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Management of Inguinal Hernias in Pediatric Patients: A Retrospective Study

Sara A Mansfield

Background: Simulation- grounded education (SBE) has led to significant changes in healthcare education. Still, SBE has frequently been grounded on available coffers and original moxie rather than a methodical approach to class development. The end of this study was to perform abi-national requirements assessment to identify and prioritise procedures in a paediatric surgery class that can be supported using SBE.

Methods: A modified 3- round Delphi fashion was used to gather agreement from education leaders and trainees in paediatric surgery in Australia and Aotearoa New Zealand (ANZ). Round 1 linked all procedures a recently specialised paediatric surgeon should be suitable to perform. In Round 2, each procedure was explored for the need for SBE using the Copenhagen Academy for Medical Education and Simulation (CAMES) Needs- Assessment Formula (NAF). This pre-prioritised list from Round 2 was transferred back to actors for final rejection and ranking in Round 3.

Results: 88 actors were linked and invited. From 174 procedures linked in Round 1, 71 procedures were grouped and categorised for Round 2 using the CAMES NAF. In Round 3, 17 procedures were excluded performing in 54 procedures. Appendectomy, inguinal her noisome, and central venous access were the loftiest rank procedures after prioritisation in Round 3. There was a strong correlation (r = 0.99) between the NAF score and the prioritised ranking, as well as between advisers and trainees (r = 0.92 in Round 2 and0.98 in Round 3).

Conclusion: The prioritised list represents an agreement document decided upon by education leaders and stakeholders in paediatric surgery. These procedures should be an integral part of the SBE of paediatric surgeons in the region.

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