Background

In general surgery residency, hepatobiliary training varies significantly across the world. The aim of this study was to establish an international consensus among hepatobiliary surgeons on components of a hepatobiliary curriculum for general surgery residents.

Methods

A three-round modified Delphi technique was employed. Fifty-two hepatobiliary surgeons involved in general surgery training programs were invited. An initial questionnaire was developed by a group of experts in hepatobiliary and educational research after a systematic literature review. It comprised 90 statements about knowledge, technical skills, attitudes, and postoperative care. Panelists could add or alter items. The survey was delivered electronically and the panel was instructed to score the items based on 5-point Likert scale. Consensus was reached when at least 80% of panelists agreed on a statement with Cronbach's alpha value >0.8.

Results

Forty-one (79%) experts have participated. Sixteen panelists are based in Asia, 14 in Europe, and 11 in the Americas. Eighty percent of all proposed skills (81/101) were considered fundamental including knowledge (39/43), technical skills (16/32), attitude (15/15), and postoperative care (11/11).

Conclusion

An international consensus was achieved on components of a hepatobiliary curriculum. Acquiring broad knowledge is fundamental during residency. Advanced liver resection techniques require specialized hepatobiliary training.

中文翻译：

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普通外科住院医师肝胆外科课程的关键组成部分：FULCRUM 国际德尔菲共识的结果。

背景

在普通外科住院医师中，肝胆训练在世界范围内差异很大。本研究的目的是在肝胆外科医生之间就普通外科住院医师肝胆课程的组成部分达成国际共识。

方法

采用了三轮改进的德尔菲技术。邀请了52名参与普外科培训项目的肝胆外科医生。在系统地查阅文献后，由肝胆和教育研究专家小组制定了一份初步问卷。它包括 90 条关于知识、技术技能、态度和术后护理的陈述。小组成员可以添加或更改项目。调查以电子方式进行，并指示小组根据李克特 5 点量表对项目进行评分。当至少 80% 的小组成员同意 Cronbach α 值 >0.8 的声明时，就达成了共识。

结果

四十一名 (79%) 专家参加了会议。16 名小组成员在亚洲，14 名在欧洲，11 名在美洲。80% 的拟议技能 (81/101) 被认为是基本技能，包括知识 (39/43)、技术技能 (16/32)、态度 (15/15) 和术后护理 (11/11)。

结论

就肝胆课程的组成部分达成了国际共识。获得广泛的知识是居住期间的基础。先进的肝切除技术需要专门的肝胆培训。