Surgical EducationDevelopment of a knowledge, skills, and attitudes framework for training in laparoscopic cholecystectomy
Section snippets
Methods
The goal of this framework was to approach surgical education in a way that is similar to real life, through gaining knowledge, skills, attitudes, and behaviors. A surgeon first develops the knowledge base for the disease and treatment, and then continues to build on the knowledge base as he/she practices the technical intricacies of the procedure. Throughout this time, nontechnical and team skills also develop. Typically, nontechnical skills are not formally taught, rather surgeons are trained
Results
Five surgical residents completed the curriculum as a pilot program to test the feasibility of delivery and to identify any potential issues and areas for improvement within the curriculum.
Comments
Existing curricula that have been developed for surgical education cover the breadth of a surgical residency well. The intention of this curriculum was to go beyond these curricula and develop a framework for surgical training: a method that can be applied to any procedure. For example, to expand upon this curriculum the knowledge section could be replaced with specifics for the chosen surgical procedure, with a set of hints and tips from senior surgeons. This introductory knowledge is
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Technology-enhanced learning for surgeons
2021, Surgery (United Kingdom)Citation Excerpt :Training pathways have shifted their focus from time in training towards competency-based models,2 and a variety of technologies have been adopted to respond to these changes including online courses, e-portfolios and simulation. The broad aim of this approach is to develop the knowledge, skills and attitudes of learners within the non-traditional learning environments with the hopes that these attributes will be transferred to the clinical setting.3 The COVID-19 pandemic has led to a significant reduction in learning opportunities for all trainees, although the surgical specialties have been particularly affected.4
Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students?
2021, Journal of Surgical EducationCitation Excerpt :Moreover, these frameworks should be developed in close collaboration between surgeons and anesthesiologists to facilitate a shared model of NTS that optimizes and complements behaviors among OR team members. Different strategies to deliver the content of a dedicated NTS model exist.34,42,53,54 In particular, simulation-based learning has been demonstrated to create sustainable behaviors through incorporation of teamwork values in collective performance, making it ideal for teaching NTS.55,56
Development and implementation of a national quality improvement skills curriculum for urology residents in the United Kingdom: A prospective multi-method, multi-center study
2019, American Journal of SurgeryCitation Excerpt :The approach of using an evidence review as part of curriculum development has been used before within surgery, both for entire areas of surgical care as well as for specific procedures. For example, evidence review has been used in the development of training curricula for residents for surgical ward-based care14; and for laparoscopic cholecystectomy.15 Such reviews allow identification of both content and delivery methods and also assessment tools as evidenced in the existing literature.
Defining the Key Competencies in Radiation Protection for Endovascular Procedures: A Multispecialty Delphi Consensus Study
2018, European Journal of Vascular and Endovascular SurgeryCitation Excerpt :All participants gave written consent prior to the start of the study and their identity remained hidden during the study's course. The first round Delphi statements were defined prior the start of the study, based on radiation protection literature and international recommendations and adapted to the knowledge/skills/attitudes framework.1,5,8–10,18 All statements were reviewed by the research team, comprising three vascular surgeons and one physicist.
Training Tools for Nontechnical Skills for Surgeons—A Systematic Review
2017, Journal of Surgical EducationClinical strategies to aim an adequate safety profile for patients and effective training for surgical residents: The laparoscopic cholecystectomy model
2016, Annals of Medicine and SurgeryCitation Excerpt :The major advantages include the absence of any risk for the patient, the capability to expose of the trainee to a wide range of clinical scenario including those less clinically frequent or those more catastrophic or extremes and the possibility of a structured debriefing. The environmental setting maximizes the possibility not only of testing the operative skills without any clinical risk, but also to supervise and guide the trainee during the process since the trainer can control and decide the inputs of the simulation. [6,13,14]. The major limit of the present study is represented by its retrospective modality.
The authors deny any current or previous support received from industry or organizations that might have influenced this work. There was no influence of any study sponsors in regard to study design, collection, analysis or interpretation of data, or writing or publication of the manuscript.
Hull and Sevdalis are affiliated with the Imperial Center for Patient Safety and Service Quality (www.cpssq.org), which is funded by the National Institute for Health Research, UK. Aggarwal is affiliated with the Department of Surgery and Cancer, Imperial College London and Clinician Scientist Award from the National Institute of Health Research, UK. Harrysson is affiliated with Stanford School of Medicine and was funded my Stanford School of Medicine.
The authors declare no conflicts of interest.