Reznick R K
Department of Surgery, Toronto Hospital, Ontario, Canada.
Am J Surg. 1993 Mar;165(3):358-61. doi: 10.1016/s0002-9610(05)80843-8.
Teaching technical skills is one of the most important tasks of a surgeon. This article discusses current issues in teaching and testing technical skills. For the most part, the level of technical skills cannot be predicted before a surgical resident starts a program. Different methods of teaching technical skills are reviewed (in and out of the operating room). For optimal effectiveness in teaching residents, we must apply principles of adult learning to the surgical domain. A methodologic framework for skill acquisition, adapted from the educational psychology literature, is discussed. Five methods of assessing technical skills are presented. Structuring the assessment process has resulted in higher levels of reliability and improved validity.
教授技术技能是外科医生最重要的任务之一。本文讨论了技术技能教学与测试中的当前问题。在很大程度上，在外科住院医师开始培训项目之前，无法预测其技术技能水平。本文回顾了教授技术技能的不同方法（包括手术室内外的方法）。为了在教授住院医师时达到最佳效果，我们必须将成人学习原则应用于外科领域。本文讨论了一个从教育心理学文献改编而来的技能习得方法框架。介绍了评估技术技能的五种方法。构建评估过程提高了可靠性并改善了有效性。
