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Key Components of a Hepatobiliary Surgery Curriculum for General Surgery Residents: Results of the Fulcrum International Delphi Consensus Publisher Pubmed



Rashidian N1, 2 ; Willaert W1, 2 ; Van Herzeele I1, 3 ; Morise Z4 ; Alseidi A5 ; Troisi RI1, 6, 7 ; Alabbad S8 ; Doyle MB9 ; Bricenodelgado J10 ; Calise F11 ; Ceppa EP12 ; Chen KH13 ; Cherqui D14 ; Cheung TT15 Show All Authors
Authors
  1. Rashidian N1, 2
  2. Willaert W1, 2
  3. Van Herzeele I1, 3
  4. Morise Z4
  5. Alseidi A5
  6. Troisi RI1, 6, 7
  7. Alabbad S8
  8. Doyle MB9
  9. Bricenodelgado J10
  10. Calise F11
  11. Ceppa EP12
  12. Chen KH13
  13. Cherqui D14
  14. Cheung TT15
  15. Lin CCW16
  16. Cleary S17
  17. David Kwon CH18
  18. Dominguezrosado I19
  19. Ferrero A20
  20. Warner SG21
  21. Grazi GL22
  22. Hammill C9
  23. Han HS23
  24. Hansen P24
  25. Helton S25
  26. Itano O26
  27. Jafarian A27
  28. Jeyarajah R28
  29. Kaneko H29
  30. Kato Y30
  31. Kubo S31
  32. Li J32
  33. Lucidi V33
  34. Majno P34
  35. Maynard E35
  36. Montalti R36
  37. Nadalin S37
  38. Nitta H38
  39. Otsuka Y39
  40. Rotellar F40
  41. Samstein B41
  42. Soubrane O42
  43. Sugioka A30
  44. Tanabe M43
  45. Torzilli G44
  46. Vanlander A45
  47. Wakabayashi G46

Source: HPB Published:2020


Abstract

Background: In general surgery residency, hepatobiliary training varies significantly across the world. The aim of this study was to establish an international consensus among hepatobiliary surgeons on components of a hepatobiliary curriculum for general surgery residents. Methods: A three-round modified Delphi technique was employed. Fifty-two hepatobiliary surgeons involved in general surgery training programs were invited. An initial questionnaire was developed by a group of experts in hepatobiliary and educational research after a systematic literature review. It comprised 90 statements about knowledge, technical skills, attitudes, and postoperative care. Panelists could add or alter items. The survey was delivered electronically and the panel was instructed to score the items based on 5-point Likert scale. Consensus was reached when at least 80% of panelists agreed on a statement with Cronbach's alpha value >0.8. Results: Forty-one (79%) experts have participated. Sixteen panelists are based in Asia, 14 in Europe, and 11 in the Americas. Eighty percent of all proposed skills (81/101) were considered fundamental including knowledge (39/43), technical skills (16/32), attitude (15/15), and postoperative care (11/11). Conclusion: An international consensus was achieved on components of a hepatobiliary curriculum. Acquiring broad knowledge is fundamental during residency. Advanced liver resection techniques require specialized hepatobiliary training. © 2020 International Hepato-Pancreato-Biliary Association Inc.
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