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KMID : 1033220230130020058
Journal of Acute Care Surgery
2023 Volume.13 No. 2 p.58 ~ p.65
Delphi Method Consensus-Based Identification of Primary Trauma Care Skills Required for General Surgeons in Japan
Kazuyuki Hirose

Soichi Murakami
Yo Kurashima
Nagato Sato
Saseem Poudel
Kimitaka Tanaka
Koh Myeong-Seok
Yoshitsugu Nakanishi
Toshimichi Asano
Takehiro Noji
Yuma Ebihara
Toru Nakamura
Takahiro Tsuchikawa
Hosein Rafiemanesh
Kazufumi Okada
Isao Yokota
Naoto Hasegawa
Zsolt Demetrovics
Abstract
Purpose : General surgeons at regional hospitals should have the primary trauma care skills necessary to treat critically ill trauma patients to withstand transfer. This study was conducted to identify a consensus on primary trauma care skills for general surgeons.

Methods : An initial list of acute care surgical skills was compiled, and revised by six trauma experts (acute care surgeons); 33 skills were nominated for inclusion in the Delphi consensus survey. Participants (councilors of the Japanese Society for Acute Care Surgery) were presented with the list of 33 trauma care skills and were asked (using web-based software) to rate how strongly they agreed or disagreed (using a 5-point Likert scale) with the necessity of each skill for a general surgeon. The reliability of consensus was predefined as Cronbach¡¯s ¥á ¡Ã 0.8, and trauma care skills were considered as primarily required when rated 4 (agree) or 5 (strongly agree) by ¡Ã 80% participants.

Results : There were 117 trauma care specialists contacted to participate in the Delphi consensus survey panel. In the 1st round, 85 specialists participated (response rate: 72.6%). In the 2nd round, 66 specialists participated (response rate: 77.6%). Consensus was achieved after two rounds, reliability using Cronbach¡¯s ¥á was 0.94, and 34 items were identified as primary trauma care skills needed by general surgeons.

Conclusion : A consensus-based list of trauma care skills required by general surgeons was developed. This list can facilitate the development of a new trauma training course which has been optimized for general surgeons.
KEYWORD
Delphi method, surgeons, surgery, training, trauma
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