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Creation of a specialist core curriculum for the European Society for Sports traumatology, Knee surgery and Arthroscopy (ESSKA)

  • SPORTS TRAUMATOLOGY
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The European Society for Sports traumatology, Knee surgery and Arthroscopy (ESSKA) identified the need to develop a core curriculum for clinical specialists that work within the interest areas of ESSKA. A research-based approach was used to define a set of core competencies which could be used to map all of their educational activities, resources and development priorities. This paper describes the aims, development, results and implications of this competency-based core curriculum for orthopaedic conditions relevant to ESSKA members.

Methods

A Core Curriculum Working Group, with leaders and other experts representing the main specialist areas within ESSKA, reviewed existing curricula and the literature in their own specialist areas. Applying expert group methodology, they iteratively developed a draft list of 285 core competencies for Orthopedic specialists within 6 specialist areas of Knee, Shoulder, Foot/Ankle, Hip, Elbow/Forearm and Sports/Exercise. All ESSKA members were then asked to comment and rate the importance of these competencies, and the Working Group used these findings to critically review and refine the curriculum.

Results

The expert groups defined 56 competencies related to 10 Knee pathologies; 67 related to 15 Shoulder pathologies; 45 related to 9 Foot/Ankle pathologies; 41 related to 6 Hip pathologies; and 34 related to 12 Elbow/Forearm pathologies and 42 related to 8 Sports/Exercise pathologies. Survey respondent mean ratings were at least ‘Important’ for all competencies, and the Working Group used these results to separate the competencies into three levels of importance.

Conclusion

A competency-based core curriculum for Orthopedic specialists was achieved through a systematic and scholarly approach, involving both expert opinion and engagement of the wider ESSKA membership, identifying 285 treatment competencies in 6 specialist areas. It is now being used to guide educational and strategic development for ESSKA and should also be of interest to the wider orthopedic and sports medicine communities.

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References

  1. (AOSSM) TAOSfSM (2000) Educational curriculum. https://www.sportsmed.org/AOSSMIMIS/members/downloads/education/educational-curriculum.pdf

  2. (BOA) (2018) Specialist training in trauma and orthopaedics curriculum. https://www.gmc-uk.org/education/standards-guidance-and-curricula/curricula/trauma-and-orthopaedic-surgery-curriculum

  3. (ESSKA) (2020) ESSKA Academy. https://academy.esska.org/esska. 2015

  4. (RCPSC) C (2020) Orthopedic surgery competencies. https://www.royalcollege.ca/rcsite/documents/ibd/orthopedic-surgery-competencies-e.pdf

  5. Cumming A, Ross M (2007) The tuning project for medicine—learning outcomes for undergraduate medical education in Europe. Med Teach 29(7):636–641

    Article  Google Scholar 

  6. de Girolamo L, Dejour D, Lind M, Karlsson J, Seil R (2020) Surgical competence, research and evidence-based medicine (EBM) in orthopaedic surgery: what the ESSKA is doing to bring it all together. Knee Surg Sports Traumatol Arthrosc 28(2):335–338

    Article  Google Scholar 

  7. Frank JR, Snell L, Englander R, Holmboe ES, Collaborators I (2017) Implementing competency-based medical education: moving forward. Med Teach 39(6):568–573

    Article  Google Scholar 

  8. Harden RM (1986) Approaches to curriculum planning. Med Educ 20(5):458–466

    Article  CAS  Google Scholar 

  9. Jeschke E, Gehrke T, Gunster C, Hassenpflug J, Malzahn J, Niethard FU, Schrader P, Zacher J, Halder A (2016) Five-year survival of 20,946 unicondylar knee replacements and patient risk factors for failure: an analysis of German insurance data. J Bone Joint Surg Am 98(20):1691–1698

    Article  Google Scholar 

  10. Kay J, Memon M, Rogozinsky J, de Sa D, Simunovic N, Seil R, Karlsson J, Ayeni OR (2017) The rate of publication of free papers at the 2008 and 2010 European Society of Sports Traumatology Knee Surgery and Arthroscopy congresses. J Exp Orthop 4(1):15

    Article  Google Scholar 

  11. Kay J, Memon M, Rogozinsky J, Simunovic N, Seil R, Karlsson J, Ayeni OR (2017) Level of evidence of free papers presented at the European Society of Sports Traumatology, Knee Surgery and Arthroscopy congress from 2008 to 2016. Knee Surg Sports Traumatol Arthrosc 25(2):602–607

    Article  Google Scholar 

  12. Lugano G, Gianola S, Castellini G, Banfi G, Seil R, Denti M, de Girolamo L (2020) Evidence-Based Medicine (EBM) is properly perceived but its application is still limited in the orthopedic clinical practice: an online survey among the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) members. Knee Surg Sports Traumatol Arthrosc 28(5):1665–1672

    Article  CAS  Google Scholar 

  13. Massard G, Tabin N, Konge L, Frick AE, Batirel H, Brunelli A, Elia S, Huertgen M, Molins L, Papagiannopoulos K, Subotic D, van Schil P, Varela G, van Raemdonck D (2020) Training curriculum for European thoracic surgeons: a joint initiative of the European Society of Thoracic Surgeons and the European Respiratory Society. Eur J Cardiothorac Surg 57(3):418–421

    Article  Google Scholar 

  14. McLintock C, Pabinger I, Bauer KA, Laffan M, Angchaisuksiri P, Rezende SM, Middeldorp S, Ross M (2016) International Society on Thrombosis and Haemostasis core curriculum project: core competencies in clinical thrombosis and hemostasis. J Thromb Haemost 14(1):3–27

    Article  CAS  Google Scholar 

  15. Medicine. AOSfS (2000) AOSSM (2000) Educational curriculum. https://www.sportsmed.org/AOSSMIMIS/members/downloads/education/educational-curriculum.pdf

  16. Moffat KA, Kiencke V, Blanco AN, McLintock C, Peyvandi F, de Maat MPM, Adams MJ, Angchaisuksiri P, Nair S, Tsuda H, Haddad M, Renne T, Clark RC, Ross MT (2019) International Society on Thrombosis and Haemostasis core curriculum project: core competencies in laboratory thrombosis and hemostasis. J Thromb Haemost 17(11):1848–1859

    Article  Google Scholar 

  17. Nahmias J, Smith B, Grigorian A, Watson S, Saba T, Duong W, McRae D, Nguyen N, Dolich M (2020) Implementation of a high-value care curriculum for general surgery residents. J Surg Educ. https://doi.org/10.1016/j.jsurg.2020.03.006

    Article  PubMed  Google Scholar 

  18. Reznick RK, MacRae H (2006) Teaching surgical skills—changes in the wind. N Engl J Med 355(25):2664–2669

    Article  CAS  Google Scholar 

  19. Ross MT, Macrae C, Scott J, Renwick L, Moffat M, Needham G, Scott H, Shippey B, Jackson C, Edgar S, Aitken D, Evans P, Irvine S (2014) Core competencies in teaching and training for doctors in Scotland: a review of the literature and stakeholder survey. Med Teach 36(6):527–538

    Article  Google Scholar 

  20. Ross MT, Nikolic N, Peeraer G, Murt A, Kroica J, Elcin M, Hope D, Cumming AD (2014) Report of the MEDINE2 Bachelor of Medicine (Bologna First Cycle) tuning project. Med Teach 36(4):314–321

    Article  Google Scholar 

  21. Seil R (2019) Why ESSKA? On what it takes for orthopaedic surgeons and their scientific societies to adapt to societal changes in 2018. Knee Surg Sports Traumatol Arthrosc 27(3):665–672

    Article  Google Scholar 

  22. Cate OT, Chen HC, Hoff RG, Peters H, Bok H, van der Schaaf M (2015) Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99. Med Teach 37(11):983–1002

    Article  Google Scholar 

  23. UEMS (2017) Training requirements in orthopaedics and traumatology: European standards of postgraduate medical specialist training. Union Européenne des Médecins Spécialistes. . www.uems.eu/areas-of-expertise/postgraduate-training/european-standards-in-medical-training

  24. UEMS) E (2015) European curriculum in orthopaedics and trauma. https://www.efort.org/wp-content/uploads/2016/10/EEP_Curriculum.pdf

  25. Verhoeven BH, Verwijnen GM, Scherpbier AJ, van der Vleuten CP (2002) Growth of medical knowledge. Med Educ 36(8):711–717

    Article  CAS  Google Scholar 

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Acknowledgements

ESSKA administrative staff: Zhanna Kovalchuk, Joseph Ramesh, and Amanda Olsson. ESSKA Board: Mustafa Karahan, Hélder Pereira, Michael Hantes, Juan Carlos Monllau Garcia, David Dejour, Jacques Menetrey, Romain Seil, Martin Lind. Shoulder working group (Tom Ludvigsen, Emmanuel Antonogiannakis, Giuseppe Milano, Mustafa Karahan, Emmanuel Brilakis). Elbow and Wrist working group (Raul Barco, Michel Van de Bekerom, Paulo Arrigoni). Hip and Groin working group (Bent Lund, Nicolas Bonin, Filippo Randelli). Knee arthroscopy working group (Vincenzo Condello, Marco Bonomo, Romain Seil, Martin Lind). Degenerative Knee working group (Sufian Ahmad, Simon Donnell, Roland Becker). Foot and Ankle working group (Daniel Haverkamp, Ákos Kynsburg, Thomas Bauer, Hélder Pereira). Sports Medicine working group (Henrique Jones, Mike Carmont, Werner Krutsch, Jacques Menetrey)

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Authors and Affiliations

  1. Department of Orthopedics, Aarhus University Hospital, Palle Juul Jensens Boulevard 99, 8200, Aarhus N, Denmark

    Martin Lind

  2. Department of Orthopaedic Surgery, Centre Hospitalier de Luxembourg–Clinique d’ Eich, 8, rue d Eich, L-1460, Luxembourg, Luxembourg

    Romain Seil

  3. Luxembourg Institute of Health, 8, rue d Eich, L-1460, Luxembourg, Luxembourg

    Romain Seil

  4. Lyon-Ortho-Clinic–Clinique de la Sauvegarde, Bat B 29 Avenue des Sources, 69009, Lyon, France

    David Dejour

  5. Department of Orthopedics and Traumatology, Centre of Joint Replacement, Hospital Brandenburg, Medical School “Theodor Fontane”, Hochstrasse 2, 14770, Brandenburg/Havel, Germany

    Roland Becker

  6. Centre de Médecine du Sport et de I’Exercice, Swiss Olympic Medical Center, Hirslanden Clinique La Colline, Av. de la Roseraie 76B, CH-1206, Geneva, Switzerland

    Jacques Menetrey

  7. Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland

    Jacques Menetrey

  8. NHS Fife, Hayfield House, Hayfield Road, Kirkcaldy, KY2 5AH, UK

    Michael Ross

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  1. Martin Lind
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  3. David Dejour
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  4. Roland Becker
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Corresponding author

Correspondence to Martin Lind.

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Conflicts of Interest

ML, RS, RB, DD, JM are board members of ESSKA. MR is a payed scientific consultant for ESKKA.

Funding

The study was funded by ESSKA.

Ethical approval

The study is based on data from an ESSKA membership survey for which no ethical approval is needed.

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Lind, M., Seil, R., Dejour, D. et al. Creation of a specialist core curriculum for the European Society for Sports traumatology, Knee surgery and Arthroscopy (ESSKA). Knee Surg Sports Traumatol Arthrosc 28, 3066–3079 (2020). https://doi.org/10.1007/s00167-020-06210-2

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  • DOI: https://doi.org/10.1007/s00167-020-06210-2

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