Modified Delphi Procedure to Achieve Consensus for the Concept of a National Curriculum for Minimally Invasive and Robot-assisted Surgery in Germany (GeRMIQ)

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Tobias Huber - , University Medical Center Mainz (Author)
  • Julia Weber - , University of Bonn Medical Center (Author)
  • Felix von Bechtolsheim - , Department of Visceral, Thoracic and Vascular Surgery (Author)
  • Sven Flemming - , University Hospital of Würzburg (Author)
  • Hans Friedrich Fuchs - , Uniklinik Köln (Author)
  • Marian Grade - , University Medical Center Göttingen (Author)
  • Richard Hummel - , Greifswald University Hospital (Author)
  • Christian Krautz - , University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Jessica Stockheim - , University Hospital Magdeburg (Author)
  • Michael Thomaschewski - , Universitätsklinikum Schleswig-Holstein - Campus Lübeck, University Hospital Schleswig-Holstein Campus Kiel (Author)
  • Dirk Wilhelm - , Klinikum Rechts der Isar (MRI TUM) (Author)
  • Jörg C Kalff - , University of Bonn Medical Center (Author)
  • Felix Nickel - , University Hospital Hamburg Eppendorf (Author)
  • Hanno Matthaei - , University of Bonn Medical Center (Author)

Abstract

Background The rapid development of minimally invasive surgery (MIS) and robot-assisted surgery (RAS) requires standardized training to ensure high-quality patient care. In Germany, there is currently a lack of a standardized curriculum that teaches these specialized skills. The aim of this study is to find a consensus for the development of a nationwide curriculum for MIS and RAS with the subsequent implementation of the consented content. Methods A modified Delphi process was used to reach consensus among national experts in MIS and RAS. The process included a literature review, an online survey and an expert conference. Results All 12 invited experts participated in the survey. They primarily achieved consensus on 73% and secondarily within the expert conference on 95 out of 122 questions (77.9 %). The preference for a basic curriculum as a foundation on which specialized modules can build on was particularly clear. The results support the development of an integrated curriculum for MIS and RAS that includes step-by-step training from theoretical knowledge via e-learning modules to practical skills in dry lab simulations and in the OR. Emphasis was placed on the need to promote clinical judgment and decision making through targeted assessment during the learning curve to ensure effective application of learned skills in clinical practice. There was also a consensus that training content must be aligned with learners' skill acquisition using objective performance assessments in line with the principle of proficiency-based progression (PBP). The continuous updating of the curriculum to keep it up to date with the latest technology was considered essential. Conclusion The study underlines the urgent need for a standardized training curriculum for MIS and RAS in Germany in order to increase patient safety and improve the quality of surgical care. There is broad expert consensus for the implementation of such a curriculum. It aims to ensure a contemporary and internationally competitive uniform quality of training and to increase the attractiveness of surgical training.

Details

Original languageEnglish
Pages (from-to)35-49
Number of pages15
JournalZentralblatt fur Chirurgie
Volume150
Issue number1
Publication statusPublished - Feb 2025
Peer-reviewedYes

External IDs

PubMedCentral PMC11798644
Scopus 85212551725

Keywords

ASJC Scopus subject areas

Keywords

  • Delphi process, consensus, curriculum, minimally invasive surgery, robot-assisted surgery