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Competency-Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus.
Faucett, Erynne A; Wolter, Nikolaus E; Balakrishnan, Karthik; Ishman, Stacey L; Mehta, Deepak; Parikh, Sanjay; Nguyen, Lily H P; Preciado, Diego; Rutter, Michael J; Prager, Jeremy D; Green, Glenn E; Pransky, Seth M; Elluru, Ravi; Husein, Murad; Roy, Soham; Johnson, Kaalan E; Friedberg, Jacob; Johnson, Romaine F; Bauman, Nancy M; Myer, Charles M; Deutsch, Ellen S; Gantwerker, Eric A; Willging, J Paul; Hart, Catherine K; Chun, Robert H; Lam, Derek J; Ida, Jonathan B; Manoukian, John J; White, David R; Sidell, Douglas R; Wootten, Christopher T; Inglis, Andrew F; Derkay, Craig S; Zalzal, George; Molter, David W; Ludemann, Jeffrey P; Choi, Sukgi; Schraff, Scott; Myer, Charles M; Cotton, Robin T; Vijayasekaran, Shyan; Zdanski, Carlton J; El-Hakim, Hamdy; Shah, Udayan K; Soma, Marlene A; Smith, Marshall E; Thompson, Dana M; Javia, Luv Ram; Zur, Karen B; Sobol, Steven E.
Affiliation
  • Faucett EA; Division of Otolaryngology, Head and Neck Surgery, Phoenix Children's Hospital, Department of Child Health, University of Arizona, Tucson, Arizona, U.S.A.
  • Wolter NE; College of Medicine, Department of Otolaryngology, Mayo College of Medicine and Science, Phoenix, Arizona, U.S.A.
  • Balakrishnan K; Department of Otolaryngology - Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Canada.
  • Ishman SL; Department of Otolaryngology, Head and Neck Surgery, Stanford University, Lucile Salter Packard Children's Hospital, Palo Alto, California, U.S.A.
  • Mehta D; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • Parikh S; Department of Pediatric Otolaryngology, Texas Children's Hospital, Houston, Texas, U.S.A.
  • Nguyen LHP; Division of Otolaryngology - Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.
  • Preciado D; Department of Otolaryngology - Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
  • Rutter MJ; Department of Otolaryngology, Children's National Health System, Division of Otolaryngology, George Washington University Washington, Washington, District of Columbia, U.S.A.
  • Prager JD; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • Green GE; Department of Pediatric Otolaryngology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, U.S.A.
  • Pransky SM; Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Mott Children's Hospital, Ann Arbor, Michigan, U.S.A.
  • Elluru R; Division of Pediatric Otolaryngology, Rady Children's Hospital San Diego, San Diego, California, U.S.A.
  • Husein M; Division of Otolaryngology, Dayton Children's Hospital, Dayton, Ohio, U.S.A.
  • Roy S; Department of Otolaryngology - Head and Neck Surgery, Victoria Hospital, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
  • Johnson KE; Department of Otorhinolaryngology, University of Texas at Houston McGovern Medical School, Houston, Texas, U.S.A.
  • Friedberg J; Division of Otolaryngology - Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.
  • Johnson RF; Department of Otolaryngology - Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Canada.
  • Bauman NM; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.
  • Myer CM; Department of Otolaryngology, Children's National Health System, Division of Otolaryngology, George Washington University Washington, Washington, District of Columbia, U.S.A.
  • Deutsch ES; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • Gantwerker EA; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
  • Willging JP; Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, U.S.A.
  • Hart CK; Department of Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, U.S.A.
  • Chun RH; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • Lam DJ; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • Ida JB; Department of Otolaryngology, Children's Hospital of Wisconsin-Milwaukee Campus, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
  • Manoukian JJ; Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Pediatric Otolaryngology, Doernbecher Children's Hospital, Portland, Oregon, U.S.A.
  • White DR; Division of Pediatric Otolaryngology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, U.S.A.
  • Sidell DR; Department of Otolaryngology - Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
  • Wootten CT; Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
  • Inglis AF; Department of Otolaryngology, Head and Neck Surgery, Stanford University, Lucile Salter Packard Children's Hospital, Palo Alto, California, U.S.A.
  • Derkay CS; Division of Otolaryngology, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee, U.S.A.
  • Zalzal G; Division of Otolaryngology - Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.
  • Molter DW; Department of Otolaryngology - Head and Neck Surgery Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, Virginia, U.S.A.
  • Ludemann JP; Department of Otolaryngology, Children's National Health System, Division of Otolaryngology, George Washington University Washington, Washington, District of Columbia, U.S.A.
  • Choi S; Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, U.S.A.
  • Schraff S; Pediatric Otolaryngology, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
  • Myer CM; Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
  • Cotton RT; Arizona Otolaryngology Consultants, Phoenix, Arizona, U.S.A.
  • Vijayasekaran S; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • Zdanski CJ; Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center Cincinnati, Cincinnati, Ohio, U.S.A.
  • El-Hakim H; Department of Otolaryngology, Head and Neck Surgery, Perth Children's Hospital, University of Western Australia, Perth, Western Australia, Australia.
  • Shah UK; Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.
  • Soma MA; Division 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.
  • Smith ME; Division of Pediatric Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, U.S.A.
  • Thompson DM; Department of Paediatric Otolaryngology, Sydney Children's Hospital, Randwick, New South Wales, Australia.
  • Javia LR; Division of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah, U.S.A.
  • Zur KB; Division of Pediatric Otolaryngology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, U.S.A.
  • Sobol SE; Division of Otolaryngology, The Children's Hospital of Philadelphia, Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, U.S.A.
Laryngoscope ; 131(5): 1168-1174, 2021 05.
Article in En | MEDLINE | ID: mdl-33034397
ABSTRACT
OBJECTIVES/

HYPOTHESIS:

Create a competency-based assessment tool for pediatric esophagoscopy with foreign body removal. STUDY

DESIGN:

Blinded modified Delphi consensus process.

SETTING:

Tertiary care center.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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. LEVEL OF EVIDENCE 5. Laryngoscope, 1311168-1174, 2021.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Esophagoscopy / Clinical Competence / Consensus / Surgeons / Internship and Residency Type of study: Diagnostic_studies / Guideline Limits: Child / Humans Language: En Journal: Laryngoscope Journal subject: OTORRINOLARINGOLOGIA Year: 2021 Type: Article Affiliation country: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Esophagoscopy / Clinical Competence / Consensus / Surgeons / Internship and Residency Type of study: Diagnostic_studies / Guideline Limits: Child / Humans Language: En Journal: Laryngoscope Journal subject: OTORRINOLARINGOLOGIA Year: 2021 Type: Article Affiliation country: United States