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Key Components of a Hepatobiliary Surgery Curriculum for General Surgery Residents: Results of the Fulcrum International Delphi Consensus Publisher Pubmed



Rashidian N1, 2 ; Willaert W1, 2 ; Van Herzeele I1, 3 ; Morise Z4 ; Alseidi A5 ; Troisi RI1, 6, 7 ; Alabbad S8 ; Doyle MB9 ; Bricenodelgado J10 ; Calise F11 ; Ceppa EP12 ; Chen KH13 ; Cherqui D14 ; Cheung TT15 Show All Authors
Authors
  1. Rashidian N1, 2
  2. Willaert W1, 2
  3. Van Herzeele I1, 3
  4. Morise Z4
  5. Alseidi A5
  6. Troisi RI1, 6, 7
  7. Alabbad S8
  8. Doyle MB9
  9. Bricenodelgado J10
  10. Calise F11
  11. Ceppa EP12
  12. Chen KH13
  13. Cherqui D14
  14. Cheung TT15
  15. Lin CCW16
  16. Cleary S17
  17. David Kwon CH18
  18. Dominguezrosado I19
  19. Ferrero A20
  20. Warner SG21
  21. Grazi GL22
  22. Hammill C9
  23. Han HS23
  24. Hansen P24
  25. Helton S25
  26. Itano O26
  27. Jafarian A27
  28. Jeyarajah R28
  29. Kaneko H29
  30. Kato Y30
  31. Kubo S31
  32. Li J32
  33. Lucidi V33
  34. Majno P34
  35. Maynard E35
  36. Montalti R36
  37. Nadalin S37
  38. Nitta H38
  39. Otsuka Y39
  40. Rotellar F40
  41. Samstein B41
  42. Soubrane O42
  43. Sugioka A30
  44. Tanabe M43
  45. Torzilli G44
  46. Vanlander A45
  47. Wakabayashi G46
Show Affiliations
Authors Affiliations
  1. 1. Department of Human Structure and Repair, Ghent University Faculty of Medicine, Belgium
  2. 2. Department of Gastrointestinal Surgery, Ghent University Hospital, Belgium
  3. 3. Department of Thoracic and Vascular Surgery, Ghent University Hospital, Belgium
  4. 4. Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan
  5. 5. Division of Pancreas, Liver and Biliary Surgery, Virginia Mason Medical Center, Seattle, United States
  6. 6. Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
  7. 7. Organ Transplant Center, King Faisal Specialist Hospital and Research Center and Al Faisal University, Riyadh, Saudi Arabia
  8. 8. King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
  9. 9. Washington University School of Medicine, St. Louis, United States
  10. 10. Reina Sofia University Hospital, Cordoba, Spain
  11. 11. Pineta Grande Hospital, Castel Volturno, Italy
  12. 12. Indiana University School of Medicine, Indianapolis, United States
  13. 13. Far-Eastern Memorial Hospital, Taipei, Taiwan
  14. 14. Paul Brousse Hospital, Paris, France
  15. 15. The University of Hong Kong, Hong Kong
  16. 16. Too Foundation Sun Yet-Sen Cancer Center, Taipei, Taiwan
  17. 17. Mayo Clinic, Rochester, United States
  18. 18. Cleveland Clinic, Cleveland, United States
  19. 19. Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico
  20. 20. Ospedale Mauriziano Umberto I, Turin, Italy
  21. 21. City of Hope National Medical Center, CA, United States
  22. 22. IRCCS – Regina Elena National Cancer Institute, Rome, Italy
  23. 23. Seoul National University, Seoul, South Korea
  24. 24. Portland Providence Cancer Institute, Portland, United States
  25. 25. Virginia Mason Medical Center, Seattle, United States
  26. 26. International University of Health and Welfare, Chiba, Japan
  27. 27. Tehran University of Medical Sciences, Tehran, Iran
  28. 28. Methodist Richardson Medical Center, TX, United States
  29. 29. Toho University School of Medicine, Tokyo, Japan
  30. 30. Fujita Health University, Toyoake, Japan
  31. 31. Osaka City University Graduate School of Medicine, Osaka, Japan
  32. 32. University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  33. 33. Erasme University Hospital, Brussels, Belgium
  34. 34. Ente Ospedaliero Cantonale, Lugano, Switzerland
  35. 35. Oregon Health Science University, Portland, United States
  36. 36. Federico II University, Naples, Italy
  37. 37. University Hospital Tubingen, Tubingen, Germany
  38. 38. Iwate Medical University, Morioka, Japan
  39. 39. Toho University Faculty of Medicine, Tokyo, Japan
  40. 40. Clinica Universidad de Navarra, Pamplona, Spain
  41. 41. Weill Cornell Medical College, New York, United States
  42. 42. Beaujon Hospital, Paris, France
  43. 43. Tokyo Medical and Dental University, Tokyo, Japan
  44. 44. Humanitas University, Milan, Italy
  45. 45. Ghent University Hospital, Ghent, Belgium
  46. 46. Ageo Central General Hospital, Tokyo, Japan

Source: HPB Published:2020


Abstract

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. © 2020 International Hepato-Pancreato-Biliary Association Inc.