Objectives: Many aspects of pediatric colonoscopy differ from adult practice. To date, there is no validated measure of endoscopic competence for use in pediatrics. Using Delphi methodology, we aimed to determine expert consensus regarding items required on a checklist and global rating scale designed to assess the competence of clinicians performing colonoscopy on pediatric patients.
Methods: Forty-one North American pediatric endoscopy experts rated potential checklist and global rating items for their importance as indicators of the competence of trainees learning to perform pediatric colonoscopy. Responses were analyzed and resent to the panel for further ratings until consensus was reached. Items that >= 80% of experts rated as >= 4 out of 5 were included in the final instrument. Consensus items were compared to those items deemed by adult endoscopy experts as fundamental to assessing performance of adult colonoscopy.
Results: Five rounds of surveys were completed with response rates ranging from 76-100%. Seventy-five checklist and 38 global rating items were reduced to 18 checklist and 7 global rating items that reached consensus. Three pediatric checklist items differed from those considered to be critical adult indicators, while 4 items on the latter did not reach consensus among pediatric experts.
Conclusions: Delphi methodology allowed for achievement of expert consensus regarding essential items to be included in the GiECATKIDS, a measure of endoscopic competence specific to performing pediatric colonoscopy. Key differences in the checklist items, in comparison to items reaching consensus during a separate adult Delphi process utilizing the same indicators, emphasizes the need for a pediatric-specific tool.
(C) 2014 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,