Division of Otolaryngology, Head and Neck Surgery, Phoenix Children's Hospital, Department of Child Health, University of Arizona, Tucson, Arizona, U.S.A.
College of Medicine, Department of Otolaryngology, Mayo College of Medicine and Science, Phoenix, Arizona, U.S.A.
Laryngoscope. 2021 May;131(5):1168-1174. doi: 10.1002/lary.29126. Epub 2020 Oct 9.
OBJECTIVES/HYPOTHESIS: 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.
目的/假设：为小儿食管镜取异物术创建基于能力的评估工具。
盲法改良 Delphi 共识过程。
三级护理中心。
通过 Research Electronic Data Capture 数据库向 66 名进行小儿食管镜检查的专家外科医生发送了一份包含 25 项潜在项目的清单。在第一轮中，项目被评为“保留”或“删除”，并纳入了意见。在第二轮中，专家们对每个项目的重要性进行了七分制 Likert 评分。确定共识的目标是保留 7 到 25 个最终项目。
第一轮的回复率为 38/64（59.4%），且返回的问卷均为 100%完整。专家们希望“保留”所有项目，并纳入了 172 条意见。在第二轮中分发了 24 项特定任务和 7 项先前验证的总体评分项目，回复率为 53/64（82.8%），且返回的问卷完整率为 97.5%。在特定任务项目中，有 9 项达成共识，7 项接近共识，8 项未达成共识。对于先前验证的总体评分项目，有 6 项达成共识，1 项接近共识。
使用改良 Delphi 共识技术，有可能就硬性食管镜取异物术涉及的重要步骤达成共识。在进行该程序时，现在可以考虑这些项目。该工具可以使学员专注于该程序的重要步骤，并帮助培训计划标准化学员的评估方式。
