Developing the 2020 Diabetes Care & Education Specialist Competencies: A Modified Delphi Study

Purpose The purpose of the study was to develop diabetes care and education specialty competencies that align with the Association of Diabetes Care & Education Specialists (ADCES). Method A Delphi method of consensus development was used, comprising 5 survey rounds. Interprofessional diabetes specialty experts were asked to identify and rate trends and issues important to diabetes specialists on a global scale. Use of a 5-round Delphi process allowed diabetes care and education specialty experts to refine their views considering the progress of the group’s work from round to round. Results A total of 457 diabetes care and education specialists across the United States in various professions participated in the Delphi rounds to identify a final set of 130 competencies across 6 domains. Conclusion Use of the Delphi method as a consensus guideline helped to identify core competencies for diabetes care and education specialists, reflecting the knowledge and skills necessary to provide evidence-based, high-quality care.

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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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Improving Risk Assessment for Transporting Dangerous Goods through European Road Tunnels: A Delphi Study

Systems ◽

10.3390/systems9040080 ◽

2021 ◽

Vol 9 (4) ◽

pp. 80

Author(s):

Marianna Kalogeraki ◽

Fani Antoniou

Keyword(s):

Risk Assessment ◽

Delphi Method ◽

Delphi Study ◽

Emergency Services ◽

Lessons Learned ◽

Quantitative Risk Assessment ◽

Modified Delphi ◽

Dangerous Goods ◽

Road Tunnels ◽

Open Road

Managing the transportation of dangerous goods (DG) through road tunnels is of great importance since it is associated with a serious risk of accidents. The consequences of an accident involving DG, especially in the closed tunnel environment, might be more significant and even more catastrophic compared to the same accident occurring on an open road. This article presents the Greek experience regarding the application of quantitative risk assessment (QRA) methods for the transportation of DG through Greek road tunnels. The modified Delphi method, with the participation of nine experts, is employed to investigate the obstacles to successfully conforming with the mandatory European Union regulatory framework that applies to transport operations within the Trans-European road network. Recommendations are made to improve the applied QRA approach, to facilitate the cooperation between tunnel managers and emergency services, to communicate lessons learned and to enhance the training of risk assessors.

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Preparing School and District Leaders for Success in Developing and Facilitating Integrative STEM in Higher Education

Journal of Research on Leadership Education ◽

10.1177/1942775120962148 ◽

2020 ◽

pp. 194277512096214

Author(s):

Rachel Louise Geesa ◽

Krista M. Stith ◽

Mary A. Rose

Keyword(s):

Higher Education ◽

Stem Education ◽

Professional Learning ◽

Delphi Study ◽

Educational Leaders ◽

The United States ◽

District Leaders ◽

Educational Leadership Programs ◽

Modified Delphi ◽

Development Objectives

Higher education institutions in the United States with graduate-level educational leadership programs traditionally do not offer professional learning opportunities in integrative STEM education. The objective of this paper is to share our journey to prepare and implement a course designed for P-12 educational leaders to build knowledge and skills to lead impactful integrative STEM programming. Results of the demand survey indicated a high amount of interest in an integrative STEM education course. Findings from interviews and the modified Delphi study informed our decisions for the development, objectives, assessments, and outcomes of the course to enhance integrative STEM culture in educational settings.

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Standardization of Syndrome Differentiation Defined by Traditional Chinese Medicine in Operative Breast Cancer: A Modified Delphi Study

The Scientific World JOURNAL ◽

10.1155/2015/820436 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 6

Author(s):

Qianqian Guo ◽

Qianjun Chen

Keyword(s):

Breast Cancer ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Delphi Method ◽

Delphi Study ◽

Literature Search ◽

Syndrome Differentiation ◽

Response Ratio ◽

Modified Delphi ◽

E Mail

Objective. The aim of this study was to establish the standardization of syndrome differentiation of operative breast cancer treated with Traditional Chinese Medicine (TCM) by the modified Delphi method.Method. A literature search for standardization of syndrome differentiation of operative breast cancer was conducted and eligible articles were identified in indexed databases from 1982 to 2013. We carried out two rounds of investigation between March and October 2013 and organized 20 experts who focused on TCM or integrative medicine in breast cancer research. Experts’ judgments were collectedviaposted questionnaires or e-mail. A final evaluation was carried out after the end of both rounds.Result. The response ratio of the 1st round investigation reached 100%, and two experts were excluded due to the uncompleted questionnaire. The 2nd round investigation was completed by 18 experts in the 1st round panel board. In both rounds, the experts agreed that the stage of breast cancer defined by TCM could be divided into the perioperation period, the perichemotherapy period, the periradiotherapy period, and the consolidation period.Conclusion. We identified the feasibility and reasonability to establish the standardization of syndrome differentiation of operative breast cancer. According to the suggestions from experts in our Delphi study, we preliminarily established the TCM standard of syndrome differentiation based on different treatment stages of operative breast cancer.

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Determining electrocardiography training priorities for medical students using a modified Delphi method

10.21203/rs.3.rs-68479/v2 ◽

2020 ◽

Author(s):

Charle Andre Viljoen ◽

Rob Scott Millar ◽

Kathryn Manning ◽

Vanessa Celeste Burch

Keyword(s):

Medical Students ◽

Delphi Method ◽

Delphi Study ◽

Delphi Technique ◽

Expert Panel ◽

Expert Consensus ◽

Modified Delphi ◽

Wide Range ◽

Life Threatening ◽

Curriculum Specialists

Abstract BackgroundAlthough electrocardiography is considered a core learning outcome for medical students, there is currently little curricular guidance for undergraduate ECG training. Owing to the absence of expert consensus on undergraduate ECG teaching, curricular content is subject to individual opinion. The aim of this modified Delphi study was to establish expert consensus amongst content and context experts on an ECG curriculum for medical students.MethodsThe Delphi technique, an established method of obtaining consensus, was used to develop an undergraduate ECG curriculum. Specialists involved in ECG teaching were invited to complete three rounds of online surveys. An undergraduate ECG curriculum was formulated from the topics of ECG instruction for which consensus (i.e. ≥75% agreement) was achieved. ResultsThe panellists (n=131) had a wide range of expertise (42.8% Internal Medicine, 22.9% Cardiology, 16% Family Medicine, 13.7% Emergency Medicine and 4.6% Health Professions Education). Topics that reached consensus to be included in the undergraduate ECG curriculum were classified under technical aspects of performing ECGs, basic ECG analysis, recognition of the normal ECG and abnormal rhythms and waveforms and using electrocardiography as part of a clinical diagnosis. This study emphasises that ECG teaching should be framed within the clinical context. Course conveners should not overload students with complex and voluminous content, but rather focus on commonly encountered and life-threatening conditions, where accurate diagnosis impacts on patient outcome. A list of 23 “must know” ECG diagnoses is therefore proposed.ConclusionA multidisciplinary expert panel reached consensus on the ECG training priorities for medical students.

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RE-IMAGINING LTC: QUANTITATIVE AND QUALITATIVE RESULTS OF A NATIONAL MODIFIED DELPHI STUDY, IMPLICATIONS AND NEXT STEPS

Innovation in Aging ◽

10.1093/geroni/igz038.2335 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S626-S627 ◽

Cited By ~ 1

Author(s):

Rosalie A Kane ◽

Howard Degenholtz

Keyword(s):

United States ◽

Delphi Study ◽

Long Term Care ◽

Building Blocks ◽

The United States ◽

Term Care ◽

Modified Delphi ◽

Financial Arrangements ◽

Consumer Advocate

Abstract In 11/2016 Robert and Rosalie Kane began a 3-round Delphi study to re-imagine long-term care (LTC), , which took as a starting premise that LTSS in the United States fails to comport to the values and preferences of consumers. The Delphi study is “modified” from more typical Delphi designs because of 1) a sample sizes over 100, 2) an unusually broad topic--optimal LTC systems if not constrained by existing programs, financial arrangements and regulations; and 3) incorporation of new sample at each round. Round 1 asked respondents to rate and add to a list of values important to LTC< but largely was an open-ended request for respondents’ ideas, Round 2 was fielded in 6/2018 with all data collection completed by 11/2018 (the delay partly due to Robert Kane’s sudden death on March 6, 2017 and also the time needed to analyze, summarize and present the complex and detailed responses to the first round). Round 3, to be fielded in 4/2019., will provide participants with the ratings of values, principles and programmatic building blocks at Round Two, and the open-ended comment of respondents in explanation of their ratings. Each Round is analyzed cross-sectionally and can be considered a separate “virtual town square.” Ellen McCreedy and Rosalie Kane, respectively, present quantitative and qualitative results from the first two rounds. Discussants will each comment briefly from their perspectives as 1) state LTC policy developer,2) LTC university-based researcher; 3) consumer advocate, followed by audience and presenter discussion of the implications of the findings.

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Core competencies for emergency medicine clerkships: results of a Canadian consensus initiative

CJEM ◽

10.2310/8000.2012.120686 ◽

2013 ◽

Vol 15 (01) ◽

pp. 24-33 ◽

Cited By ~ 7

Author(s):

Rick Penciner ◽

Robert A. Woods ◽

Jill McEwen ◽

Richard Lee ◽

Trevor Langhan ◽

...

Keyword(s):

Emergency Medicine ◽

Delphi Method ◽

Expert Panel ◽

Core Competencies ◽

Competency Framework ◽

Modified Delphi Method ◽

The Core ◽

Modified Delphi ◽

Physician Competency ◽

Initial List

ABSTRACTObjectives:There is no consensus on what constitutes the core competencies for emergency medicine (EM) clerkship rotations in Canada. Existing EM curricula have been developed through informal consensus and often focus on EM content to be known at the end of training rather than what is an appropriate focus for a time-limited rotation in EM. We sought to define the core competencies for EM clerkship in Canada through consensus among an expert panel of Canadian EM educators.Methods:We used a modified Delphi method and the CanMEDS 2005 Physician Competency Framework to develop a consensus among expert EM educators from across Canada.Results:Thirty experts from nine different medical schools across Canada participated on the panel. The initial list consisted of 152 competencies organized in the seven domains of the CanMEDS 2005 Physician Competency Framework. After the second round of the Delphi process, the list of competencies was reduced to 62 (59% reduction). A complete list of competencies is provided.Conclusion:This study established a national consensus defining the core competencies for EM clerkship in Canada.

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155. Development of antibiotic classification for measuring antibiotic usage in Korean hospitals using a modified Delphi method

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.200 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S87-S88

Author(s):

Bongyoung Kim ◽

Young Kyung Yoon ◽

Dong-Sook Kim ◽

Su Jin Jeong ◽

Song Vogue ahn ◽

...

Keyword(s):

Broad Spectrum ◽

Delphi Method ◽

Delphi Study ◽

Antibacterial Agents ◽

Antibiotic Usage ◽

Beta Lactam ◽

Modified Delphi Method ◽

Modified Delphi ◽

Clostridioides Difficile ◽

Basic Work

Abstract Background In 2019, the project about developing a system for measure and benchmark antibiotic usage in each hospital was launched. As the basic work for the project, we developed ‘antibiotic classification for measuring antibiotic usage in Korean hospitals’ using a modified Delphi method. Consensual definition of antibiotic components according to the antibiotic classification in Korean hospitals. Methods The study consisted of two series of modified Delphi studies and was performed from July to August 2019. The study ‘antibiotic classification in Korean hospitals’ was performed first and followed by the study ‘antibiotic components according to the antibiotic classification in Korean hospitals’. Each Delphi study included two rounds of surveys in order to gather opinions and refine the information related to each study. We recruited a total of 12 panels including infectious diseases physicians (10), professor of preventive medicine (1), and the researcher of Health Insurance Review & Assessment Service (1). The questions for the Round 1 survey in each study were adopted from the antibiotic classification of the NHSN. Results As for the first study, the response rate of each round was 58.3% (7/12) and 75.0% (9/12), respectively. Most of the subjects of the NHSN’s antibiotic classification for adults were accepted except ‘antibacterial agents posing the highest risk for Clostridioides difficile infection’ (CVR = -1.000). On the contrary, all subjects for children were rejected. Finally, a total of 6 classifications were accepted. They were i) broad-spectrum antibacterial agents predominantly for hospital-onset infections, for adult (CVR = 1.000), ii) broad-spectrum antibacterial agents predominantly used for community-acquired infections, for adult (CVR = 1.000), iii) antibacterial agents predominantly used for resistant gram-positive infections, for adult (CVR =1.000), iv) narrow-spectrum beta-lactam agents, for adult (CVR = 1.000), v) antibacterial agents predominantly used for extensive antibiotic resistant gram-negative bacteria, for adult (CVR = 1.000), and vi) total antibacterial agent (CVR = 1.000). Conclusion this study provides antibiotic classification for measuring antibiotic usage in Korean hospitals. This classification may guide to develop a system for measuring of antibiotic usage in each Korean hospital. Disclosures All Authors: No reported disclosures

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An Analytical Algorithm for Delphi Method for Consensus Building and Organizational Productivity

Advances in Business Information Systems and Analytics - Organizational Productivity and Performance Measurements Using Predictive Modeling and Analytics ◽

10.4018/978-1-5225-0654-6.ch004 ◽

2017 ◽

pp. 62-79

Author(s):

Abd Hamid Zahidy ◽

Noor Azlinna Azizan ◽

Shahryar Sorooshian

Keyword(s):

Delphi Method ◽

Delphi Study ◽

Significant Variation ◽

Delphi Technique ◽

Methodological Approach ◽

Organizational Productivity ◽

Modified Delphi ◽

Practical Algorithm ◽

Procedural Guidance ◽

Study Application

The Delphi technique is being increasingly used in many complex areas where a consensus is to be reached. In such an environment, the Delphi technique allows researchers to acquire high quality, unbiased information from a panel of certified experts. Despite its vast uses, the Delphi method has seen a lack of consistent procedural guidance for its application. A review of literature revealed a significant variation in methodological approach of the method. The purpose of this paper is to develop a practical algorithm for the Delphi study application based on the literature review and the authors' practiced experiences. A few modifications are suggested to make the Delphi study more practical in research and decision making. Using the guidelines provided by this paper, it is expected that the reader may better understand the appropriate application and procedure of the modified Delphi process.

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