Department of Surgery, University of Southern California, Los Angeles, California, USA.
J Surg Educ. 2010 Sep-Oct;67(5):309-15. doi: 10.1016/j.jsurg.2010.07.010.
The purpose of this project was to assess the effectiveness of using the Delphi process to create a structured simulation-based procedural skills curriculum for all students at the Keck School of Medicine of the University of Southern California (KSOM).
The Delphi process was used to develop a list of procedural skills that students are expected to perform competently prior to graduation. Once consensus of faculty was reached, a needs assessment was performed to poll graduating seniors' experience performing each skill. A comprehensive simulation-based curriculum was developed and implemented for all Year II students at KSOM. Student satisfaction with the curriculum was collected using a standardized end-of-session evaluation form and student self confidence was assessed using a retrospective pre- and post-self-efficacy rating for each skill.
The needs assessment clearly established the need for a more organized approach to teaching procedural skills at KSOM. Quantitative and qualitative data revealed that students responded favorably to the curriculum and appreciated the efforts put forth by KSOM. Student self-efficacy increased significantly for each skill.
The Delphi process was effective in reaching consensus among educational leaders at KSOM regarding which skills to include in the curriculum. Although there were a few minor challenges, we determined that it is feasible to develop and implement an explicit school-wide simulated-based procedural skills curriculum.
本项目旨在评估使用 Delphi 流程为南加州大学凯克医学院（KSOM）的所有学生创建基于模拟的结构化程序技能课程的效果。
使用 Delphi 流程制定了一份学生在毕业前应熟练掌握的程序技能清单。一旦获得教师的共识，就会进行需求评估，以调查应届毕业生在执行每项技能方面的经验。为所有 KSOM 的二年级学生开发并实施了综合的基于模拟的课程。使用标准化的课程结束评估表收集学生对课程的满意度，并使用每个技能的回顾性前后自我效能评分来评估学生的自我信心。
需求评估清楚地确定了在 KSOM 更有组织地教授程序技能的需求。定量和定性数据表明，学生对课程反应良好，并赞赏 KSOM 的努力。学生的自我效能感在每个技能上都有显著提高。
Delphi 流程在 KSOM 的教育领导者之间就课程中应包含的技能达成共识方面非常有效。尽管存在一些小挑战，但我们确定开发和实施明确的全校范围基于模拟的程序技能课程是可行的。
