Basic Surgical Instruments and Their Use – FG Corley & R Thomas
A surgical training program is much like an apprenticeship in which knowledge is passed from the skilled surgeon to the more junior. Often in learning these skills, certain nuances are assumed. The names and uses of surgical instruments are often not included in any surgical dialogue. This publication will hopefully clear up knowledge gaps in surgical positioning, instruments, and techniques. It is certainly not a treatise but aims to stimulate interest and enthusiasm for basic surgical principles.
Evaluation of surgical training in the era of simulation – S Saharan & P Neary
AIM: To assess where we currently stand in relation to simulator-based training within modern surgical training curricula.
METHODS: A systematic literature search was performed in PubMed database using keywords “simulation”, “skills assessment” and “surgery”. The studies retrieved were examined according to the inclusion and exclusion criteria. Time period reviewed was 2000 to 2013. The methodology of skills assessment was examined.
Gender differences in the learning and teaching of surgery: a literature review – CM Burgos & A Josephson
OBJECTIVES: To explore evidence concerning gender differences in teaching and learning in surgery to guide future initiatives.
METHODS: This systematic review was conducted searching in the following electronic databases: MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Web of Science, Scopus and PubMed. All studies related to gender differences in surgical education, teaching or learning of surgery at an undergraduate level were included. Data was extracted and critically appraised. Gender differences in learning, teaching, skills acquisition, perceptions and attitudes, interest on surgery, personality and factors influencing interest in surgical careers were differentiated.
The role of non-technical skills in surgery – RA Agha, AJ Fowler & N Sevdalisc
Non-technical skills are of increasing importance in surgery and surgical training. A traditional focus on technical skills acquisition and competence is no longer enough for the delivery of a modern, safe surgical practice. This review discusses the importance of non-technical skills and the values that underpin successful modern surgical practice.
This narrative review used a number of sources including written and online, there was no specific search strategy of defined databases. Modern surgical practice requires; technical and non-technical skills, evidence-based practice, an emphasis on lifelong learning, monitoring of outcomes and a supportive institutional and health service framework. Finally these requirements need to be combined with a number of personal and professional values including integrity, professionalism and compassionate, patient-centred care.
Evolution of surgical skills training – KE Roberts, RL Bell & AJ Duffy
Surgical training is changing: one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgical simulation and skills training offers an opportunity to teach and practice advanced skills outside of the operating room environment before attempting them on living patients.
Simulation training can be as straight forward as using real instruments and video equipment to manipulate simulated “tissue” in a box trainer. More advanced, virtual reality simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations.
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