Consensus of Leaders in Plastic Surgery: Identifying Procedural Competencies for Canadian Plastic Surgery Residency Training Using a Modified Delphi Technique

Plastic and Reconstructive Surgery
Aaron D C KnoxDimitri J Anastakis

Abstract

Transitioning to competency-based surgical training will require consensus regarding the scope of plastic surgery and expectations of operative ability for graduating residents. Identifying surgical procedures experts deemed most important in preparing graduates for independent practice (i.e., "core" procedures), and those that are less important or deemed more appropriate for fellowship training (i.e., "noncore" procedures), will focus instructional and assessment efforts. Canadian plastic surgery program directors, the Canadian Society of Plastic Surgeons Executive Committee, and peer-nominated experts participated in an online, multiround, modified Delphi consensus exercise. Over three rounds, panelists were asked to sort 288 procedural competencies into five predetermined categories within core and noncore procedures, reflecting increasing expectations of ability. Eighty percent agreement was chosen to indicate consensus. Two hundred eighty-eight procedures spanning 13 domains were identified. Invitations were sent to 49 experts; 37 responded (75.5 percent), and 31 participated (83.8 percent of respondents). Procedures reaching 80 percent consensus increased from 101 (35 percent) during round 1, to 159 (55 percent) in round...Continue Reading

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Apr 30, 2014·Plastic and Reconstructive Surgery·Aaron D C KnoxDimitri J Anastakis

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Citations

Sep 22, 2018·Plastic and Reconstructive Surgery·Jessica G ShihMitchell H Brown
Jul 19, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jessica G ShihJoel S Fish
Jul 13, 2020·The Journal of Hand Surgery·Celine YeungDimitri Anastakis
Jun 29, 2021·Plastic and Reconstructive Surgery·Becher Al-HalabiMirko Gilardino

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