Zahid Assad, Hong Jonathan, Young Christopher J
1 University of Sydney, Sydney, New South Wales, Australia.
Surg Innov. 2018 Feb;25(1):77-80. doi: 10.1177/1553350617751450. Epub 2018 Jan 5.
Surgery is a science and an art, which is mastered through years of training and refined by the accumulation of individual experience and preference. Continuing professional development (CPD) is a concept that emphasizes a self-directed approach to education. Coaching is a process that leads to increased utilization of a person's current skills and resources without counselling or advising. Coaching in surgery could be used to facilitate and optimize feedback and reflection, thus enhancing performance and outcomes through elite performance of an operative procedure. Therefore, it can be applied under the umbrella of CPD. Ultimately also emphasizing that better quality surgery is not necessarily purely based on technical outcomes, it is a combination of both technical and nontechnical practice. Coaching of surgeons is a conceptually formidable tool in the successful implementation of effective CPD programs. CPD currently provides an opportunity for surgeons to gain access to constantly evolving medical knowledge and technique; however, there is no accountability to its understanding or implementation. Coaches have the potential to provide confidential appraisal and feedback in a constructive approach with the aim to eliminate any barriers to the transfer of technique and knowledge.
外科手术是一门科学与艺术,需通过多年训练才能掌握,并随着个人经验和偏好的积累而不断完善。持续专业发展(CPD)是一个强调自我导向式教育的概念。辅导是一个无需咨询或建议就能提高个人当前技能和资源利用率的过程。外科手术中的辅导可用于促进和优化反馈与反思,从而通过精湛的手术操作提高手术表现和效果。因此,它可在持续专业发展的框架下应用。最终也要强调,更高质量的手术不一定纯粹基于技术结果,而是技术与非技术实践的结合。对外科医生的辅导在成功实施有效的持续专业发展项目方面是一个概念上强大的工具。持续专业发展目前为外科医生提供了获取不断发展的医学知识和技术的机会;然而,对于对这些知识的理解或应用并没有问责机制。辅导者有潜力以建设性的方式提供保密评估和反馈,旨在消除技术和知识传授过程中的任何障碍。