PubMed · 9071703
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W M Rodney. Office procedural training.. https://pubmed.ncbi.nlm.nih.gov/9071703/
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The trainee gynaecologist requires specific teaching to achieve competency in gynaecological surgery. Basic skills such as knot tying and suturing should be acquired outside the operating theatre. They can be learned on simulations, including bench models, using synthetic materials, life-like models and animal tissue. Video training equipment is useful for the development of basic laparoscopic hand-eye coordination. Intermediate and advanced skills require simulations using more sophisticated bench models, live animals and virtual reality computerised systems. Structured teaching and assessment methods are essential. Surgical skills training models should be reliable and valid, and can be incorporated into an objective structured clinical examination, which could be used to assess individual development and allow progression through a training programme. Simulation training does translate into improved operative performance. Supervised operating experience on patients is crucial to training and should be assessed regularly using a global rating form with constructive feedback to facilitate improvement.
INTRODUCTION: The number of operations performed by a surgeon is a predictor of the outcome of colon/rectum resection. Therefore it is relevant to monitor the surgeons' volume of work and the number of patients' complications in order to secure both an adequate number and high quality. MATERIALS AND METHODS: Using data from the Danish National Patient Registry and Danish Colon Cancer Group's database, we located hospital departments that had performed colon/rectum surgery in 2003 and asked them whether they monitored surgeons' volume of work and the number of patients' complications and whether they considered those data relevant to the patients or their GPs. RESULTS: Thirty-nine departments had performed colon/rectum resection; 27 of them responded. Eight departments (36%) had defined a standard for the number of operations per surgeon, while only four used the data to determine the surgeons' volume of work. 68% found data concerning the department's volume of operations relevant to both GPs and patients, while 23% thought that those data were not relevant to GPs or patients. 64% found the data concerning surgeons' volume to be irrelevant to both GPs and patients. None of the departments had informed the GPs or the patients about their results. DISCUSSION: It is remarkable that very few hospital departments actually collect and use data to secure adequate volume and quality. It is necessary to increase the focus on surgeons' volume of operations in order to secure high quality.