A Modified Delphi Study for Development of a Pediatric Curriculum for Emergency Medicine Residents

AbstractObjectivesThe application of evidence-informed practice in emergency medicine (EM) is critical to improve the quality of patient care. EM is a specialty with a broad knowledge base making it daunting for a junior resident to know where to begin the acquisition of evidence-based knowledge. Our study’s objective was to formulate a list of “top papers” in the field of EM using a Delphi approach to achieve an expert consensus.MethodsParticipants were recruited from all 14 specialty EM programs across Canada by a nomination process by the program directors. The modified Delphi survey consisted of three study rounds, each round sent out via email. The study tool was piloted first with McMaster University’s specialty EM residents. During the first round, participants individually listed top papers relevant to EM. During the two subsequent rounds, participants ranked the papers listed in the first round, with a chance to adjust ranking based on group responses.ResultsA total of eight EM specialty programs responded with 30 responses across the three rounds. There were 119 studies suggested in the first round, and, by the third round, a consensus of>70% agreement was reached to generate the final list of 29 studies.ConclusionsWe produced, via an expert consensus, a list of top studies relevant for Canadian EM physicians in training. It can be used as an educational resource for junior residents as they transition into practice.

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A European Research Agenda for Geriatric Emergency Medicine: a modified Delphi study

European Geriatric Medicine ◽

10.1007/s41999-020-00426-8 ◽

2020 ◽

Author(s):

Simon P. Mooijaart ◽

Christian H. Nickel ◽

Simon P. Conroy ◽

Jacinta A. Lucke ◽

Lisa S. van Tol ◽

...

Keyword(s):

Emergency Medicine ◽

Delphi Study ◽

Research Agenda ◽

Online Survey ◽

Future Research ◽

European Research ◽

Modified Delphi ◽

Delphi Approach ◽

Research Questions ◽

Geriatric Emergency Medicine

Abstract Purpose Geriatric Emergency Medicine (GEM) focuses on delivering optimal care to (sub)acutely ill older people. This involves a multidisciplinary approach throughout the whole healthcare chain. However, the underpinning evidence base is weak and it is unclear which research questions have the highest priority. The aim of this study was to provide an inventory and prioritisation of research questions among GEM professionals throughout Europe. Methods A two-stage modified Delphi approach was used. In stage 1, an online survey was administered to various professionals working in GEM both in the Emergency Department (ED) and other healthcare settings throughout Europe to make an inventory of potential research questions. In the processing phase, research questions were screened, categorised, and validated by an expert panel. Subsequently, in stage 2, remaining research questions were ranked based on relevance using a second online survey administered to the same target population, to identify the top 10 prioritised research questions. Results In response to the first survey, 145 respondents submitted 233 potential research questions. A total of 61 research questions were included in the second stage, which was completed by 176 respondents. The question with the highest priority was: Is implementation of elements of CGA (comprehensive geriatric assessment), such as screening for frailty and geriatric interventions, effective in improving outcomes for older patients in the ED? Conclusion This study presents a top 10 of high-priority research questions for a European Research Agenda for Geriatric Emergency Medicine. The list of research questions may serve as guidance for researchers, policymakers and funding bodies in prioritising future research projects.

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Recommendations to improve the harmonisation of colorectal cancer cell percentage estimation in molecular oncology: a modified Delphi study

10.26226/morressier.5b4709886f4cb3001095199e ◽

2018 ◽

Author(s):

Kelly Dufraing ◽

Anca Oniscu ◽

Caterina Marchiò

Keyword(s):

Colorectal Cancer ◽

Cancer Cell ◽

Delphi Study ◽

Colorectal Cancer Cell ◽

Modified Delphi ◽

Molecular Oncology ◽

Cell Percentage

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European List of Essential Medicines for Medical Education: a protocol for a modified Delphi study

BMJ Open ◽

10.1136/bmjopen-2020-045635 ◽

2021 ◽

Vol 11 (5) ◽

pp. e045635

Author(s):

Erik Donker ◽

David Brinkman ◽

Milan Richir ◽

Paraskevi Papaioannidou ◽

Robert Likic ◽

...

Keyword(s):

Medical Education ◽

Delphi Study ◽

Medical Training ◽

Medical Center ◽

European Countries ◽

Essential Medicines ◽

Ethical Review ◽

Junior Doctors ◽

Direct Supervision ◽

Modified Delphi

IntroductionJunior doctors are responsible for a substantial number of prescribing errors, and final-year medical students lack sufficient prescribing knowledge and skills just before they graduate. Various national and international projects have been initiated to reform the teaching of clinical pharmacology and therapeutics (CP&T) during undergraduate medical training. However, there is as yet no list of commonly prescribed and available medicines that European doctors should be able to independently prescribe safely and effectively without direct supervision. Such a list could form the basis for a European Prescribing Exam and would harmonise European CP&T education. Therefore, the aim of this study is to reach consensus on a list of widely prescribed medicines, available in most European countries, that European junior doctors should be able to independently prescribe safely and effectively without direct supervision: the European List of Essential Medicines for Medical Education.Methods and analysisThis modified Delphi study will recruit European CP&T teachers (expert group). Two Delphi rounds will be carried out to enable a list to be drawn up of medicines that are available in ≥80% of European countries, which are considered standard prescribing practice, and which junior doctors should be able to prescribe safely and effectively without supervision.Ethics and disseminationThe study has been approved by the Medical Ethics Review Committee of VU University Medical Center (no. 2020.335) and by the Ethical Review Board of the Netherlands Association for Medical Education (approved project no. NVMO‐ERB 2020.4.8). The European List of Essential Medicines for Medical Education will be presented at national and international conferences and will be submitted to international peer-reviewed journals. It will also be used to develop and implement the European Prescribing Exam.

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Barriers and facilitators to the implementation of interventions for medically unexplained symptoms in primary care: A modified Delphi study

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2021.110386 ◽

2021 ◽

Vol 143 ◽

pp. 110386

Author(s):

Denise J.C. Hanssen ◽

Anika Ras ◽

Judith G.M. Rosmalen

Keyword(s):

Primary Care ◽

Delphi Study ◽

Medically Unexplained Symptoms ◽

Barriers And Facilitators ◽

Modified Delphi ◽

Medically Unexplained ◽

Unexplained Symptoms

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Expert Consensus on Clinical Application of Lateral Lumbar Interbody Fusion: Results From a Modified Delphi Study

Global Spine Journal ◽

10.1177/21925682211012688 ◽

2021 ◽

pp. 219256822110126

Author(s):

Yong Hai ◽

Jingwei Liu ◽

Yuzeng Liu ◽

Tie Liu ◽

Xinuo Zhang ◽

...

Keyword(s):

Lumbar Spine ◽

Delphi Method ◽

Delphi Study ◽

Interbody Fusion ◽

Expert Consensus ◽

Lumbar Spine Surgery ◽

Study Group ◽

Lumbar Interbody Fusion ◽

Modified Delphi ◽

Chinese Study

Study Design: Modified Delphi study. Objective: The objective of this study was to establish expert consensus on the application of lateral lumbar interbody fusion (LLIF) by using the modified Delphi study. Methods: From June 2019 to March 2020, Members of the Chinese Study Group for Lateral Lumbar Spine Surgery were selected to collect expert feedback using the modified Delphi method where 65 spine surgeons from all over China agreed to participate. Four rounds were performed: 1 face-to-face meeting and 3 subsequent survey rounds. The consensus was achieved with ≥a 70.0% agreement for each question. The recommendation of grade A was defined as ≥90.0% of the agreement for each question. The recommendation of grade B was defined as 80.0-89.9% of the agreement for each question. The recommendation of grade C was defined as 70.0-79.9% of the agreement for each question. Results: A total of 65 experts formed a panelist group, and the number of questionnaires collected was 63, 59, and 62 in the 3 rounds. In total, 5 sections, 71 questions, and 382 items achieved consensus after the Delphi rounds including summary; preoperative evaluation; application at the lumbar spinal stenosis, lumbar disc herniation, lumbar spondylolisthesis, adult degenerative scoliosis, postoperative adjacent segmental degeneration, and revision surgery; complications; and postoperative follow-up evaluation of LLIF. Conclusion: The modified Delphi method was utilized to ascertain an expert consensus from the Chinese Study Group for Lateral Lumbar Spine Surgery to inform clinical decision-making in the application of LLIF. The salient grade A recommendations of the survey are enumerated.

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