Wales Deanery PGMDE School of Surgery Health Education and Improvement Wales, Cefn Coed Nantgarw UK.
Department of Surgery Morriston Hospital, Heol Maes Eglwys Swansea UK.
BJS Open. 2019 Aug 1;3(6):852-856. doi: 10.1002/bjs5.50200. eCollection 2019 Dec.
This study aimed to analyse the degree of relative variation in specialty-specific competencies required for certification of completion of training (CCT) by the UK Joint Committee on Surgical Training.
Regulatory body guidance relating to operative and non-operative surgical skill competencies required for CCT were analysed and compared.
Wide interspecialty variation was demonstrated in the required minimum number of logbook cases (median 1201 (range 60-2100)), indexed operations (13 (5-55)), procedure-based assessments (18 (7-60)), publications (2 (0-4)), communications to learned associations (0 (0-6)) and audits (4 (1-6)). Mandatory courses across multiple specialties included: Training the Trainers (10 of 10 specialties), Advanced Trauma Life Support (6 of 10), Good Clinical Practice (9 of 10) and Research Methodologies (8 of 10), although no common accord was evident.
Certification guidelines for completion of surgical training were inconsistent, with metrics related to minimum operative caseload and academic reach having wide variation.
本研究旨在分析英国联合外科培训委员会（Joint Committee on Surgical Training）认证完成培训（CCT）所需专业特定能力的相对变化程度。
分析和比较了与 CCT 所需手术和非手术技能能力相关的监管机构指南。
在所需的最低日志案例数量（中位数 1201（范围 60-2100））、索引手术（13（5-55））、基于程序的评估（18（7-60））、出版物（2（0-4））、向学术协会的交流（0（0-6））和审计（4（1-6））方面，各专业之间存在很大的差异。多个专业都包含强制性课程：培训师培训（10 个专业中的 10 个）、高级创伤生命支持（6 个专业中的 6 个）、良好临床实践（10 个专业中的 9 个）和研究方法（10 个专业中的 8 个），尽管没有明显的共识。
外科培训完成认证指南不一致，与最低手术工作量和学术范围相关的指标差异很大。
