Acquiring surgical skills

Background: Technical competence is the bedrock of surgery, yet it has only recently been viewed as a valid area for either critical evaluation or formal teaching. Methods: This review examines the teaching of surgical skills. The core is derived from a literature search of the Medline computer data...

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Bibliographic Details
Published in:British journal of surgery 2000-01, Vol.87 (1), p.28-37
Main Authors: Hamdorf, J. M., Hall, J. C.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Clinical Competence
Education, Medical - methods
Family Practice - education
Family Practice - standards
General Surgery - education
General Surgery - standards
Humans
Interprofessional Relations
Judgment
Medical sciences
Minimally Invasive Surgical Procedures - standards
Miscellaneous
Neuropsychological Tests
Patient Simulation
Psychomotor Performance
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Teaching - methods
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Summary:Background: Technical competence is the bedrock of surgery, yet it has only recently been viewed as a valid area for either critical evaluation or formal teaching. Methods: This review examines the teaching of surgical skills. The core is derived from a literature search of the Medline computer database. Results and conclusion: The impetus for surgical change has generally related to the introduction of new technology. Advances initially allowed for open operation within the main body cavities; more recently minimal access surgery has appeared. The latter was introduced in an inappropriate manner, which has led to the evolution of teaching of technical skills away from an apprenticeship‐based activity towards more formal skill‐based training programmes. There is now a need for a solid theoretical base for the teaching of manual skills that accommodates concepts of surgical competence. © 2000 British Journal of Surgery Society Ltd
ISSN:0007-1323
1365-2168
DOI:10.1046/j.1365-2168.2000.01327.x