M306, CTEC, Medical School, The University of Western Australia, 35 Stirling Highway, Crawley, 6009, Australia.
Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, USA.
Obes Surg. 2021 Oct;31(10):4257-4263. doi: 10.1007/s11695-021-05572-x. Epub 2021 Jul 22.
The performance of laparoscopic sleeve gastrectomy has increased markedly to become the single-most performed bariatric surgical procedure globally. To date, a means of standardized trainee teaching has not been developed. The aim of this study was to design a laparoscopic curriculum for trainees of bariatric surgery utilizing modified Delphi consensus methodology.
A panel of surgeons was assembled to devise an academic framework of technical, non-technical and cognitive skills utilized in the performance of laparoscopic sleeve gastrectomy. The panel invited 18 bariatric surgeons experienced in laparoscopic gastrectomy from 11 countries to rate the items for inclusion in the curriculum to a predefined level of agreement.
A consensus of experts was achieved for 24 of the 30 proposed elements for inclusion within the first round of the curriculum Delphi panel. All components pertaining to anatomical knowledge, peri-operative considerations and non-technical items were accepted. A second round further examined six statements, of which three were accepted. Agreement of the panel was reached for 27 of the cognitive, technical and non-technical components after two rounds. Three statements found no consensus.
Utilizing modified Delphi methodology, a curriculum outlining the most important components of teaching the procedure of laparoscopic sleeve gastrectomy, has been determined by a consensus of international experts in bariatric surgery. The curriculum is suggested as a standard in proficiency-based training of this procedure. It forms a generic template which facilitates individual jurisdictions to perform content validation, adapting the curriculum to local requirements in teaching the next generation of bariatric surgeons.
腹腔镜袖状胃切除术的表现显著增加，成为全球单一最常进行的减肥手术。迄今为止，尚未开发出标准化的学员教学方法。本研究旨在利用改良 Delphi 共识方法为减肥手术学员设计腹腔镜课程。
召集一组外科医生来设计腹腔镜袖状胃切除术的技术、非技术和认知技能的学术框架。该小组邀请了来自 11 个国家的 18 名具有腹腔镜胃切除术经验的减肥外科医生，以预先设定的共识水平对课程中纳入的项目进行评分。
在课程 Delphi 小组的第一轮中，达成了纳入 30 项提议要素中的 24 项共识。所有与解剖知识、围手术期注意事项和非技术项目相关的内容都被接受。第二轮进一步审查了六项声明，其中三项被接受。经过两轮，小组对 27 项认知、技术和非技术组成部分达成了共识。有三项声明没有达成共识。
利用改良 Delphi 方法，通过减肥外科领域的国际专家共识，确定了概述腹腔镜袖状胃切除术教学过程中最重要组成部分的课程。该课程被建议作为该程序基于能力的培训的标准。它形成了一个通用模板，便于各个司法管辖区对下一代减肥外科医生进行内容验证，使课程适应当地的教学要求。
