Allum William
is the Royal College of Surgeons of England Council Lead and Health Education England Ambassador for Improving Surgical Training, UK. Conflicts of interest: none declared.
Surgery (Oxf). 2020 Oct;38(10):596-600. doi: 10.1016/j.mpsur.2020.07.015. Epub 2020 Aug 30.
Improving Surgical Training is a programme piloting an innovative, evidence-based approach to training. It was developed in response to the Shape of Training report which reviewed postgraduate training and recommended changes in medical education to meet the demands of the modern NHS. A series of initiatives have been developed to enhance the experience for surgical trainees not only to encourage a more focussed and supported method, but also to improve their job satisfaction. The initiatives have combined a greater emphasis on time for training provided by trainers with allocated time for training with multidisciplinary teamworking and the use of technology enhanced learning with simulation of both technical and non-technical skills. The pilot started in 2018 with core training in general surgery and has been expanded to include vascular surgery, urology and trauma and orthopaedics over the last 2 years. Initial feedback from both trainees, trainers and schools of surgery have identified different challenges to aid implementation. The programme is being very carefully evaluated by an independent company as well as careful oversight by the General Medical Council which are paramount to its success.
“改善外科培训”是一个试点项目，采用创新的、基于证据的培训方法。它是根据《培训格局》报告制定的，该报告审查了研究生培训情况，并建议对医学教育进行改革，以满足现代国民医疗服务体系的需求。已经制定了一系列举措来提升外科实习医生的培训体验，不仅鼓励采用更有针对性且得到支持的培训方法，还能提高他们的工作满意度。这些举措包括更加注重培训师提供的培训时间、分配专门的培训时间、开展多学科团队协作以及利用技术增强学习效果，同时模拟技术和非技术技能。该试点项目于2018年从普通外科的核心培训开始，在过去两年中已扩展至包括血管外科、泌尿外科以及创伤与矫形外科。实习医生、培训师和外科学校的初步反馈指出了有助于实施该项目的不同挑战。一家独立公司正在对该项目进行非常细致的评估，同时英国医学总会也在进行严格监督，这对项目的成功至关重要。
