创建基于能力的评估工具,用于小儿食管镜检查与异物取出。
盲目修改的Delphi共识过程。
三级护理中心。
通过研究电子数据捕获数据库将25个潜在项目的列表发送给进行小儿食管镜检查的66名专家外科医生。在第一轮中,项目被评为“保留”或“删除”,并合并了注释。在第二轮中,专家以7分的李克特量表对每个项目的重要性进行了评分。达成共识的目标是7至25个最终项目。
第一轮的回答率为38/64(59.4%),返回的问卷完成了100%。专家希望“保留”所有项目,并纳入了172条评论。第二轮共分发了24项特定任务和7项先前经过验证的全球评级项目,回答率为53/64(82.8%),问卷完成97.5%.在特定于任务的项目中,9达成共识,7接近共识,8没有达成共识。对于先前验证的全局评级项目,6达成共识,1接近共识。
使用改良的Delphi共识技术,可以就硬性食管镜检查中异物取出的重要步骤达成共识。在此过程中评估学员时,现在可以考虑这些项目。该工具可以使受训者专注于程序的重要步骤,并帮助培训计划标准化如何评估受训者。
5.喉镜,131:1168-1174,2021。
Create a competency-based assessment tool for pediatric esophagoscopy with foreign body removal.
Blinded modified Delphi
consensus process.
Tertiary care center.
A list of 25 potential items was sent via the Research Electronic Data Capture database to 66 expert surgeons who perform pediatric esophagoscopy. In the first round, items were rated as \"keep\" or \"remove\" and comments were incorporated. In the second round, experts rated the importance of each item on a seven-point Likert scale.
Consensus was determined with a goal of 7 to 25 final items.
The response rate was 38/64 (59.4%) in the first round and returned questionnaires were 100% complete. Experts wanted to \"keep\" all items and 172 comments were incorporated. Twenty-four task-specific and 7 previously-validated global rating items were distributed in the second round, and the response rate was 53/64 (82.8%) with questionnaires returned 97.5% complete. Of the task-specific items, 9 reached
consensus, 7 were near
consensus, and 8 did not achieve
consensus. For global rating items that were previously validated, 6 reached
consensus and 1 was near
consensus.
It is possible to reach consensus about the important steps involved in rigid esophagoscopy with foreign body removal using a modified Delphi
consensus technique. These items can now be considered when evaluating trainees during this procedure. This tool may allow trainees to focus on important steps of the procedure and help training programs standardize how trainees are evaluated.
5. Laryngoscope, 131:1168-1174, 2021.