==== Assessment of surgical competence ====

Source: Darzi A, Mackay S. Assessment of surgical competence. Qual Saf Heal Care. 2001;10(Supplement 2):ii64-ii69. 

The objective assessment of technical skill is "the //weakest aspect of assessment// in surgical training" 

//"Broad area of competence assessment in surgical practice"//

Model of surgical practice –> to facilitate a thorough appraisal of competence 


Surgeon's technical skills is:

//"At the centre of surgical practice"//

//"Imperative to demonstrate that the process introduced does indeed improve the outcomes"//

  - **Model**: The model of care is a //loop// in which diagnosis is re-evaluated and, if indicated, further investigations are done as the case progresses 
  - **Diagnosis and Plan** are not always separate and intertwine 
  - **Technical performance**
    * judgement - diagnosis, plan intraop
    * knowledge
    * dexterity
  - Post operative care