Maertens H, Aggarwal R, Macdonald S, Vermassen F, Van Herzeele I
Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium.
Department of Surgery, Faculty of Medicine, McGill University, Montreal, Canada.
Eur J Vasc Endovasc Surg. 2016 Jan;51(1):141-9. doi: 10.1016/j.ejvs.2015.08.014. Epub 2015 Oct 12.
The aim of this study was to establish a consensus on Fundamental Endovascular Skills (FES) for educational purposes and development of training curricula for endovascular procedures. The term "Fundamental Endovascular Skills" is widely used; however, the current literature does not explicitly describe what skills are included in this concept. Endovascular interventions are performed by several specialties that may have opposing perspectives on these skills.
A two round Delphi questionnaire approach was used. Experts from interventional cardiology, interventional radiology, and vascular surgery from the United States and Europe were invited to participate. An electronic questionnaire was generated by endovascular therapists with an appropriate educational background but who would not participate in subsequent rounds. The questionnaire consisted of 50 statements describing knowledge, technical, and behavioral skills during endovascular procedures. Experts received the questionnaires by email. They were asked to rate the importance of each skill on a Likert scale from 1 to 5. A statement was considered fundamental when more than 90% of the experts rated it 4 or 5 out of 5.
Twenty-three of 53 experts invited agreed to participate: six interventional radiologists (2 USA, 4 Europe), 10 vascular surgeons (4 USA, 6 Europe), and seven interventional cardiologists (4 USA, 3 Europe). There was a 100% response rate in the first round and 87% in the second round. Results showed excellent consensus among responders (Cronbach's alpha = .95 first round; .93 second round). Ninety percent of all proposed skills were considered fundamental. The most critical skills were determined.
A transatlantic multispecialty consensus was achieved about the content of "FES" among interventional radiologists, interventional cardiologists, and vascular surgeons from Europe and the United States. These results can serve as directive principles for developing endovascular training curricula.
本研究旨在就基础血管内介入技能（FES）达成共识，以用于教育目的和制定血管内介入手术培训课程。“基础血管内介入技能”这一术语被广泛使用；然而，当前文献并未明确描述这一概念包含哪些技能。血管内介入手术由多个专业进行，这些专业对这些技能可能有不同观点。
采用两轮德尔菲问卷调查法。邀请了来自美国和欧洲的介入心脏病学、介入放射学和血管外科专家参与。由具有适当教育背景但不参与后续轮次的血管内治疗师编制电子问卷。问卷包含50条描述血管内手术过程中的知识、技术和行为技能的陈述。专家通过电子邮件接收问卷。要求他们根据李克特量表从1到5对每项技能的重要性进行评分。当超过90%的专家将某项陈述评为5分制中的4分或5分时，该陈述被视为基础技能。
受邀的53位专家中有23位同意参与：6位介入放射学家（2位来自美国，4位来自欧洲），10位血管外科医生（4位来自美国，6位来自欧洲），以及7位介入心脏病学家（4位来自美国，3位来自欧洲）。第一轮的回复率为100%，第二轮为87%。结果显示回复者之间达成了高度共识（第一轮克朗巴哈系数=0.95；第二轮=0.93）。所有提出的技能中有90%被视为基础技能。确定了最关键的技能。
来自欧洲和美国的介入放射学家、介入心脏病学家和血管外科医生就“基础血管内介入技能”的内容达成了跨大西洋多专业共识。这些结果可作为制定血管内介入培训课程的指导原则。
