EDITORIAL
Surgical training
Training in the operating theatre: is it safe?
Department of Biosurgery and Surgical Technology, Imperial College London, St Mary’s Hospital, London, UK
Correspondence to:
Correspondence to:
MrR Aggarwal
Department of Biosurgery and Surgical Technology, Imperial College London, St Mary’s Hospital, London W2 1NY, UK; rajesh.aggarwal@imperial.ac.uk
The importance of a systems approach to surgical training
Keywords: training; lobectomy; mortality; morbidity; thoracic surgery
| The first 150 words of the full text of this article appear below. |
Recent years have witnessed a number of drivers for change in the delivery of health care.1 Working time restrictions, quality assurance targets, the introduction of new technologies and star ratings for hospitals have served to create antagonism between service and training priorities. The provision of a high quality service necessitates the employment of proficient practitioners, using tools to the highest of their abilities. This is in discord with the apprenticeship model of training whereby trainees undergo graded practice on patients, leading to the development of proficiency.2 Furthermore, a number of high profile cases have highlighted the need for regular audit of outcomes to ensure patient care is not compromised.3
It is well known that achievement of proficiency to perform a procedure entails a learning curve during which morbidity and mortality gradually decline.4,5 However, some of the complications which occur during the learning curve are avoidable through appropriate case
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Thorax 2006 61: 275.[Extract] [Full Text] [PDF]
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