WHO Collaborating Centre for Public Health Education and Training, Imperial College London reposted this
Scalpel Skills Are Stalling—Why We Must Reinvent Early Surgical Training Author: Kenneth Walker, Adarsh Shah Reviewer: David Laith Rawaf, MD Link to paper: https://lnkd.in/dwKFUauJ Theme: General Surgery The operating room is no place for trial and error, yet junior surgeons are facing a training crisis. A detailed review of early-years surgical training highlights a troubling reality: hands-on experience is dwindling due to work-hour restrictions, patient safety concerns, and a shift towards competency-based models. The result? Many trainees enter higher surgical training with significant gaps in their technical abilities, or face not being able to enter at all! Findings of the Paper: • Declining Hands-on Experience – Reduced operative exposure in early training years means junior doctors are struggling to build core technical skills. • #Simulation as a Solution – The study underscores the value of simulation-based training, from virtual reality (VR) to physical models, in building proficiency before live surgery. • Gaps in Curricula – Despite strong evidence supporting simulation, many training programs lack a structured, mandatory approach to integrating it into early surgical education. • Assessment Discrepancies – Current assessment tools fail to reliably measure skill acquisition, leading to inconsistencies in surgical readiness. Key Recommendations: • Mandatory Simulation Training – Structured, progressive simulation training should be embedded in all surgical curricula to ensure skill development before patient interaction. • Standardised Skill Assessments – Competency must be evaluated using validated metrics, ensuring trainees meet technical benchmarks before progressing. • Increased Access to Training Tools – Wider adoption of affordable, portable simulators is critical to ensuring all trainees get sufficient exposure, regardless of hospital resources. • Mentorship and Feedback – Regular coaching and structured feedback loops will help trainees refine techniques faster. The Takeaway: The paper makes a strong case for rethinking surgical education. Early exposure to technical skills through structured simulation is not just an enhancement - it’s a necessity. The future of surgical excellence depends on embracing these changes now. #SurgicalTraining #FutureOfSurgery #ImprovingSurgicalTraining Elliot Street, Ross Davies, Glenn Cooper FCIPS, Ben Quinton, Helen Hanson