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Bienvenido

Titulo Artículo : Defining operative experience targets in surgical training: A systematic review
Titulo Revista: Surgery

ISBN

1532-7361
Autores Aisling O’Byrne
Marie Morris
Dara O. Kavanagh
Conor Toale
Año de publicacion 2022

Suplemento

Numero 5 Volumen 172
Pagina Inicial 1364 Pagina Final 1372
Idioma: Inglés Base de datos bibliográfica: ScienceDirect
Resumen : Background The surgical learning curve is an observable and measurable phenomenon. Operative experience targets are well established as a proxy measure for operative competence in surgical training across jurisdictions. The aim of this study was to critique the available evidence regarding the relationship between operative experience in surgical training and trainee competence. Methods A systematic review of the PubMed, Embase, Web of Science, and Cochrane library databases was conducted in accordance with the Preferred Items for Systematic Reviews and Meta-Analyses guidelines. Articles were sought that defined the relationship between procedural volume in surgical training and trainee competence, proficiency, or mastery. The educational impact of included studies was evaluated using a modified Kirkpatrick model. Results Of 3,672 records identified on database searching, 30 papers were ultimately included. Fourteen studies defined operative experience thresholds using operative time as a surrogate measure of competence, whereas another 8 used trainer assessments of operative performance (Kirkpatrick level 3). A further 5 studies were able to determine the relationship between trainee case volumes and subsequent patient outcomes (Kirkpatrick level 4b).
Palabras Claves : Operative experience
Surgical training

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