Shastri-Hurst Neil, Naumann D N, Bowley D M, Whitbread T
Department of General Surgery, Heart of England NHS Foundation Trust, Birmingham, UK.
Department of General Surgery, Heart of England NHS Foundation Trust, Birmingham, UK Joint Medical Command, Lichfield, UK.
J R Army Med Corps. 2015 Jun;161(2):100-5. doi: 10.1136/jramc-2013-000211. Epub 2014 Jan 21.
The nature of general surgical training within the UK has undergone significant changes recently, including the evolution of the Intercollegiate Surgical Curriculum Programme (ISCP). In 2013, new task-specific goals tailored towards military surgery were incorporated into the general surgery curriculum. In order to meet the demands of training the next generation of military general surgeons, a new compendium of workplace-based assessments (WBAs) is now required.
In 2013, the ISCP general surgery curriculum was revised to include new, military-specific WBAs to allow formative assessment of a trainees' experience and preparedness for their future deployed role. Index procedures considered mandatory for a deployed military general surgeon to be effective in the field are now included in the general surgery curriculum. These will permit formative assessment of trainees and also permit revalidation of deployed skills among the consultant cadre.
General surgical training in the UK is in a transitional period, and the move towards increased sub-specialisation appears inexorable as evidenced by the split of Vascular Surgery into a separate specialty, along with its own training pathway and curriculum. With the 'generalist' demands on deployed surgeons in the Defence Medical Services, the task of training towards broader surgical competencies may appear daunting. Inclusion of defined military WBAs into the curriculum should help focus trainees and their trainers to identify the deployed general surgical skill set, identify the appropriate learning opportunities/placements required to enable the acquisition of relevant competencies and document their attainment and later retention.
英国普通外科培训的性质最近发生了重大变化，包括跨学院外科课程计划（ISCP）的演变。2013年，针对军事外科的新的特定任务目标被纳入普通外科课程。为了满足培养下一代军事普通外科医生的需求，现在需要一本新的基于工作场所的评估（WBA）简编。
2013年，ISCP普通外科课程进行了修订，纳入了新的、针对军事的WBA，以便对学员的经验和对未来部署角色的准备情况进行形成性评估。普通外科课程现在包括了被认为是部署的军事普通外科医生在实地有效工作所必需的索引程序。这些将允许对学员进行形成性评估，也允许在顾问级别重新验证部署技能。
英国的普通外科培训正处于过渡阶段，朝着增加亚专业方向发展的趋势似乎不可阻挡，血管外科被拆分为一个单独的专业，并有其自己的培训途径和课程，这就是证明。鉴于国防医疗服务中对部署外科医生的“通才”要求，培养更广泛外科能力任务可能看起来令人生畏。将明确的军事WBA纳入课程应有助于使学员及其培训师专注于确定部署的普通外科技能组合，确定获得相关能力所需的适当学习机会/实习地点，并记录他们的获得情况及之后的保留情况。
