Training, assessment and accreditation in surgery

Introduction

Effective training is an essential component of every profession, and surgery is no exception. Traditionally, surgical training was mostly opportunity-based, often described as the ‘see one, do one, teach one’ approach, ascribed to Sir William Halsted.1 This method of training exclusively relied on opportunistic encounters of a variety of different cases and conditions and was extremely time-dependent. This apprenticeship model often prolonged training in order to gain sufficient surgical exposure and operative experience. However, over time, surgical training has shifted from an apprenticeship model to a competency-based model, according to which trainees must demonstrate competence in predefined areas of the curriculum to complete their training.2

Training and competence

Competence is ‘the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individual and the community being served’.3 The core components of...

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