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Competency-Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus.
Propst, Evan J; Wolter, Nikolaus E; Ishman, Stacey L; Balakrishnan, Karthik; Deonarain, Ashley R; Mehta, Deepak; Zalzal, George; Pransky, Seth M; Roy, Soham; Myer, Charles M; Torre, Michele; Johnson, Romaine F; Ludemann, Jeffrey P; Derkay, Craig S; Chun, Robert H; Hong, Paul; Molter, David W; Prager, Jeremy D; Nguyen, Lily H P; Rutter, Michael J; Myer, Charles M; Zur, Karen B; Sidell, Douglas R; Johnson, Liane B; Cotton, Robin T; Hart, Catherine K; Willging, J Paul; Zdanski, Carlton J; Manoukian, John J; Lam, Derek J; Bauman, Nancy M; Gantwerker, Eric A; Husein, Murad; Inglis, Andrew F; Green, Glenn E; Javia, Luv Ram; Schraff, Scott; Soma, Marlene A; Deutsch, Ellen S; Sobol, Steven E; Ida, Jonathan B; Choi, Sukgi; Uwiera, Trina C; Shah, Udayan K; White, David R; Wootten, Christopher T; El-Hakim, Hamdy; Bromwich, Matthew A; Richter, Gresham T; Vijayasekaran, Shyan.
Affiliation
  • Propst EJ; Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
  • Wolter NE; Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
  • Ishman SL; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Balakrishnan K; Department of Otolaryngology and Mayo Children's Center, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, U.S.A.
  • Deonarain AR; Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
  • Mehta D; Department of Pediatric Otolaryngology, Texas Children's Hospital, Houston, Texas, U.S.A.
  • Zalzal G; Department of Otolaryngology, Children's National Health System, Division of Otolaryngology, George Washington University Washington, DC, U.S.A.
  • Pransky SM; Division of Pediatric Otolaryngology, Rady Children's Hospital San Diego, San Diego, California, U.S.A.
  • Roy S; Department of Otorhinolaryngology, University of Texas at Houston McGovern Medical School, Houston, Texas, U.S.A.
  • Myer CM; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Torre M; Airway Unit, Scientific Institute for Research and Healthcare, Giannina Gaslini Institute, Genoa, Italy.
  • Johnson RF; Department of Otolaryngology-Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.
  • Ludemann JP; Pediatric Otolaryngology, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
  • Derkay CS; Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, Virginia, U.S.A.
  • Chun RH; Department of Otolaryngology, Children's Hospital of Wisconsin-Milwaukee Campus, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
  • Hong P; Division of Otolaryngology, Dalhousie University, Izaak Walton Killam Health Centre, Halifax, Nova Scotia, Canada.
  • Molter DW; Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A.
  • Prager JD; Department of Pediatric Otolaryngology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, U.S.A.
  • Nguyen LHP; Department of Otolaryngology-Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
  • Rutter MJ; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Myer CM; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Zur KB; Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
  • Sidell DR; Department of Otolaryngology-Head and Neck Surgery, Stanford University, Lucile Salter Packard Children's Hospital, Palo Alto, California, U.S.A.
  • Johnson LB; Division of Otolaryngology, Dalhousie University, Izaak Walton Killam Health Centre, Halifax, Nova Scotia, Canada.
  • Cotton RT; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Hart CK; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Willging JP; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
  • Zdanski CJ; Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.
  • Manoukian JJ; Department of Otolaryngology-Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
  • Lam DJ; Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Pediatric Otolaryngology, Doernbecher Children's Hospital, Portland, Oregon, U.S.A.
  • Bauman NM; Department of Otolaryngology, Children's National Health System, Division of Otolaryngology, George Washington University Washington, DC, U.S.A.
  • Gantwerker EA; Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, U.S.A.
  • Husein M; Department of Otolaryngology-Head and Neck Surgery, Victoria Hospital, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
  • Inglis AF; Division of Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.
  • Green GE; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Mott Children's Hospital, Ann Arbor, Michigan, U.S.A.
  • Javia LR; Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
  • Schraff S; Arizona Otolaryngology Consultants, Phoenix, Arizona, U.S.A.
  • Soma MA; Department of Pediatric Otolaryngology, Sydney Children's Hospital, Randwick, New South Wales, Australia.
  • Deutsch ES; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • Sobol SE; Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, U.S.A.
  • Ida JB; Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
  • Choi S; Division of Pediatric Otolaryngology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, U.S.A.
  • Uwiera TC; Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
  • Shah UK; Divisions of Pediatric Surgery and Otolaryngology-Head and Neck Surgery, Departments of Surgery and Pediatrics, The Stollery Children's Hospital, University of Alberta Hospital, Edmonton, Alberta, Canada.
  • White DR; Division of Pediatric Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, U.S.A.
  • Wootten CT; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
  • El-Hakim H; Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.
  • Bromwich MA; Divisions of Pediatric Surgery and Otolaryngology-Head and Neck Surgery, Departments of Surgery and Pediatrics, The Stollery Children's Hospital, University of Alberta Hospital, Edmonton, Alberta, Canada.
  • Richter GT; Division of Otolaryngology, Department of Surgery, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.
  • Vijayasekaran S; Division of Pediatric Otolaryngology, Arkansas Children's Hospital, Little Rock, Arkansas, U.S.A.
Laryngoscope ; 130(11): 2700-2707, 2020 11.
Article in En | MEDLINE | ID: mdl-31821571
ABSTRACT
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, 1302700-2707, 2020.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pediatrics / Tracheotomy / Clinical Competence / Surgeons Type of study: Clinical_trials / Guideline Limits: Child / Humans Language: En Journal: Laryngoscope Journal subject: OTORRINOLARINGOLOGIA Year: 2020 Type: Article Affiliation country: Canada
Fulltext
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pediatrics / Tracheotomy / Clinical Competence / Surgeons Type of study: Clinical_trials / Guideline Limits: Child / Humans Language: En Journal: Laryngoscope Journal subject: OTORRINOLARINGOLOGIA Year: 2020 Type: Article Affiliation country: Canada