Department of Paediatric Surgery, Christchurch Hospital, Riccarton Avenue, Private Bag 4710, Christchurch 8011, New Zealand.
Surgeon. 2011;9 Suppl 1:S14-5. doi: 10.1016/j.surge.2010.11.012. Epub 2011 Feb 17.
The Surgical Education and Training (SET) program of the Royal Australasian College of Surgeons (RACS) represents a change from a time-based program to a competency-based program and much greater emphasis is placed on formative assessment and timely feedback (to Surgical Training Boards - STBs - as well as to the trainee). It demands early recognition of the trainee who is struggling to progress, the so-called "marginal trainee". Many of these are simply failing to acquire the desired competencies at the desired or expected rate, although some have more profound underlying deficiencies. SET also places a demand on training posts--with the expectation that they are providing an environment that is conducive to learning and that the trainees are getting adequate learning opportunities. In the domain of operative skills, this largely implies that levels of operative teaching and supervision should be appropriate to the trainee's stage and ability.
澳大利亚皇家外科学院的外科教育和培训 (SET) 计划代表了从基于时间的课程向基于能力的课程的转变，并且更加注重形成性评估和及时反馈（向外科培训委员会 (STB) 以及学员）。它要求及早识别那些难以取得进步的学员，即所谓的“边缘学员”。其中许多人只是未能以期望或预期的速度获得所需的能力，尽管有些人存在更严重的潜在缺陷。SET 还对培训岗位提出了要求——期望他们提供一个有利于学习的环境，并且学员有足够的学习机会。在手术技能领域，这主要意味着手术教学和监督的水平应适合学员的阶段和能力。
