In Search of Characterizing Surgical Skill

被引:12
作者
Azari, David [1 ]
Greenberg, Caprice [1 ,2 ]
Pugh, Carla [3 ]
Wiegmann, Douglas [1 ]
Radwin, Robert [1 ,4 ]
机构
[1] Univ Wisconsin, Dept Ind & Syst Engn, Madison, WI USA
[2] Univ Wisconsin, Dept Surg, Wisconsin Surg Outcomes Res WiSOR Program, Madison, WI 53706 USA
[3] Stanford Univ, Dept Surg, Stanford, CA 94305 USA
[4] Univ Wisconsin, Dept Biomed Engn, Madison, WI USA
关键词
Objective performance assessment; Deliberate practice; Surgical skill; OPERATING-ROOM; TECHNICAL PERFORMANCE; DELIBERATE PRACTICE; NONTECHNICAL SKILLS; OBJECTIVE ASSESSMENT; COGNITIVE EXPERTISE; MALPRACTICE CLAIMS; MEDICAL-EDUCATION; CLINICAL SKILLS; LEARNING-CURVE;
D O I
10.1016/j.jsurg.2019.02.010
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
OBJECTIVE: This paper provides a literature review and detailed discussion of surgical skill terminology. Culminating in a novel model that proposes a set of unique definitions, this review is designed to facilitate shared understanding to study and develop metrics quantifying surgical skill. DESIGN: Objective surgical skill analysis depends on consistent definitions and shared understanding of terms like performance, expertise, experience, aptitude, ability, competency, and proficiency. STRUCTURE: Each term is discussed in turn, drawing from existing literature and colloquial uses. IMPLICATIONS: A new model of definitions is proposed to cement a common and consistent lexicon for future skills analysis, and to quantitatively describe a surgeon's performance throughout their career. (C) 2019 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1348 / 1363
页数:16
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