Academic global surgical competencies: A modified Delphi consensus study.

Autor:	Pawlak N; Tufts University, Boston, Massachusetts, United States of America., Dart C; Virginia Commonwealth University, Richmond, Virginia, United States of America., Aguilar HS; Facultad de Medicina-Universidad el Azuay, Cuenca, Ecuador., Ameh E; National Hospital Division of Paediatric Surgery, Abuja, Nigeria., Bekele A; University of Global Health Equity, Butaro, Rwanda.; Addis Ababa University, Addis Ababa, Ethiopia., Jimenez MF; Department of Surgery, Hospital Universitario Mayor Mederi, Universidad del Rosario, Bogota, Colombia., Lakhoo K; University of Oxford, Oxford, United Kingdom., Ozgediz D; Department of Surgery, University of California, San Francisco, San Francisco, California, United States of America., Roy N; The George Institute for Global Health, New Delhi, India., Terfera G; Univ of Wisconsin, Madison, Wisconsin, United States of America., Ademuyiwa AO; Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria., Alayande BT; Center for Equity in Global Surgery, University of Global Health Equity, Butaro, Rwanda., Alonso N; University of São Paulo, São Paulo, Brazil., Anderson GA; Brigham and Women's Hospital, Boston, Massachusetts, United States of America., Anyanwu SNC; Institute of Oncology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Aregawi AB; Hawassa University, Hawassa, Ethiopia., Bandyopadhyay S; Nuffield Department of Surgical Sciences, Oxford University Global Surgery Group, University of Oxford, Oxford, United Kingdom.; Clinical Neurosciences, Clinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom., Banu T; Chittagong Research Institute for Children Surgery, Chittagong, Bangladesh., Bedada AG; University of Botswana, Gaborone, Botswana., Belachew AG; Hawassa University, Hawassa, Ethiopia., Botelho F; Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, Montreal, Canada.; Hospital das Clinicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil., Bua E; Busitema University Mbale Hospital, Mbale, Uganda., Campos LN; Faculty of Medical Sciences, Universidade de Pernambuco, Recife, Pernambuco, Brasil., Dodgion C; Medical College of Wisconsin, Milwaukee, Wisconsin, United States of America., Drejza M; Specialty Trainee in Obstetrics and Gynaecology, Cambridge University Hospitals, Cambridge, United Kingdom., Durieux ME; University of Virginia, Charlottesville, Virginia, United States of America., Dutta R; Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, United States of America., Erdene S; Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia., Ferreira RV; Universidade do Estado do Amazonas, Manaus, Brasil., Gathuya Z; The Nairobi Hospital, Nairobi, Kenya., Ghosh D; NIHR Health Research Unit On Global Surgery, Christian Medical College, Ludhiana, India., Jawa RS; Stony Brook University, Stony Brook, New York, United States of America., Johnson WD; Loma Linda University, Loma Linda, California, United States of America., Khan FA; Aga Khan University and Hospital, Karachi, Pakistan., Leon FJN; Hospital de Especialidades, Instituto Hondureño de Seguridad Social, San Pedro Sula, Honduras., Long KL; Univ of Wisconsin, Madison, Wisconsin, United States of America., Macleod JBA; Kenyatta University, Nairobi, Kenya.; 9 University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America., Mahajan A; Global Surgery Fellow, WHO Collaboration Centre (WHOCC) for Research in Surgical Care Delivery in LMICs', Mumbai, India., Maine RG; Department of Surgery, University of Washington, Seattle, Washington, United States of America., Malolos GZC; College of Medicine, University of the Philippines Manila, Manila, Philippines., McClain CD; Department of Anesthesiology, Critical Care and Pain Medicine, Program in Global Surgery, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, United States of America., Nabukenya MT; Makerere University College of Health Sciences, Kampala, Uganda., Nthumba PM; Department of Surgery, AIC Kijabe Hospital, Kijabe, Kenya.; Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America., Nwomeh BC; Nationwide Children's Hospital, Columbus, Ohio, United States of America., Ojuka DK; Department of Surgery, University of Nairobi, Nairobi, Kenya., Penny N; Branch for Global Surgical Care, University of British Columbia, Vancouver, Canada., Quiodettis MA; Hospital Santo Tomás, Santiago de Querétaro, Mexico., Rickard J; University of Minnesota, Minneapolis, Minnesota, United States of America., Roa L; Department of Obstetrics & Gynecology, University of Alberta, Edmonton, Alberta, Canada., Salgado LS; União Educacional do Vale do Aço, Ipatinga, Minas Gerais, Brasil., Samad L; Interactive Research and Development (IRD) Global, Singapore, Singapore., Seyi-Olajide JO; Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria., Smith M; University of the Witwatersrand, Johannesburg, South Africa., Starr N; Department of Surgery, University of California, San Francisco, San Francisco, California, United States of America., Stewart RJ; Global Initiative for Children's Surgery, Portland, Oregon, United States of America., Tarpley JL; Department of Surgery, Faculty of Medicine, University of Botswana, Gaborone, Botswana.; Vanderbilt University, Nashville, Tennessee, United States of America., Trostchansky JL; Thoracic Surgery Department, Universidad de la República, Montevideo, Uruguay., Trostchansky I; Hospital de Clínicas, Montevideo, Uruguay., Weiser TG; Department of Surgery, Stanford University, Palo Alto, California, United States of America., Wobenjo A; Kenyatta University, Nairobi, Kenya., Wollner E; Peter MacCallum Cancer Center and University of California, San Francisco, San Francisco, California, United States of America., Jayaraman S; Department of Surgery, Center for Global Surgery, University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, Utah, United States of America
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2023 Jul 14; Vol. 3 (7), pp. e0002102. Date of Electronic Publication: 2023 Jul 14 (Print Publication: 2023).
DOI:	10.1371/journal.pgph.0002102
Abstrakt:	Academic global surgery is a rapidly growing field that aims to improve access to safe surgical care worldwide. However, no universally accepted competencies exist to inform this developing field. A consensus-based approach, with input from a diverse group of experts, is needed to identify essential competencies that will lead to standardization in this field. A task force was set up using snowball sampling to recruit a broad group of content and context experts in global surgical and perioperative care. A draft set of competencies was revised through the modified Delphi process with two rounds of anonymous input. A threshold of 80% consensus was used to determine whether a competency or sub-competency learning objective was relevant to the skillset needed within academic global surgery and perioperative care. A diverse task force recruited experts from 22 countries to participate in both rounds of the Delphi process. Of the n = 59 respondents completing both rounds of iterative polling, 63% were from low- or middle-income countries. After two rounds of anonymous feedback, participants reached consensus on nine core competencies and 31 sub-competency objectives. The greatest consensus pertained to competency in ethics and professionalism in global surgery (100%) with emphasis on justice, equity, and decolonization across multiple competencies. This Delphi process, with input from experts worldwide, identified nine competencies which can be used to develop standardized academic global surgery and perioperative care curricula worldwide. Further work needs to be done to validate these competencies and establish assessments to ensure that they are taught effectively. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Pawlak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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