Standardizing hysteroscopy teaching: development of a curriculum using the Delphi method

Background Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysterosco...

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Published in:	Surgical endoscopy Vol. 31; no. 12; pp. 5389 - 5398
Main Authors:	Neveu, Marie-Emmanuelle, Debras, Elodie, Niro, Julien, Fernandez, Hervé, Panel, Pierre
Format:	Journal Article
Language:	English
Published:	New York Springer US 01.12.2017 Springer Nature B.V
Subjects:	Abdominal Surgery Curricula Delphi method Gastroenterology Gynecology Hepatology Medicine Medicine & Public Health Proctology Simulation Skills Surgery Training Hysteroscopy Curriculum Delphi Simulator
ISSN:	0930-2794, 1432-2218, 1432-2218
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Abstract	Background Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements. Methods Based on a literature review using the key words “curriculum,” “simulation,” and “hysteroscopy,” we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80–100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents. Results From November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80–100% agreement during the second round, and a third round was therefore conducted. During this last round, 80–100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills. Conclusions We describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents.
AbstractList	Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements.BACKGROUNDHysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements.Based on a literature review using the key words "curriculum," "simulation," and "hysteroscopy," we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80-100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents.METHODSBased on a literature review using the key words "curriculum," "simulation," and "hysteroscopy," we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80-100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents.From November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80-100% agreement during the second round, and a third round was therefore conducted. During this last round, 80-100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills.RESULTSFrom November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80-100% agreement during the second round, and a third round was therefore conducted. During this last round, 80-100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills.We describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents.CONCLUSIONSWe describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents. Background Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements. Methods Based on a literature review using the key words “curriculum,” “simulation,” and “hysteroscopy,” we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80–100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents. Results From November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80–100% agreement during the second round, and a third round was therefore conducted. During this last round, 80–100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills. Conclusions We describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents. BackgroundHysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements.MethodsBased on a literature review using the key words “curriculum,” “simulation,” and “hysteroscopy,” we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80–100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents.ResultsFrom November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80–100% agreement during the second round, and a third round was therefore conducted. During this last round, 80–100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills.ConclusionsWe describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents. Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic obstacles. Virtual reality simulation may hold promise as a hysteroscopy training tool. No validated curriculum specific in hysteroscopy exists. The aim of this study was to develop a hysteroscopy curriculum, using the Delphi method to identify skill requirements. Based on a literature review using the key words "curriculum," "simulation," and "hysteroscopy," we identified five technical and non-technical areas in which skills were required. Twenty hysteroscopy experts from different French hospital departments participated in Delphi rounds to select items in these five areas. The rounds were to be continued until 80-100% agreement was obtained for at least 60% of items. A curriculum was built based on the selected items and was evaluated in residents. From November 2014 to April 2015, 18 of 20 invited experts participated in three Delphi rounds. Of the 51 items selected during the first round, only 25 (49%) had 80-100% agreement during the second round, and a third round was therefore conducted. During this last round, 80-100% agreement was achieved for 31 (61%) items, which were used to create the curriculum. All 14 residents tested felt that a simulator training session was acceptable and helped them to improve their skills. We describe a simulation-based hysteroscopy curriculum focusing on skill requirements identified by a Delphi procedure. Its development allows standardization of training programs offered to residents.
Author	Fernandez, Hervé Debras, Elodie Panel, Pierre Niro, Julien Neveu, Marie-Emmanuelle
Author_xml	– sequence: 1 givenname: Marie-Emmanuelle orcidid: 0000-0003-3708-0019 surname: Neveu fullname: Neveu, Marie-Emmanuelle email: me.neveu@gmail.com organization: Department of Gynecology and Obstetrics, Versailles Hospital – sequence: 2 givenname: Elodie surname: Debras fullname: Debras, Elodie organization: Department of Gynecology and Obstetrics, Versailles Hospital – sequence: 3 givenname: Julien surname: Niro fullname: Niro, Julien organization: Department of Gynecology and Obstetrics, Versailles Hospital – sequence: 4 givenname: Hervé surname: Fernandez fullname: Fernandez, Hervé organization: Department of Gynecology and Obstetrics, Kremlin-Bicêtre University Hospital – sequence: 5 givenname: Pierre surname: Panel fullname: Panel, Pierre organization: Department of Gynecology and Obstetrics, Versailles Hospital
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/28634628$$D View this record in MEDLINE/PubMed
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Snippet	Background Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and... Hysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and economic... BackgroundHysteroscopy is performed often and in many indications but is challenging to learn. Hands-on training in live patients faces ethical, legal, and...
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StartPage	5389
SubjectTerms	Abdominal Surgery Curricula Delphi method Gastroenterology Gynecology Hepatology Medicine Medicine & Public Health Proctology Simulation Skills Surgery
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Title	Standardizing hysteroscopy teaching: development of a curriculum using the Delphi method
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