TY - JOUR
T1 - Academic global surgical competencies
T2 - A modified Delphi consensus study
AU - Pawlak, Natalie
AU - Dart, Christine
AU - Aguilar, Hernan Sacoto
AU - Ameh, Emmanuel
AU - Bekele, Abebe
AU - Jimenez, Maria F.
AU - Lakhoo, Kokila
AU - Ozgediz, Doruk
AU - Roy, Nobhojit
AU - Terfera, Girma
AU - Ademuyiwa, Adesoji O.
AU - Alayande, Barnabas Tobi
AU - Alonso, Nivaldo
AU - Anderson, Geoffrey A.
AU - Anyanwu, Stanley N.C.
AU - Aregawi, Alazar Berhe
AU - Bandyopadhyay, Soham
AU - Banu, Tahmina
AU - Bedada, Alemayehu Ginbo
AU - Belachew, Anteneh Gadisa
AU - Botelho, Fabio
AU - Bua, Emmanuel
AU - Campos, Leticia Nunes
AU - Dodgion, Chris
AU - Drejza, Michalina
AU - Durieux, Marcel E.
AU - Dutta, Rohini
AU - Erdene, Sarnai
AU - Ferreira, Rodrigo Vaz
AU - Gathuya, Zipporah
AU - Ghosh, Dhruva
AU - Jawa, Randeep Singh
AU - Johnson, Walter D.
AU - Khan, Fauzia Anis
AU - Leon, Fanny Jamileth Navas
AU - Long, Kristin L.
AU - Macleod, Jana B.A.
AU - Mahajan, Anshul
AU - Maine, Rebecca G.
AU - Malolos, Grace Zurielle C.
AU - McClain, Craig D.
AU - Nabukenya, Mary T.
AU - Nthumba, Peter M.
AU - Nwomeh, Benedict C.
AU - Ojuka, Daniel Kinyuru
AU - Penny, Norgrove
AU - Quiodettis, Martha A.
AU - Rickard, Jennifer
AU - Roa, Lina
AU - Salgado, Lucas Sousa
AU - Samad, Lubna
AU - Seyi-Olajide, Justina Onyioza
AU - Smith, Martin
AU - Starr, Nichole
AU - Stewart, Richard J.
AU - Tarpley, John L.
AU - Trostchansky, Julio L.
AU - Trostchansky, Ivan
AU - Weiser, Thomas G.
AU - Wobenjo, Adili
AU - Wollner, Elliot
AU - Jayaraman, Sudha
N1 - Publisher Copyright:
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.
PY - 2023/7
Y1 - 2023/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85183412177&partnerID=8YFLogxK
U2 - 10.1371/journal.pgph.0002102
DO - 10.1371/journal.pgph.0002102
M3 - Artículo
AN - SCOPUS:85183412177
SN - 2767-3375
VL - 3
JO - PLOS Global Public Health
JF - PLOS Global Public Health
IS - 7
M1 - e0002102
ER -