Year 2024 / Volume 116 / Number 1
Special Article
Development of a list of minimum procedures for certifying competence in gastrointestinal endoscopy by the Delphi method

29-34

DOI: 10.17235/reed.2022.8553/2021

Leandro Esteban Di Paola, Manuel Mahler, Ariana Sala Lozano, María Amelia Nardi, Roberta Inés Ladenheim, Marcelo García Diéguez,

Abstract
Background: within the frame of reference of any medical specialty, having a consensus list of the type and number of practices characterizing its professional work is key. Thus, the goal of this study was to define a list of minimum procedures to ensure competence in gastrointestinal endoscopy based on a structured consensus process, and to explore the views of leading experts in gastrointestinal endoscopy regarding endoscopist training in Argentina and the need for competence certification. Materials and methods: this research entailed a mixed-methods prospective study including using the Delphi method as focus group qualitative research technique, followed by a structured survey. Results: the final consolidated list included 17 procedures deemed essential for competence certification in gastrointestinal endoscopy. Given the dispersion found in the range of minimum numbers required for competence a decision was made to use the median value. For upper gastrointestinal endoscopy the minimum number of procedures was set at 200, whereas 150 was established for videocolonoscopy. Conclusion: this list is a key item in the development of a gastrointestinal endoscopy training framework and competence certification program.
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References
(1) Lafuente JV, Escanero JF, Manso JM, et al. El diseño curricular por competencias en educación médica: impacto en la formación profesional. Educ méd. 2007;10:86–92.
(2) Ministerio de Salud P de la NA. Especialidades del Equipo de Salud Nuevo ordenamiento normativo: Resolución 3393/2019 (Internet). Available from: https://www.argentina.gob.ar/sites/default/files/reso-3393.pdf.
(3) THE EUROPEAN SECTION AND BOARD OF GASTROENTEROLOGY AND HEPATOLOGY. THE BLUE BOOK 2017 (Internet). 2017. Available from: https://www.eubogh.org/blue-book/.
(4) ASGE. ASGE Guidelines (Internet). www.asge.org. (cited 2021 Sep 13). Available from: https://www.asge.org/home/resources/key-resources.
(5) Faulx AL, Lightdale JR, Acosta RD, et al. Guidelines for privileging, credentialing, and proctoring to perform GI endoscopy (Internet). Gastrointestinal Endoscopy. 2017. p. 273–281. Available from: http://dx.doi.org/10.1016/j.gie.2016.10.036.
(6) Stigliano R, Marelli L, Yu D, et al. Seeding following percutaneous diagnostic and therapeutic approaches for hepatocellular carcinoma. What is the risk and the outcome?: Seeding risk for percutaneous approach of HCC. Cancer Treat Rev. 2007;33:437–447.
(7) Durante E, Schwartzman G. Un novedoso proceso de consulta a los docentes para la definición del perfil de egresado en una carrera de medicina. Educación Médica. 2017;18:56–60.
(8) Kilroy D, Driscoll P. Determination of required anatomical knowledge for clinical practice in emergency medicine: national curriculum planning using a modified Delphi technique. Emerg Med J. 2006;23:693–696.
(9) Ocampo A. Percepción de seguridad de los pacientes ¿Estamos respetando sus derechos? Facultad Latinoamericana de Ciencias Sociales; 2018.
(10) Key Resources (Internet). (cited 2021 Sep 20). Available from: https://www.asge.org/home/resources/key-resources.
(11) Fitch K, Bernstein SJ, Aguilar MD, et al. The RAND/UCLA appropriateness method user’s manual. 2001; Available from: https://apps.dtic.mil/sti/citations/ADA393235.
(12) McKenna HP. The Delphi technique: a worthwhile research approach for nursing? J Adv Nurs. 1994;19:1221–1225.
(13) Davidson JR, Book SW, Colket JT, et al. Assessment of a new self-rating scale for post-traumatic stress disorder. Psychol Med. 1997;27:153–160.
(14) Lemmer B. Successive surveys of an expert panel: research in decision‐making with health visitors (Internet). Journal of Advanced Nursing. 1998. p. 538–545. Available from: http://dx.doi.org/10.1046/j.1365-2648.1998.00544.x.
(15) Green B, Jones M, Hughes D, et al. Applying the Delphi technique in a study of GPs’ information requirements (Internet). Health & Social Care in the Community. 1999. p. 198–205. Available from: http://dx.doi.org/10.1046/j.1365-2524.1999.00176.x.
(16) Friebel CH. An Application of the Delphi Method of Forecasting to the Future of Public Education in West Virginia (Internet). Available from: http://dx.doi.org/10.33915/etd.7487.
(17) Gil B, Pascual-Ezama D. La metodología Delphi como técnica de estudio de la validez de contenido. Anales de Psicología/Annals of Psychology. 2012;28:1011–1020.
(18) Cavalli‐Sforza V, Ortolano L. Delphi Forecasts of Land Use: Transportation Interactions (Internet). Journal of Transportation Engineering. 1984. p. 324–339. Available from: http://dx.doi.org/10.1061/(asce)0733-947x(1984)110:3(324).
(19) Linstone HA. The Delphi Technique (Internet). Environmental Impact Assessment, Technology Assessment, and Risk Analysis. 1985. p. 621–649. Available from: http://dx.doi.org/10.1007/978-3-642-70634-9_22.
(20) Novakowski N, Wellar B. Using the Delphi Technique in Normative Planning Research: Methodological Design Considerations (Internet). Environment and Planning A: Economy and Space. 2008. p. 1485–1500. Available from: http://dx.doi.org/10.1068/a39267.
(21) Linstone HA, Turoff M. The Delphi Method: Techniques and Applications. Westview Press; 1975.
(22) Jones PMS. Forecasting technology for planning decisions. Futures. 1979;11:80–82.
(23) Akins RB, Tolson H, Cole BR. Stability of response characteristics of a Delphi panel: application of bootstrap data expansion (Internet). BMC Medical Research Methodology. 2005. Available from: http://dx.doi.org/10.1186/1471-2288-5-37.
(24) Adler M, Ziglio E. Gazing Into the Oracle: The Delphi Method and Its Application to Social Policy and Public Health. Jessica Kingsley Publishers; 1996
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Di Paola L, Mahler M, Sala Lozano, Nardi M, Ladenheim R, García Diéguez M, et all. Development of a list of minimum procedures for certifying competence in gastrointestinal endoscopy by the Delphi method. 8553/2021


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Publication history

Received: 27/12/2021

Accepted: 24/02/2022

Online First: 01/04/2022

Published: 11/01/2024

Article revision time: 41 days

Article Online First time: 95 days

Article editing time: 745 days


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