Is Current Surgical Training Efficient? A National Survey
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| Title: | Is Current Surgical Training Efficient? A National Survey |
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| Authors: | Carlsen, Charlotte Green, Lindorff-Larsen, Karen, Funch-Jensen, Peter, Lund, Lars, Morcke, Anne Mette, Ipsen, Merete, Charles, Peder |
| Source: | Carlsen, C G, Lindorff Larsen, K, Funch-Jensen, P, Lund, L, Morcke, A M, Ipsen, M & Charles, P 2014, 'Is current surgical training efficient? A national survey', Journal of Surgical Education, vol. 71, no. 3, pp. 367-374. https://doi.org/10.1016/j.jsurg.2013.10.002 Carlsen, C G, Lund, L, Lindorff-Larsen, K, Funch-Jensen, P, Morcke, AM, Ipsen, M & Charles, P 2014, ' Is current surgical training efficient-a national survey? ', Journal of Surgical Education, vol. 71, no. 3, pp. 367-374 . https://doi.org/10.1016/j.jsurg.2013.10.002 Carlsen, C G, Lindorff-Larsen, K, Funch-Jensen, P, Lund, L, Morcke, A M, Ipsen, M & Charles, P 2014, 'Is current surgical training efficient? A national survey', Journal of Surgical Education, vol. 71, no. 3, pp. 367-74. https://doi.org/10.1016/j.jsurg.2013.10.002 |
| Publisher Information: | Elsevier BV, 2014. |
| Publication Year: | 2014 |
| Subject Terms: | Adult, Education, Medical, Graduate/standards, practice-based learning, assessment, Competency-Based Education/standards, Data Collection, Denmark, competency-based training, Middle Aged, General Surgery/education, Competency-Based Education, Education, surgery, 03 medical and health sciences, 0302 clinical medicine, Education, Medical, Graduate, 13. Climate action, Medical, Graduate/standards, General Surgery, Humans |
| Description: | Evaluation of surgical training in Denmark is competency based with no requirement for a specific number of procedures. This may affect monitoring of surgical progress adversely and cause an underestimation of the time needed to acquire surgical competencies. We investigated the number of common surgical procedures performed by trainees. Trainees' and consultants' expectations from the training program were also investigated.A questionnaire was sent to all 115 surgical trainees in Denmark. We asked how many common surgical procedures the trainees had performed during their postgraduate training, whether self-reported procedural confidence was achieved during their training, and whether their training expectations were met. Another questionnaire dealt with the consultants' expectations of the surgical training.The total number of common surgical procedures (Lichtenstein hernia repair, appendectomy, laparoscopic appendectomy, and laparoscopic cholecystectomy) that were performed varied between trainees. One group performed few common procedures during training. A low number in 1 procedure correlated with a similar pattern in other procedures. Approximately one-third did not perform common elective procedures independently until their fifth year. Consultants and trainees viewed training differently.Our study reveals no common trend in the numbers and types of procedures performed during training. The number of procedures seems to reflect the individual trainee and a local tradition rather than the particular training program. An informal competency-based assessment system with lack of quantitative requirements evidently involves a risk of skewness in training. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1931-7204 |
| DOI: | 10.1016/j.jsurg.2013.10.002 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/24797853 http://www.sciencedirect.com/science/article/pii/S1931720413002614 https://www.sciencedirect.com/science/article/pii/S1931720413002614 https://pubmed.ncbi.nlm.nih.gov/24797853/ https://vbn.aau.dk/en/publications/is-current-surgical-training-efficient-a-national-survey https://vbn.aau.dk/en/publications/is-current-surgical-training-efficient(2c4ad5fc-de5c-4d38-9480-00da642ad6c7).html https://www.ncbi.nlm.nih.gov/pubmed/24797853 https://portal.findresearcher.sdu.dk/da/publications/63586b33-9608-4b05-8bab-a06e7d455260 |
| Rights: | Elsevier TDM |
| Accession Number: | edsair.doi.dedup.....e402776a4965bf126341783beca7fa0f |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Evaluation of surgical training in Denmark is competency based with no requirement for a specific number of procedures. This may affect monitoring of surgical progress adversely and cause an underestimation of the time needed to acquire surgical competencies. We investigated the number of common surgical procedures performed by trainees. Trainees' and consultants' expectations from the training program were also investigated.A questionnaire was sent to all 115 surgical trainees in Denmark. We asked how many common surgical procedures the trainees had performed during their postgraduate training, whether self-reported procedural confidence was achieved during their training, and whether their training expectations were met. Another questionnaire dealt with the consultants' expectations of the surgical training.The total number of common surgical procedures (Lichtenstein hernia repair, appendectomy, laparoscopic appendectomy, and laparoscopic cholecystectomy) that were performed varied between trainees. One group performed few common procedures during training. A low number in 1 procedure correlated with a similar pattern in other procedures. Approximately one-third did not perform common elective procedures independently until their fifth year. Consultants and trainees viewed training differently.Our study reveals no common trend in the numbers and types of procedures performed during training. The number of procedures seems to reflect the individual trainee and a local tradition rather than the particular training program. An informal competency-based assessment system with lack of quantitative requirements evidently involves a risk of skewness in training. |
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| ISSN: | 19317204 |
| DOI: | 10.1016/j.jsurg.2013.10.002 |