Development and Implementation of a Global Pediatric Oncology Surgery Fellowship Curriculum: A Consensus-Driven and Collaborative Effort to Address Workforce Challenges

Abstract

Background/Purpose: Pediatric cancer is a major global health challenge, with an estimated 400,000 new cases diagnosed each year. Access to specialized surgical care is particularly limited in low- and middle-income countries (LMICs), where a shortage of trained pediatric surgical oncologists exacerbates treatment disparities. This study aimed to develop a comprehensive global curriculum for pediatric surgical oncology to enhance training and improve patient outcomes. Methods: A mixed-method approach was adopted for the development and implementation of the curriculum. A consensus-driven curriculum was created through a Delphi process involving pediatric surgical oncology program directors from diverse regions. A series of voting rounds established essential competencies, with a threshold of 70% agreement required for inclusion. The curriculum incorporates both online modules and hands-on training, emphasizing regional needs and mentorship. Results: The Delphi panel included a diverse group of pediatric surgical oncology program directors, with consensus reached on a comprehensive checklist of competencies after three rounds of voting. The curriculum was piloted in Africa, Southeast Asia, and Latin America, ensuring local relevance and sustainability through collaborations with national cancer institutes and ministries of health. Conclusions: This innovative curriculum aims to transform pediatric surgical oncology education, fostering a global community of practice. By addressing training gaps in LMICs, it seeks to enhance the quality of care for pediatric cancer patients and strengthen healthcare systems worldwide.