Perry Richard E, Oldfield Zaita
Royal Australasian College of Surgeons, East Melbourne, Victoria, Australia.
ANZ J Surg. 2013 Jun;83(6):417-21. doi: 10.1111/ans.12181. Epub 2013 May 8.
Contemporary surgeons are expected to develop and maintain competence across a range of skills far broader than that demanded of last century's surgeons. This is increasingly difficult to achieve in a competitive clinical environment in which the effectiveness of the traditional apprenticeship model can be compromised. New training paradigms must be found to ensure that the quality of surgical training is maintained and enhanced. Acquiring technical skills in the operating theatre is expensive, but training using simulations in the skills laboratory is gaining credibility and validity as a means to augment the clinical experience and accelerate training. The emerging role of surgical skills courses extends to training in behaviour and attitude. At the same time, there is a rapidly growing demand for training courses in technical surgical skills, particularly from prevocational trainees aspiring to enter surgical training. This group has been neglected by the new Surgical Education and Training programme, and re-engagement with them is now a priority. Most skills courses rely on surgeons willing to teach pro bono, and paying tutors would impose a significant additional cost on surgical training. However, recruiting enough fellows to meet the demand for tutors remains a challenge. The Royal Australasian College of Surgeons is actively engaged in supporting and developing skills training courses and programmes to address the range of skills required for surgical competence.
当代外科医生需要培养并维持一系列技能，其范围远比上个世纪外科医生所需的技能广泛得多。在竞争激烈的临床环境中，要做到这一点愈发困难，因为传统师徒模式的有效性可能会受到影响。必须找到新的培训模式，以确保外科培训的质量得以维持和提高。在手术室获取技术技能成本高昂，但在技能实验室使用模拟训练作为增加临床经验和加速培训的一种手段，正逐渐获得可信度和有效性。外科技能课程的新作用延伸到行为和态度方面的培训。与此同时，对外科技术技能培训课程的需求迅速增长，尤其是那些渴望进入外科培训的职前学员。新的外科教育与培训计划忽视了这一群体，现在重新与他们接触成为当务之急。大多数技能课程依赖外科医生自愿授课，而支付教师薪酬会给外科培训带来巨大的额外成本。然而，招募足够的学员来满足教师需求仍是一项挑战。澳大利亚皇家外科学院正积极支持并开展技能培训课程和项目，以满足外科能力所需的一系列技能要求。
