Abstract
Objective: There is growing awareness of the need to provide surgical residents with training in quality and safety. Previous studies have revealed a need for a formal curriculum, but the content and structure of such a curriculum has not been defined. Our objective was to develop a surgery resident curriculum using a consensus, team-building approach. Design: This study consisted of moderated, structured focus groups using a nominal group technique to guide discussion. Participants generated rank lists of topics to be included and answered questions regarding structure and design of teaching and assessment modalities. SETTING: Two separate focus groups among 9 surgical residents and 10 faculty experts in quality and safety were held in conjunction with the American College of Surgeons Quality and Safety Conference in July 2017. A total of 16 institutions were represented. RESULTS: A total of 35 topics were initially proposed by the resident group and a total of 41 topics were proposed by the expert group. After discussion, each group reached consensus on a final list of 9 topics. Most topics in the final lists fell into the broad areas of improvement science and nontechnical skills. Residents indicated that most topics were, on average, poorly covered by their current training program, however, a wide range was noted within each topic. Faculty indicated a preference for didactic instructional methods and assessment using multiple-choice questions. CONCLUSIONS: Quality and safety are integral components of surgical training. Learners and experts agreed that topics within the domains of improvement science and nontechnical skills should be included in a formal curriculum. Learners reported wide variation on how well these topics are currently included in graduate medical education training programs.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 795-801 |
| Number of pages | 7 |
| Journal | Journal of Surgical Education |
| Volume | 76 |
| Issue number | 3 |
| DOIs | |
| State | Published - May 1 2019 |
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Keywords
- ACS, American College of Surgeons
- CLER, Clinical Learning Environment Review
- GME, graduate medical education
- General surgery
- Graduate medical education
- NGT, nominal group technique
- NSQIP, National Surgical Quality Improvement Program
- Patient safety
- Practice-Based Learning and Improvement
- QITI, Quality In Training Initiative
- QS, quality and safety
- Quality improvement
- Systems-Based Practice
ASJC Scopus subject areas
- Surgery
- Education
Cite this
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Defining the Content for a Quality and Safety in Surgery Curriculum Using a Nominal Group Technique. / Kelz, Rachel R.; Sellers, Morgan M.; Merkow, Ryan Patrick; Aggarwal, Rajesh; Ko, Clifford Y.
In: Journal of Surgical Education, Vol. 76, No. 3, 01.05.2019, p. 795-801.Research output: Contribution to journal › Article
TY - JOUR
T1 - Defining the Content for a Quality and Safety in Surgery Curriculum Using a Nominal Group Technique
AU - Kelz, Rachel R.
AU - Sellers, Morgan M.
AU - Merkow, Ryan Patrick
AU - Aggarwal, Rajesh
AU - Ko, Clifford Y.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Objective: There is growing awareness of the need to provide surgical residents with training in quality and safety. Previous studies have revealed a need for a formal curriculum, but the content and structure of such a curriculum has not been defined. Our objective was to develop a surgery resident curriculum using a consensus, team-building approach. Design: This study consisted of moderated, structured focus groups using a nominal group technique to guide discussion. Participants generated rank lists of topics to be included and answered questions regarding structure and design of teaching and assessment modalities. SETTING: Two separate focus groups among 9 surgical residents and 10 faculty experts in quality and safety were held in conjunction with the American College of Surgeons Quality and Safety Conference in July 2017. A total of 16 institutions were represented. RESULTS: A total of 35 topics were initially proposed by the resident group and a total of 41 topics were proposed by the expert group. After discussion, each group reached consensus on a final list of 9 topics. Most topics in the final lists fell into the broad areas of improvement science and nontechnical skills. Residents indicated that most topics were, on average, poorly covered by their current training program, however, a wide range was noted within each topic. Faculty indicated a preference for didactic instructional methods and assessment using multiple-choice questions. CONCLUSIONS: Quality and safety are integral components of surgical training. Learners and experts agreed that topics within the domains of improvement science and nontechnical skills should be included in a formal curriculum. Learners reported wide variation on how well these topics are currently included in graduate medical education training programs.
AB - Objective: There is growing awareness of the need to provide surgical residents with training in quality and safety. Previous studies have revealed a need for a formal curriculum, but the content and structure of such a curriculum has not been defined. Our objective was to develop a surgery resident curriculum using a consensus, team-building approach. Design: This study consisted of moderated, structured focus groups using a nominal group technique to guide discussion. Participants generated rank lists of topics to be included and answered questions regarding structure and design of teaching and assessment modalities. SETTING: Two separate focus groups among 9 surgical residents and 10 faculty experts in quality and safety were held in conjunction with the American College of Surgeons Quality and Safety Conference in July 2017. A total of 16 institutions were represented. RESULTS: A total of 35 topics were initially proposed by the resident group and a total of 41 topics were proposed by the expert group. After discussion, each group reached consensus on a final list of 9 topics. Most topics in the final lists fell into the broad areas of improvement science and nontechnical skills. Residents indicated that most topics were, on average, poorly covered by their current training program, however, a wide range was noted within each topic. Faculty indicated a preference for didactic instructional methods and assessment using multiple-choice questions. CONCLUSIONS: Quality and safety are integral components of surgical training. Learners and experts agreed that topics within the domains of improvement science and nontechnical skills should be included in a formal curriculum. Learners reported wide variation on how well these topics are currently included in graduate medical education training programs.
KW - ACS, American College of Surgeons
KW - CLER, Clinical Learning Environment Review
KW - GME, graduate medical education
KW - General surgery
KW - Graduate medical education
KW - NGT, nominal group technique
KW - NSQIP, National Surgical Quality Improvement Program
KW - Patient safety
KW - Practice-Based Learning and Improvement
KW - QITI, Quality In Training Initiative
KW - QS, quality and safety
KW - Quality improvement
KW - Systems-Based Practice
UR - http://www.scopus.com/inward/record.url?scp=85056728418&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056728418&partnerID=8YFLogxK
U2 - 10.1016/j.jsurg.2018.10.005
DO - 10.1016/j.jsurg.2018.10.005
M3 - Article
C2 - 30466885
AN - SCOPUS:85056728418
VL - 76
SP - 795
EP - 801
JO - Journal of Surgical Education
JF - Journal of Surgical Education
SN - 1931-7204
IS - 3
ER -