Skip to main content

Advertisement

Log in

Moving towards a competency-based training ideology

  • Young Surgeons Forum
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The landscape of cardiac surgery is changing due to the current patient population who present at an advanced age with multiple comorbidities. Robotic surgery and interventional procedures are altering surgical practice. The modern cardiothoracic surgeon needs to be technically competent in the new and existing skills and display qualities of professionalism, teamwork, leadership, and effective communication. Current training programs have no provision for this methodology. This article introduces the concept of competency-based training and has suggestions for implementation of the same.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Frank JR, Jabbour M, Tugwell P, et al. Skills for the new millennium: report of the societal needs working group, CanMEDS 2000 Project. Ann R Coll Physicians Surg Can. 1996;29:206–16.

    Google Scholar 

  2. Accreditation Council for Graduate Medical Education (ACGME) General Competencies. Version 1.3. Chicago (IL): ACGME. September 28, 1999:2000.

  3. Wilkinson JR, Crossley JG, Wragg A, Mills P, Cowan G, Wade W. Implementing workplace-based assessment across the medical specialties in the United Kingdom. Med Educ. 2008;42:364–73.

    Article  PubMed  Google Scholar 

  4. Smelt J, Valencia O, Nowell J, Roberts N, Jahangiri M. Agreement between examiners in wet lab assessment of cardiothoracic trainees. Bulletin RCS England. 2017;99:190–4.

    Google Scholar 

  5. Harvey L, 2004–17, Analytic quality glossary, quality research international, http://www.Qualityresearchinternational.Com/Glossary/. Assessed 10 Jan 2017.

  6. Wang TT, Ahmed K, Patel VM, et al. A competency framework in cardiothoracic surgery for training and revalidation—an international comparison. Eur J Cardiothorac Surg. 2011;40:816–25.

    Article  PubMed  Google Scholar 

  7. Price J, Naik V, Boodhwani M, Brandys T, Hendry P, Lam BK. A randomized evaluation of simulation training on performance of vascular anastomosis on a high-fidelity in vivo model: the role of deliberate practice. J Thorac Cardiovasc Surg. 2011;142:496–503.

    Article  PubMed  Google Scholar 

  8. Trehan K, Kemp CD, Yang SC. Simulation in cardiothoracic surgical training: where do we stand?. J Thorac Cardiovasc Surg. 2014;147:18–24.e2.

  9. Feins RH, Burkhart HM, Conte JV, et al. Simulation-based training in cardiac surgery. Ann Thorac Surg. 2017;103:312–21.

    Article  PubMed  Google Scholar 

  10. Tchantchaleishvili V, Mokashi SA, Rajab TK, Bolman RM, Chen FY, Schmitto JD. Comparison of cardiothoracic surgery training in USA and Germany. J Cardiothorac Surg. 2010;5:118.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003;133:614–21.

    Article  PubMed  Google Scholar 

  12. Frank JR, editor. The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Ottawa: The Royal College of Physicians and Surgeons of Canada; 2005.

    Google Scholar 

  13. Derstine PL, Malloy K, Heard J. ACGME documents for common elements in program requirements. ACGMe-Bulletin, Accreditation Council for Graduate Medical Education: In; 2007. Available from http://www.acgme.org/Portals/0/PFAssets/bulletin-e/e-bulletin09_07.pdf

    Google Scholar 

  14. Ahmed K, Ashrafian H, Hanna GB, Darzi A, Athanasiou T. Assessment of specialists in cardiovascular practice. Nat Rev Cardiol. 2009;6:659–67.

    Article  PubMed  Google Scholar 

  15. Levinson W, Roter D. The effects of two continuing medical education programs on communication skills of practicing primary care physicians. J Gen Intern Med. 1993;8:318–24.

    Article  CAS  PubMed  Google Scholar 

  16. Freeman M, Miller C, Ross M. The impact of individual philosophies of teamwork on multi-professional practice and the implications for education. J Interprof Care. 2000;14:237–47.

    Article  Google Scholar 

  17. Catchpole K, Mishra A, Handa A, McCulloch P. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247:699–706.

    Article  CAS  PubMed  Google Scholar 

  18. Aggarwal R, Undre S, Moorthy K, Vincent C, Darzi A. The simulated operating theatre: comprehensive training for surgical teams. Qual Saf Health Care. 2004;13:i27–32.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Martin JA, Regehr G, Reznick R, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Varun Shetty.

Ethics declarations

Funding statement

No funding received for this study.

Ethical statement

This article does not contain any studies with human participants or animals performed by any of the authors.

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shetty, V., Arora, N. Moving towards a competency-based training ideology. Indian J Thorac Cardiovasc Surg 33, 280–283 (2017). https://doi.org/10.1007/s12055-017-0569-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-017-0569-z

Keywords

Navigation