Division of Plastic and Reconstructive Surgery, Department of Surgery, London Health Science Center, Victoria Hospital, Western University, 800 Commissioners Rd E, London, ON, N6A5W9, Canada.
Department of Neurosurgery, University of Cincinnati College of Medicine, P.O. Box 670515, Cincinnati, OH, 45267-0515, USA.
World J Surg. 2022 Sep;46(9):2174-2188. doi: 10.1007/s00268-022-06627-5. Epub 2022 Jul 13.
Soft tissue management (STM) training programs for surgeons are largely tradition based, and substantial differences exist among different surgical specialties. The lack of comprehensive and systematic clinical evidence on how surgical techniques and implants affect soft tissue healing makes it difficult to develop evidence-based curricula. As a curriculum development group (CDG), we set out to find common grounds in the form of a set of consensus statements to serve as the basis for surgical soft tissue education.
Following a backward planning process and Kern's six-step approach, the group selected 13 topics to build a cross-specialty STM curriculum. A set of statements based on the curriculum topics were generated by the CDG through discussions and a literature review of three topics. A modified Delphi process including one round of pilot voting through a face-to-face CDG meeting and two rounds of web-based survey involving 22 panelists were utilized for the generation of consensus statements.
Seventy-one statements were evaluated, and 56 statements reached the 80% consensus for "can be taught as is."
Using a modified Delphi method, a set of cross-specialty consensus statements on soft tissue management were generated. These consensus statements can be used as a foundation for multi-specialty surgical education. Similar methods that combine expert experience and clinical evidence can be used to develop specialty-specific consensus on soft tissue handling.
外科医生的软组织管理（STM）培训计划在很大程度上是基于传统的，不同的外科专业之间存在很大的差异。由于缺乏关于手术技术和植入物如何影响软组织愈合的全面和系统的临床证据，因此很难制定基于证据的课程。作为课程开发小组（CDG），我们旨在找到共识声明的基础，以作为外科软组织教育的基础。
在回溯计划过程和 Kern 的六步方法之后，该小组选择了 13 个主题来构建跨专业的 STM 课程。CDG 通过讨论和对三个主题的文献综述生成了一套基于课程主题的声明。通过一次面对面的 CDG 会议和两次基于网络的调查（涉及 22 名小组成员）进行的改良 Delphi 过程用于生成共识声明。
对 71 条声明进行了评估，有 56 条声明达到了“可以按原样教授”的 80%共识。
使用改良 Delphi 方法，生成了一套跨专业的软组织管理共识声明。这些共识声明可作为多专业外科教育的基础。可以使用结合专家经验和临床证据的类似方法来制定关于软组织处理的专业共识。
