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Br J Surg. 2000 Jan;87(1):28-37.

Acquiring surgical skills.

Author information

1
Department of Surgery, University of Western Australia, Perth, Western Australia, Australia.

Abstract

BACKGROUND:

Technical competence is the bedrock of surgery, yet it has only recently been viewed as a valid area for either critical evaluation or formal teaching.

METHODS:

This review examines the teaching of surgical skills. The core is derived from a literature search of the Medline computer database.

RESULTS AND CONCLUSION:

The impetus for surgical change has generally related to the introduction of new technology. Advances initially allowed for open operation within the main body cavities; more recently minimal access surgery has appeared. The latter was introduced in an inappropriate manner, which has led to the evolution of teaching of technical skills away from an apprenticeship-based activity towards more formal skill-based training programmes. There is now a need for a solid theoretical base for the teaching of manual skills that accommodates concepts of surgical competence.

[Indexed for MEDLINE]

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