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Surgical Training, Simulation and Assessment

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Introduction to Surgery for Students

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Abstract

As a trainee, it is important to understand how surgeons are trained, and why these methods are used. Exploring the best ways to train surgeons is an academic field in itself, as every method has to be thoroughly planned and validated before use. Many students stumble into this field at some point, usually when auditing the use of training programmes in their centre or just out of personal interest. Surgical education is full of specific terminology that is often meaningless to undergraduate students. In this chapter we review methods currently in use, and provide an explanation of key concepts.

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References

  1. Abboudi M, Ahmed K, Kirby R, Khan MS, Dasgupta P, Challacombe B. Mentorship programmes for laparoscopic and robotic urology. BJU Int. 2011;107:1869–71.

    Article  PubMed  Google Scholar 

  2. Abdelshehid CS, Quach S, Nelson C, Graversen J, Lusch A, Zarraga J, et al. High-fidelity simulation-based team training in urology: evaluation of technical and nontechnical skills of urology residents during laparoscopic partial nephrectomy. J Surg Educ. 2013;70:588–95.

    Article  PubMed  Google Scholar 

  3. Academy of Medical Royal Colleges. Revalidation [Online]. 2014. Available: http://www.aomrc.org.uk/revalidation/revalidation.html. Accessed 10 Dec 2014.

  4. Ahmed K, Challacombe B, Joyce AD, Khan MS, Dasgupta P. How can we ensure lifelong learning for urological specialists? BJU Int. 2011a;107:1187–8.

    Google Scholar 

  5. Ahmed K, Jawad M, Dasgupta P, Darzi A, Athanasiou T, Khan MS. Assessment and maintenance of competence in urology. Nat Rev Urol. 2010;7:403–13.

    Article  PubMed  Google Scholar 

  6. Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB. Observational tools for assessment of procedural skills: a systematic review. Am J Surg. 2011b;202:469–80.e6.

    Google Scholar 

  7. American Board of Medical Specialties. Board certification based on core competencies [Online]. 2014. Available: http://www.abms.org/board-certification/a-trusted-credential/based-on-core-competencies/. Accessed 10 Dec 2014.

  8. Arora S, Lamb B, Undre S, Kneebone R, Darzi A, Sevdalis N. Framework for incorporating simulation into urology training. BJU Int. 2011;107:806–10.

    Article  PubMed  Google Scholar 

  9. Bamrah JS, Bhugra D. CPD and recertification: improving patient outcomes through focused learning. Adv Psychiatr Treat. 2009;15:2–6.

    Article  Google Scholar 

  10. Bordage G, Carlin B, Mazmanian PE, American College of Chest Physicians Health and Science Policy Committee. Continuing medical education effect on physician knowledge: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest. 2009;135:29S–36.

    Article  PubMed  Google Scholar 

  11. Brewin J, Tang J, Dasgupta P, Khan MS, Ahmed K, Bello F, et al. Full immersion simulation – validation of a distributed simulation environment for technical and non-technical skills training in urology. BJU Int. 2014;116:156–62.

    Article  Google Scholar 

  12. Cameron JL. William Stewart Halsted. Our surgical heritage. Ann Surg. 1997;225:445–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Canter R. Impact of reduced working time on surgical training in the United Kingdom and Ireland. Surgeon. 2011;9 Suppl 1:S6–7.

    Article  PubMed  Google Scholar 

  14. Davis D, Galbraith R, American College of Chest Physicians Health and Science Policy Committee. Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest. 2009;135:42S–8.

    Article  PubMed  Google Scholar 

  15. Davis D, O’Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA. 1999;282:867–74.

    Article  CAS  PubMed  Google Scholar 

  16. Ereso AQ, Garcia P, Tseng E, Gauger G, Kim H, Dua MM, et al. Live transference of surgical subspecialty skills using telerobotic proctoring to remote general surgeons. J Am Coll Surg. 2010;211:400–11.

    Article  PubMed  Google Scholar 

  17. Evgeniou E, Peter L, Tsironi M, Iyer S. Assessment methods in surgical training in the United Kingdom. J Educ Eval Health Prof. 2013;10:2.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Federation of Surgical Specialty Associations. Revalidation guide for surgery [Online]. 2014. Available: http://www.rcseng.ac.uk/surgeons/surgical-standards/docs/revalidation-guide-for-surgery-2014. Accessed 23 Dec 2014.

  19. General Medical Council. Good medical practice [Online]. 2013. Available: http://www.gmc-uk.org/Good_medical_practice___English_0414.pdf_51527435.pdf. Accessed 23 Dec 2014.

  20. Guillonneau BD. The learning curve as a measure of experience. Nat Clin Pract Urol. 2005;2:309.

    Article  PubMed  Google Scholar 

  21. Harris A, Kassab E, Tun JK, Kneebone R. Distributed simulation in surgical training: an off-site feasibility study. Med Teach. 2013;35:e1078–81.

    Article  PubMed  Google Scholar 

  22. Kassab E, Tun JK, Arora S, King D, Ahmed K, Miskovic D, et al. “Blowing up the barriers” in surgical training: exploring and validating the concept of distributed simulation. Ann Surg. 2011;254:1059–65.

    Article  PubMed  Google Scholar 

  23. Kneebone R, Arora S, King D, Bello F, Sevdalis N, Kassab E, et al. Distributed simulation – accessible immersive training. Med Teach. 2010;32:65–70.

    Article  PubMed  Google Scholar 

  24. Marinopoulos SS, Baumann MH, American College of Chest Physicians Health and Science Policy Committee. Methods and definition of terms: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest. 2009;135:17S–28.

    Article  PubMed  Google Scholar 

  25. McDougall EM. Validation of surgical simulators. J Endourol. 2007;21:244–7.

    Article  PubMed  Google Scholar 

  26. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65:S63–7.

    Article  CAS  PubMed  Google Scholar 

  27. Norcini JJ. Work based assessment. BMJ. 2003;326:753–5.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Postgraduate Medical Education and Training Board. Developing and maintaining an assessment system – a PMETB guide to good practice [Online]. 2007. Available: http://www.gmc-uk.org/Assessment_good_practice_v0207.pdf_31385949.pdf. Accessed 13 Dec 2014.

  29. Reznick RK, Macrae H. Teaching surgical skills – changes in the wind. N Engl J Med. 2006;355:2664–9.

    Article  CAS  PubMed  Google Scholar 

  30. Rogers Jr SO, Gawande AA, Kwaan M, Puopolo AL, Yoon C, Brennan TA, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140:25–33.

    Article  PubMed  Google Scholar 

  31. Santomauro M, Reina GA, Stroup SP, L’Esperance JO. Telementoring in robotic surgery. Curr Opin Urol. 2013;23:141–5.

    PubMed  Google Scholar 

  32. Shamim Khan M, Ahmed K, Gavazzi A, Gohil R, Thomas L, Poulsen J, et al. Development and implementation of centralized simulation training: evaluation of feasibility, acceptability and construct validity. BJU Int. 2013;111:518.

    Article  PubMed  Google Scholar 

  33. Sweet RM. Review of trainers for transurethral resection of the prostate skills. J Endourol. 2007;21:280–4.

    Article  PubMed  Google Scholar 

  34. Torkington J, Smith SG, Rees BI, Darzi A. Skill transfer from virtual reality to a real laparoscopic task. Surg Endosc. 2001;15:1076–9.

    Article  CAS  PubMed  Google Scholar 

  35. Van Nortwick SS, Lendvay TS, Jensen AR, Wright AS, Horvath KD, Kim S. Methodologies for establishing validity in surgical simulation studies. Surgery. 2010;147:622–30.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. MRC Centre for Transplantation, Guy’s Hospital, King’s College London, Great Maze Pond, London, UK

    Abdullatif Aydin BSc (Hons), MBBS & Kamran Ahmed MRCS, PhD

  2. Edinburgh Medical School, The University of Edinburgh, 49 Little France Crescent, Edinburgh, EH16 4SB, UK

    Cameron Kuronen-Stewart BSc (Hons) & Rebecca A. Fisher BSc (Hons)

Authors
  1. Abdullatif Aydin BSc (Hons), MBBS
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  2. Cameron Kuronen-Stewart BSc (Hons)
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  3. Rebecca A. Fisher BSc (Hons)
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  4. Kamran Ahmed MRCS, PhD
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Corresponding author

Correspondence to Abdullatif Aydin BSc (Hons), MBBS .

Editor information

Editors and Affiliations

  1. University of Edinburgh, Edinburgh, United Kingdom

    Rebecca A. Fisher

  2. MRC Centre for Transplantation, King’s College London , London, United Kingdom

    Kamran Ahmed

  3. MRC Centre for Transplantation, King’s College London , London, United Kingdom

    Prokar Dasgupta

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Aydin, A., Kuronen-Stewart, C., Fisher, R.A., Ahmed, K. (2017). Surgical Training, Simulation and Assessment. In: Fisher, R., Ahmed, K., Dasgupta, P. (eds) Introduction to Surgery for Students. Springer, Cham. https://doi.org/10.1007/978-3-319-43210-6_28

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  • DOI: https://doi.org/10.1007/978-3-319-43210-6_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43209-0

  • Online ISBN: 978-3-319-43210-6

  • eBook Packages: MedicineMedicine (R0)

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