Abstract
Recent high-profile cases have heightened the need for a formal structure to monitor achievement and maintenance of surgical competence. Logbooks, morbidity and mortality meetings, videos and direct observation of operations using a checklist, motion analysis devices, and virtual reality simulators are effective tools for teaching and evaluating surgical skills. As the operating theater is also a place for training, there must be protocols and guidelines, including mandatory standards for supervision, to ensure that patient care is not compromised. Patients appreciate frank communication and honesty from surgeons regarding their expertise and level of competence. To ensure that surgical competence is maintained and keeps pace with technologic advances, professional registration bodies have been promoting programs for recertification. They evaluate performance in practice, professional standing, and commitment to ongoing education.
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References
TR Russell (2000) ArticleTitleFrom my perspective Bull. Am. Coll. Surg. 85 4–5
InstitutionalAuthorNameAnonymous (1998) ArticleTitleFirst lessons from the Bristol case [editorial] Lancet 351 1669
J Shah A Darzi (2001) ArticleTitleSurgical skills assessment: an ongoing debate B.J.U. 88 655–663 Occurrence Handle10.1046/j.1464-4096.2001.02424.x Occurrence Handle1:STN:280:DC%2BD387lslyjsg%3D%3D
JA Martin G Regehr RK Reznick et al. (1997) ArticleTitleObjective structured assessment of technical skill (OSATS) for surgical residents Br. J. Surg. 84 273–278 Occurrence Handle1:STN:280:ByiB3cvpsVM%3D Occurrence Handle9052454
N Taffinder S Smith J Mair et al. (1999) ArticleTitleCan a computer measure surgical precision? Reliability, validity and feasibility of the ICSAD Surg. Endosc. 13 81
K Sandrick (2001) ArticleTitleVirtual reality surgery: has the future arrived? Bull. Am. Coll. Surg. 86 42–43 Occurrence Handle1:STN:280:DC%2BD3M3ms1CjtA%3D%3D Occurrence Handle11357764
MF McKneally (1999) ArticleTitleEthical problems in surgery: innovation leading to unforeseen complications World J. Surg. 23 786–788 Occurrence Handle10.1007/s002689900580 Occurrence Handle1:STN:280:DyaK1Mzks1aktw%3D%3D Occurrence Handle10415203
NG Patil J Wong (2001) ArticleTitleSurgery in the “new” Hong Kong. Arch. Surg. 136 1415–1418 Occurrence Handle10.1001/archsurg.136.12.1415 Occurrence Handle1:STN:280:DC%2BD38%2FivVygsQ%3D%3D Occurrence Handle11735871
WP Ritchie (2001) ArticleTitleMeasurement of competence: current plans and future initiatives of the American Board of Surgery Bull. Am. Coll. Surg. 86 11–15
I Currie G Youngson G Macbain et al. (2002) ArticleTitleA national study of basic training in general surgery J. R. Coll. Surg. Edinb. 47 645
DLF Watkin GT Layer (2002) ArticleTitleA 24-hour snapshot of emergency general surgery in the UK Ann. R. Coll. Surg. Engl. 84 194–199
TR Russell (2001) ArticleTitleFrom my perspective Bull. Am. Coll. Surg. 86 3–4 Occurrence Handle1:STN:280:DC%2BD3M3ms1Cjtw%3D%3D Occurrence Handle11357763
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Patil, N., Cheng, S. & Wong, J. Surgical Competence. World J. Surg. 27, 943–947 (2003). https://doi.org/10.1007/s00268-003-7098-1
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DOI: https://doi.org/10.1007/s00268-003-7098-1