General surgery education across three continents

Surgical education has seen tremendous changes in the US over the past decade. The Halstedian training model of see one, do one, teach one that governed surgical training for almost 100 years has been replaced by the achievement of the ACGME competencies, milestones, entrustable professional activit...

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Bibliographic Details
Published in:The American journal of surgery 2018-02, Vol.215 (2), p.209-213
Main Authors: McIlhenny, Craig, Kurashima, Yo, Chan, Carlos, Hirano, Satoshi, Domínguez-Rosado, Ismael, Stefanidis, Dimitrios
Format: Article
Language:English
Subjects:
Competency-Based Education - methods
Competency-Based Education - trends
Computer simulation
Continents
Councils
Curricula
Education
Education, Medical, Graduate - methods
Education, Medical, Graduate - trends
General Surgery - education
General Surgery - trends
Health education
Humans
Japan
Medical personnel
Medical residencies
Mexico
Physicians
Simulators
Skills
Surgeons
Surgery
Teachers
Teaching
Training
United Kingdom
United States
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Summary:Surgical education has seen tremendous changes in the US over the past decade. The Halstedian training model of see one, do one, teach one that governed surgical training for almost 100 years has been replaced by the achievement of the ACGME competencies, milestones, entrustable professional activities (EPAs), and acquisition of surgical skill outside the operating room on simulators. Several of these changes in American medical education have been influenced by educators and training paradigms abroad. In this paper, we review the training paradigms for surgeons in the UK, Japan, and Mexico to allow comparisons with the US training paradigm and promote the exchange of ideas. •Surgical training in the UK is making strides toward becoming competency based.•Entrustable professional activities have been developed for trainees and for trainers.•The Japanese Association for Surgical Education is leading the change in surgical training.•All Mexican surgery residents also have to complete a research thesis to graduate.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2017.12.002