Journal
LARYNGOSCOPE
Volume 130, Issue 11, Pages 2700-2707Publisher
WILEY
DOI: 10.1002/lary.28461
Keywords
Tracheostomy; tracheotomy; Delphi; assessment; education; objective structured assessment of technical skills; Objective Structured Assessment of Technical Skill; OSAT; OSATS
Funding
- Jordan and Lisa Gnat Family
- Bastable-Potts Chair in Otolaryngology at SickKids
- Stronach family
- Paris family
- Choi family
- Lo family
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Objectives/Hypothesis Create a competency-based assessment tool for pediatric tracheotomy. Study Design Blinded, modified, Delphi consensus process. Methods Using the REDCap database, a list of 31 potential items was circulated to 65 expert surgeons who perform pediatric tracheotomy. In the first round, items were rated as keep or remove, and comments were incorporated. In the second round, experts were asked to rate the importance of each item on a seven-point Likert scale. Consensus criteria were determined a priori with a goal of 7 to 25 final items. Results The first round achieved a response rate of 39/65 (60.0%), and returned questionnaires were 99.5% complete. All items were rated as keep, and 137 comments were incorporated. In the second round, 30 task-specific and seven previously validated global rating items were distributed, and the response rate was 44/65 (67.7%), with returned questionnaires being 99.3% complete. Of the Task-Specific Items, 13 reached consensus, 10 were near consensus, and 7 did not achieve consensus. For the 7 previously validated global rating items, 5 reached consensus and two were near consensus. Conclusions It is feasible to reach consensus on the important steps involved in pediatric tracheotomy using a modified Delphi consensus process. These items can now be considered to create a competency-based assessment tool for pediatric tracheotomy. Such a tool will hopefully allow trainees to focus on the important aspects of this procedure and help teaching programs standardize how they evaluate trainees during this procedure. Level of Evidence 5 Laryngoscope, 2019
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