Diagnostic flexible pharyngo-laryngoscopy: development of a procedure specific assessment tool using a Delphi methodology
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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.
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.
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.
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.
KeywordsFlexible laryngoscopy Delphi-study Assessment tool Education Technical skills
The participants of the Delphi panel who gave their time and knowledge to this project (listed in Appendix 1). Our esteemed colleagues Aaltonen LM, Weinstein G, Wei WI who provided invaluable assistance in the recruitment of the panel.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflicts of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
- 2.Regionernes Lønnings- og Takstnævn (2015) Danske Reg [Internet]. http://www.rltn.dk
- 3.Sethi RKV, Kozin ED, Remenschneider AK, Lee DJ, Gray ST, Shrime MG et al (2014) Subspecialty emergency room as alternative model for otolaryngologic care: implications for emergency health care delivery. Am J Otolaryngol Head Neck Surg 35:758–765Google Scholar
- 4.Couch ME (2010) Cummings otolaryngology—head and neck surgery, Fifth Edit. Cummings Otolaryngology Head and Neck Surgery. Copyright © 2010, 2005, 1998, 1993, 1986 by Mosby, Inc. All Rights Reserved, pp 93–107Google Scholar
- 25.Madani A, Watanabe Y, Vassiliou M, Feldman LS, Duh QY, Singer MC et al (2016) Defining competencies for safe thyroidectomy: an international Delphi consensus. Surg (United States) 159(1):86–101Google Scholar
- 27.Downing S, Yudkowsky R (2009) Assessment in health professions education. Routledge, New YorkGoogle Scholar
- 29.Tolsgaard MG, Todsen T, Sorensen JL, Ringsted C, Lorentzen T, Ottesen B et al (2013) International multispecialty consensus on how to evaluate ultrasound competence: a Delphi Consensus Survey. PLoS One 8(2):e57687. https://doi.org/10.1371/journal.pone.0057687 CrossRefPubMedPubMedCentralGoogle Scholar