Formal teaching of basic surgical skills.

Attainment of the practical skills in surgery is an integral part of surgical training. Basic skills must be mastered prior to attempting more complex tasks and bad habits learned early are difficult to correct. A survey of advanced surgical trainees at this hospital demonstrated that skills were usually acquired during sessions in the operating theatre, often in an ad hoc manner. We report our experience in establishing a workshop-based skills course. The program included handling of instruments, knot tying, types and applications of needles and suture materials, wound care, ligation of vessels, and assisting at operation. Following completion of the course and demonstration of their competence, participants were awarded a certificate in basic skills. Participants reported increased confidence and involvement in operative surgery after the course and an increased interest in a career in surgery. We believe the intern year is the most appropriate time to teach such skills, but tuition need not to be restricted to this group. Teaching basic surgical skills in the workshop setting is feasible and advantageous.