaire was prepared using a 5-point Likert scale. During 2 rounds, participants rated the competencies that they thought cardiac surgery residents should be required to achieve to perform transcatheter procedures. Data were analyzed and presented to participants between rounds. Competencies rated 4 or higher by at least 80% of respondents after the second round were considered fundamental to transcatheter cardiac surgical training.
A total of 46 individuals participated in the study, including 23 cardiac surgeons, 17 interventional cardiologists, and 6 vascular surgeons. Participants with relevant experience performed a median of 75 (interquartile range, 40-100) transcatheter aortic valve implantations in the prior year as primary or secondary operator and 15 (interquartile range, 11-35) thoracic endovascular aortic repairs in the prior 2 years as primary operator. Median clinical and teaching experience consisted of 13 (interquartile range, 7-19.5) years in practice and 8.5 (interquartile range, 5-15) residents taught per year, respectively. Of the included competencies, 53 were considered fundamental to transcatheter cardiac surgical training.
The identified fundamental competencies can be used to develop educational strategies during transcatheter cardiac surgery training. Future efforts should focus on collecting evidence for their validity.
摘要：
目的：经导管心脏手术已引起越来越多的学员和培训计划的兴趣。使用改进的Delphi方法，我们试图澄清心脏手术住院医师在完成培训后应达到的经导管能力.
方法：在加拿大招募了具有经导管结构性心脏和主动脉手术专业知识的个人。使用5点Likert量表编制问卷。在两轮中，参与者对他们认为需要心脏手术住院医师进行经导管手术的能力进行了评分.在各轮之间对数据进行分析并提交给参与者。第二轮后，至少有80％的受访者将能力评为4或更高，这被认为是经导管心脏外科培训的基础。
结果：共有46个人参与了这项研究，包括23名心脏外科医生,17位介入心脏病学家，和6个血管外科医生.具有相关经验的参与者的中位数为75(四分位数间距，40-100）前一年作为主要或次要操作者的经导管主动脉瓣植入和15（四分位距，11-35）前2年作为主要操作者的胸主动脉腔内修复术。临床和教学经验中位数为13(四分位间距，7-19.5)年的实践和8.5(四分位数间距，5-15）每年教授的居民，分别。在包括的能力中，53被认为是经导管心脏手术训练的基础。
结论：确定的基本能力可用于制定经导管心脏手术培训期间的教育策略。未来的努力应集中在收集证据证明其有效性。
方法：在加拿大招募了具有经导管结构性心脏和主动脉手术专业知识的个人。使用5点Likert量表编制问卷。在两轮中，参与者对他们认为需要心脏手术住院医师进行经导管手术的能力进行了评分.在各轮之间对数据进行分析并提交给参与者。第二轮后，至少有80％的受访者将能力评为4或更高，这被认为是经导管心脏外科培训的基础。
结果：共有46个人参与了这项研究，包括23名心脏外科医生,17位介入心脏病学家，和6个血管外科医生.具有相关经验的参与者的中位数为75(四分位数间距，40-100）前一年作为主要或次要操作者的经导管主动脉瓣植入和15（四分位距，11-35）前2年作为主要操作者的胸主动脉腔内修复术。临床和教学经验中位数为13(四分位间距，7-19.5)年的实践和8.5(四分位数间距，5-15）每年教授的居民，分别。在包括的能力中，53被认为是经导管心脏手术训练的基础。
结论：确定的基本能力可用于制定经导管心脏手术培训期间的教育策略。未来的努力应集中在收集证据证明其有效性。
