Surg J R Coll Surg E
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Surg J R Coll Surg E · Jan 2011
ReviewUse of the operative logbook to monitor trainee progress, and evaluate operative supervision provided by accredited training posts.
The Surgical Education and Training (SET) program of the Royal Australasian College of Surgeons (RACS) represents a change from a time-based program to a competency-based program and much greater emphasis is placed on formative assessment and timely feedback (to Surgical Training Boards - STBs - as well as to the trainee). It demands early recognition of the trainee who is struggling to progress, the so-called "marginal trainee". ⋯ SET also places a demand on training posts--with the expectation that they are providing an environment that is conducive to learning and that the trainees are getting adequate learning opportunities. In the domain of operative skills, this largely implies that levels of operative teaching and supervision should be appropriate to the trainee's stage and ability.
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Surg J R Coll Surg E · Jan 2011
International consensus statement on surgical education and training in an era of reduced working hours.
An international consensus statement has been developed as a reference on the key principles to be considered during discussions on surgical education and training and the delivery of surgical care in an era of restricted hours.
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Skills training has been an increasingly important focus of surgical training and is ideally performed prior to reaching the operating room. Although our understanding of the role is increasing, and there are more publications describing endpoints with simulation and different training models, the optimal training methodology remains unclear. ⋯ Feedback during training is likely important, and the more proximate that feedback, the better its effectiveness. Optimal skills' training likely depends on a combination of having the optimal curriculum, in conjunction with an appropriate training model.
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The reduction in working hours has driven interest in surgical simulation as a means of supplementing traditional training models. Simulation offers the opportunity for the rehearsal of a wide range of skills in a controlled, risk-free environment, allowing for the development of mastery at a pace appropriate to the learner and offers a means for objective verification of skills.
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Surg J R Coll Surg E · Jan 2011
ReviewThe impact of reduced working hours on surgical training in Australia and New Zealand.
There is a worldwide trend for reduced working hours for doctors, particularly in the developed western countries. This has been led by the introduction of the European Working Time Directive (EWTD) that has had a significant impact on work patterns and training. Australia currently has a more flexible working environment but this is changing. In New Zealand there is a contract for resident doctors defining a maximum 72 h of rostered work per week.