- 作者：Amin Madani ; MD<sup>asup><sup> ; sup><sup>bsup> ; Yusuke Watanabe ; MD<sup>bsup> ; Melina Vassiliou ; MD<sup>asup><sup> ; sup><sup>bsup> ; Liane S. Feldman ; MD<sup>asup><sup> ; sup><sup>bsup> ; Quan-Yang Duh ; MD<sup>csup> ; Michael C. Singer ; MD<sup>dsup> ; Daniel T. Ruan ; MD<sup>esup> ; Roger Tabah ; MD<sup>asup> ; Elliot Mitmaker ; MD<sup>asup><sup> ; sup><sup>elliot.mitmaker@mcgill.ca" class="auth_mail" title="E-mail the corresponding authorsup>
- 刊名：Surgery
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：159
- 期：1
- 页码：86-101
- 全文大小：244 K
sSec_2">Methods
spara0015">Cognitive task analyses for thyroidectomy were performed with semistructured interviews of experts in thyroid surgery. Verbal data were transcribed verbatim, coded, and categorized according to themes that were synthesized into a list of items. Once qualitative data reached saturation, 26 experts were invited to complete 2-round online Delphi surveys to rank each item on a Likert scale of importance (1–7). Consensus was predefined as a Cronbach's α ≥ 0.80.
sSec_3">Results
spara0020">Sixty items were synthesized from 5 interviews and categorized into 8 sections: preparation (n = 8), incision/exposure (n = 11), general considerations (n = 4), middle thyroid vein (n = 1), superior pole (n = 5), inferior pole (n = 5), posterolateral dissection (n = 19), and closure (n = 7). Eighteen (69%) experts from 3 countries participated in the Delphi survey. Consensus was achieved after 2 voting rounds (Cronbach's α = 0.95). Greatest weighted sections included “Superior Pole Dissection” and “Posterolateral Dissection.”
sSec_4">Conclusion
spara0025">Consensus was achieved on defining the most important competencies for safe thyroidectomy. This blueprint serves as the basis for instructional design and objective assessment tools to evaluate performance.