Collins John P, Gough Ian R, Civil Ian D, Stitz Russell W
Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
ANZ J Surg. 2007 Jul;77(7):497-501. doi: 10.1111/j.1445-2197.2007.04171.x.
Educating and training tomorrow's surgeons has evolved to become a sophisticated and expensive exercise involving a wide range of learning methods, opportunities and stakeholders. Several factors influence this process, prompting those who provide such programmes to identify these important considerations and develop and implement appropriate responses. The Royal Australasian College of Surgeons embarked on this course of action in 2005, the outcome of which is the new Surgical Education and Training programme with the first intake to be selected in 2007 and commence training in 2008. The new programme is competency based and shorter than any designed previously. Implicitly, it recognizes in the curriculum and assessment development and processes, the nine roles and their underpinning competencies identified as essential for a surgeon. It is an evolution of the previous programme retaining that which has been found to be satisfactory. There will be one episode of selection directly into the candidate's specialty of choice and those accepted will progress in an integrated and seamless fashion, provided they meet the clinical and educational requirements of each year. The curriculum and assessment in the basic sciences include both generic and specially aligned components from the commencement of training in each of the nine surgical specialties. Born of necessity and developed through extensive research, discussion and consensus, the implementation of this programme will involve many challenges, particularly during the transition period. Through cooperation, commitment and partnerships, a more efficient and better outcome will be achieved for trainees, their trainers and their patients.
培养和训练未来的外科医生已发展成为一项复杂且成本高昂的工作，涉及广泛的学习方法、机会和利益相关者。有几个因素影响这一过程，促使提供此类课程的人识别这些重要考量，并制定和实施适当的应对措施。澳大利亚皇家外科学院于2005年开始了这一行动，其成果是新的外科教育与培训计划，首批学员将于2007年选拔出来，并于2008年开始培训。新计划以能力为基础，且比以往设计的任何计划都更短。它在课程设置、评估开发及流程中明确认可了九种角色及其支撑能力，这些被视为外科医生必不可少的要素。它是先前计划的演变，保留了被认为令人满意的部分。将有一次直接选拔进入候选人所选专业的机会，被录取者将以综合且无缝衔接的方式进阶，前提是他们满足每年的临床和教育要求。基础科学领域的课程和评估从九个外科专业各自的培训开始就包括通用和专门匹配的部分。出于必要并经过广泛研究、讨论和达成共识而产生的该计划的实施将面临诸多挑战，尤其是在过渡阶段。通过合作、承诺和伙伴关系，将为学员、他们的培训师及其患者带来更高效、更好的结果。
