TY - JOUR

T1 - Diagnostic flexible pharyngo-laryngoscopy

T2 - development of a procedure specific assessment tool using a Delphi methodology

AU - Melchiors, Jacob

AU - Henriksen, Mikael Johannes Vuokko

AU - Dikkers, Frederik G.

AU - Gavilán, Javier

AU - Noordzij, J. Pieter

AU - Fried, Marvin P.

AU - Novakovic, Daniel

AU - Fagan, Johannes

AU - Charabi, Birgitte W.

AU - Konge, Lars

AU - von Buchwald, Christian

PY - 2018

Y1 - 2018

N2 - Purpose: Proper training and assessment of skill in flexible pharyngo-laryngoscopy are central in the education of otorhinolaryngologists. To facilitate an evidence-based approach to curriculum development in this field, a structured analysis of what constitutes flexible pharyngo-laryngoscopy is necessary. Our aim was to develop an assessment tool based on this analysis. Methods: We conducted an international Delphi study involving experts from twelve countries in five continents. Utilizing reiterative assessment, the panel defined the procedure and reached consensus (defined as 80% agreement) on the phrasing of an assessment tool. Results: Fifty panelists completed the Delphi process. The median age of the panelists was 44 years (range 33–64 years). Median experience in otorhinolaryngology was 15 years (range 6–35 years). Twenty-five were specialized in laryngology, 16 were head and neck surgeons, and nine were general otorhinolaryngologists. An assessment tool was created consisting of twelve distinct items.: Conclusion The gathering of validity evidence for assessment of core procedural skills within Otorhinolaryngology is central to the development of a competence-based education. The use of an international Delphi panel allows for the creation of an assessment tool which is widely applicable and valid. This work allows for an informed approach to technical skills training for flexible pharyngo-laryngoscopy and as further validity evidence is gathered allows for a valid assessment of clinical performance within this important skillset.

AB - Purpose: Proper training and assessment of skill in flexible pharyngo-laryngoscopy are central in the education of otorhinolaryngologists. To facilitate an evidence-based approach to curriculum development in this field, a structured analysis of what constitutes flexible pharyngo-laryngoscopy is necessary. Our aim was to develop an assessment tool based on this analysis. Methods: We conducted an international Delphi study involving experts from twelve countries in five continents. Utilizing reiterative assessment, the panel defined the procedure and reached consensus (defined as 80% agreement) on the phrasing of an assessment tool. Results: Fifty panelists completed the Delphi process. The median age of the panelists was 44 years (range 33–64 years). Median experience in otorhinolaryngology was 15 years (range 6–35 years). Twenty-five were specialized in laryngology, 16 were head and neck surgeons, and nine were general otorhinolaryngologists. An assessment tool was created consisting of twelve distinct items.: Conclusion The gathering of validity evidence for assessment of core procedural skills within Otorhinolaryngology is central to the development of a competence-based education. The use of an international Delphi panel allows for the creation of an assessment tool which is widely applicable and valid. This work allows for an informed approach to technical skills training for flexible pharyngo-laryngoscopy and as further validity evidence is gathered allows for a valid assessment of clinical performance within this important skillset.

KW - Assessment tool

KW - Delphi-study

KW - Education

KW - Flexible laryngoscopy

KW - Technical skills

U2 - 10.1007/s00405-018-4904-9

DO - 10.1007/s00405-018-4904-9

M3 - Journal article

C2 - 29442164

AN - SCOPUS:85041916678

VL - 275

SP - 1319

EP - 1325

JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

SN - 0942-8992

IS - 5

ER -